CORRECTLY WELL DEFINED DETAILED ANSWERS LATEST
ALREADY GRADED A+ 2025 – 2026
Raloxifene (Evista) and bisphosphonates (alendronate, calcitonin) – DETAILED ANSWER
alternatives for hormone replacement therapy
Selective Estrogen Receptor Modulators (SERMs) - DETAILED ANSWER-Tamoxifen, toremifene,
raloxifene -- provide estrogen benefits while avoiding its drawbacks
Dysfunctional uterine bleeding - DETAILED ANSWER-10-14 day course of progestin
Amenorrhea treatment - DETAILED ANSWER-progestin helps induce menstrual flow
Amenorrhea estrogen levels are low - DETAILED ANSWER-give progestin for 5-10 days
Long term progestin therapy - DETAILED ANSWER-protection against endometrial cancer
, Estradiol - DETAILED ANSWER-most active estrogenic compound. oral estrogen option
Advantages of estrogen transdermal patch - DETAILED ANSWER-lower total estrogen dose.
less n/v. less fluctuation of estrogen blood levels. lower r/f DVT, PE and stroke
Femring - DETAILED ANSWER-intravaginal ring controls hot flashes and night sweats. Treats
vulval and vaginal atrophy
No gap method of changing from one OC to another - DETAILED ANSWER-go straight from one
type of OC to the other without taking a gap.
initiating OC treatment - DETAILED ANSWER-first day of menstrual cycle (no backup BC
needed) OR first sunday after onset of menses (backup BC needed for 7 days)
Initiating androgen therapy short term - DETAILED ANSWER-delayed sexual maturation causing
a boy significant distress. Limited course of Fluoxymesterone and methyltestosterone are
approved.
androgen therapy long term - DETAILED ANSWER-if delayed puberty is the result of true
hypogonadism
role of androgens in anemia - DETAILED ANSWER-promote synthesis of erythropoietin the
renal hormone that stimulates production of RBCs
Alprostadil preferred administration - DETAILED ANSWER-direct injection into the corpus
cavernosum. Rapid response