VERIFIED CORRECT ANSWERS
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A 22-year-old woman receives a prescription for oral contraceptives. Education for this patient
includes:
1. Counseling regarding decreasing or not smoking while taking oral contraceptives
2. Advising a monthly pregnancy test for the first 3 months she is taking the contraceptive
3. Advising that she may miss two pills in a row and not be concerned about pregnancy
4. Recommending that her next follow-up visit is in 1 year for a refill and annual exam -
CORRECT ANSWER-1
A 19-year-old female is a nasal Staph aureus carrier and is placed on 5 days of rifampin for
treatment. Her only other medication is combined oral contraceptives. What education should
she receive regarding her medications?
1. Separate the oral ingestion of the rifampin and oral contraceptive by at least an hour.
2. Both medications are best tolerated if taken on an empty stomach.
3. She should use a back-up method of birth control such as condoms for the rest of the current
pill pack.
4. If she gets nauseated with the medications she should call the office for an antiemetic
prescription. - CORRECT ANSWER-3
,A 56-year-old woman is complaining of vaginal dryness and dyspareunia. To treat her symptoms
with the lowest adverse effects she should be prescribed:
1. Low-dose oral estrogen
2. A low-dose estrogen/progesterone combination
3. A vaginal estradiol ring
4. Vaginal progesterone cream - CORRECT ANSWER-3
Shana is receiving her first medroxyprogesterone (Depo Provera) injection. Shana will need to
be monitored for:
1. Depression
2. Hypertension
3. Weight loss
4. Cataracts - CORRECT ANSWER-1
When prescribing medroxyprogesterone (Depo Provera) injections, essential education would
include advising of the following potential adverse drug effects:
1. Hypertension and dysuria
2. Depression and weight gain
3. Abdominal pain and constipation
4. Orthostatic hypotension and dermatitis - CORRECT ANSWER-2
The medroxyprogesterone (Depo Provera) injection has a Black Box Warning due to:
1. The potential development of significant hypertension
2. Increased risk of strokes
3. Decreased bone density
4. The risk of a life-threatening rash such as Stevens-Johnson - CORRECT ANSWER-3
, Shana received her first medroxyprogesterone (Depo Provera) injection 6 weeks ago and calls
the clinic with a concern that she has been having a light "period" off and on since receiving her
Depo shot. What would be the management of Shana?
1. Reassurance that some spotting is normal the first few months of Depo and it should
improve.
2. Schedule an appointment for an exam as this is not normal.
3. Prescribe 4 weeks of estrogen to treat the abnormal vaginal bleeding.
4. Order a pregnancy test and suggest she use a back-up method of contraception until she has
her next shot. - CORRECT ANSWER-1
William is a 62-year-old male who is requesting a prescription for sildenafil (Viagra). He should
be screened for ________________ before prescribing sildenafil.
1. Renal dysfunction
2. Unstable coronary artery disease
3. Benign prostatic hypertrophy
4. History of priapism - CORRECT ANSWER-2
Men who are prescribed sildenafil (Viagra) need ongoing monitoring for:
1. Development of chest pain or dizziness
2. Weight gain
3. Priapism
4. Renal function - CORRECT ANSWER-1
Men who are prescribed an erectile dysfunction drug such as sildenafil (Viagra) should be
warned about the risk for:
1. Impotence when combined with antihypertensives
2. Fatal hypotension if combined with nitrates
3. Weight gain if combined with antidepressants