EDMUNDS PHARMACOLOGY FOR THE
PRIMARY PROVIDER ACTUAL EXAM PAPER
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ 2. The primary care NP sees a woman who has been taking HT for
menopausal symptoms for 3 years. The NP decreases the dosage,
and several weeks later, the woman calls to report having several hot
flashes each day. The NP should:
a.
increase the HT dose.
b.
discontinue HT.
c.
recommend black cohosh to alleviate symptoms.
d.
reassure her that these symptoms will diminish over time.
Answer: ANS: A
The Women's Health Initiative results indicate that HT use for 3 to 5
years is safe and recommend slow weaning after women review HT
with their providers at annual visits. If symptoms recur, the dose
should be increased until symptoms improve.
, ◉ 3. A 52-year-old woman reports having hot flashes and intense
mood swings. After a year of having irregular menstrual periods, she
has not had a period for 6 months. The primary care NP should
diagnose:
a.
menopause.
b.
dysmenorrhea.
c.
perimenopause.
d.
postmenopause.
Answer: ANS: C
Perimenopause usually occurs between ages 42 and 55 and is
characterized by erratic ovulation and irregular periods, hot flashes,
and intensified PMS symptoms. Menopause begins when periods
have been absent for 12 months. Postmenopause describes the 5-
year period after menopause. Dysmenorrhea is painful periods.
◉ 4. A woman with a family history of breast cancer had her last
menstrual period 12 months ago and is experiencing hot flashes. She
has not had a hysterectomy. The primary care NP should
recommend:
PRIMARY PROVIDER ACTUAL EXAM PAPER
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ 2. The primary care NP sees a woman who has been taking HT for
menopausal symptoms for 3 years. The NP decreases the dosage,
and several weeks later, the woman calls to report having several hot
flashes each day. The NP should:
a.
increase the HT dose.
b.
discontinue HT.
c.
recommend black cohosh to alleviate symptoms.
d.
reassure her that these symptoms will diminish over time.
Answer: ANS: A
The Women's Health Initiative results indicate that HT use for 3 to 5
years is safe and recommend slow weaning after women review HT
with their providers at annual visits. If symptoms recur, the dose
should be increased until symptoms improve.
, ◉ 3. A 52-year-old woman reports having hot flashes and intense
mood swings. After a year of having irregular menstrual periods, she
has not had a period for 6 months. The primary care NP should
diagnose:
a.
menopause.
b.
dysmenorrhea.
c.
perimenopause.
d.
postmenopause.
Answer: ANS: C
Perimenopause usually occurs between ages 42 and 55 and is
characterized by erratic ovulation and irregular periods, hot flashes,
and intensified PMS symptoms. Menopause begins when periods
have been absent for 12 months. Postmenopause describes the 5-
year period after menopause. Dysmenorrhea is painful periods.
◉ 4. A woman with a family history of breast cancer had her last
menstrual period 12 months ago and is experiencing hot flashes. She
has not had a hysterectomy. The primary care NP should
recommend:
