NR 568 Final Exam:Advanced Pharmacotherapeutics Final Exam Study
Guide: 100% Verified Questions & Answers
1. When hormone replacement therapy (HT) is stopped for osteoporosis
prevention, bone mass rapidly decreases by approximately what
percentage?
o A) 5%
o B) 12%
o C) 20%
o D) 50%
o Correct Answer: B
2. In a woman with an intact uterus, why is progestin required as part of
hormone replacement therapy?
o A) To increase the absorption of estrogen
o B) To prevent estrogen-associated endometrial hyperplasia
o C) To reduce the risk of deep vein thrombosis
o D) To manage vasomotor symptoms
o Correct Answer: B
3. Which hormone therapy regimen is appropriate for a patient who has
undergone a hysterectomy?
o A) Combined estrogen-progestin therapy
o B) Estrogen-only therapy
o C) Progestin-only therapy
o D) Testosterone replacement therapy
o Correct Answer: B
,4. Which intravaginal preparation is used specifically for systemic effects,
such as controlling hot flashes and night sweats?
o A) Estring
o B) Femring
o C) Vagifem
o D) Premarin cream
o Correct Answer: B
5. Which benefit is associated with transdermal estrogen therapy compared
to oral dosing?
o A) Higher total doses are required
o B) Lower risk for DVT, pulmonary embolism, and stroke
o C) Greater fluctuations in blood levels
o D) Increased incidence of nausea and vomiting
o Correct Answer: B
6. Selective estrogen receptor modulators (SERMs) were developed to
provide the benefits of estrogen while avoiding drawbacks like:
o A) Osteoporosis protection
o B) Reduction of LDL cholesterol
o C) Promotion of breast and uterine cancer
o D) Maintenance of the urogenital tract
o Correct Answer: C
7. What is the function of bazedoxifene in the combination drug Duavee?
o A) It acts as a potent estrogen agonist to treat hot flashes.
o B) It reduces the risk of excessive growth of the uterine lining.
, o C) It increases the absorption of bazedoxifene in the liver.
o D) It prevents the closure of epiphyses in children.
o Correct Answer: B
8. When is it best to change a patient from one combination oral
contraceptive (OC) brand to another?
o A) At the beginning of a new cycle
o B) In the middle of an active pill pack
o C) During the placebo week
o D) Immediately when the new prescription is filled
o Correct Answer: A
9. If a patient starts oral contraceptives on the first Sunday after the onset of
menses, how long should they use a backup contraceptive method?
o A) No backup needed
o B) 2 days
o C) 7 days
o D) 14 days
o Correct Answer: C
10.If a patient misses one or more oral contraceptive pills during the first
week, what is the priority instruction?
o A) Take one pill as soon as possible and use backup for 7 days.
o B) Skip the missed pills and continue the pack as normal.
o C) Stop the current pack and start a new pack immediately.
o D) Take two pills daily for the next three days.
o Correct Answer: A
Guide: 100% Verified Questions & Answers
1. When hormone replacement therapy (HT) is stopped for osteoporosis
prevention, bone mass rapidly decreases by approximately what
percentage?
o A) 5%
o B) 12%
o C) 20%
o D) 50%
o Correct Answer: B
2. In a woman with an intact uterus, why is progestin required as part of
hormone replacement therapy?
o A) To increase the absorption of estrogen
o B) To prevent estrogen-associated endometrial hyperplasia
o C) To reduce the risk of deep vein thrombosis
o D) To manage vasomotor symptoms
o Correct Answer: B
3. Which hormone therapy regimen is appropriate for a patient who has
undergone a hysterectomy?
o A) Combined estrogen-progestin therapy
o B) Estrogen-only therapy
o C) Progestin-only therapy
o D) Testosterone replacement therapy
o Correct Answer: B
,4. Which intravaginal preparation is used specifically for systemic effects,
such as controlling hot flashes and night sweats?
o A) Estring
o B) Femring
o C) Vagifem
o D) Premarin cream
o Correct Answer: B
5. Which benefit is associated with transdermal estrogen therapy compared
to oral dosing?
o A) Higher total doses are required
o B) Lower risk for DVT, pulmonary embolism, and stroke
o C) Greater fluctuations in blood levels
o D) Increased incidence of nausea and vomiting
o Correct Answer: B
6. Selective estrogen receptor modulators (SERMs) were developed to
provide the benefits of estrogen while avoiding drawbacks like:
o A) Osteoporosis protection
o B) Reduction of LDL cholesterol
o C) Promotion of breast and uterine cancer
o D) Maintenance of the urogenital tract
o Correct Answer: C
7. What is the function of bazedoxifene in the combination drug Duavee?
o A) It acts as a potent estrogen agonist to treat hot flashes.
o B) It reduces the risk of excessive growth of the uterine lining.
, o C) It increases the absorption of bazedoxifene in the liver.
o D) It prevents the closure of epiphyses in children.
o Correct Answer: B
8. When is it best to change a patient from one combination oral
contraceptive (OC) brand to another?
o A) At the beginning of a new cycle
o B) In the middle of an active pill pack
o C) During the placebo week
o D) Immediately when the new prescription is filled
o Correct Answer: A
9. If a patient starts oral contraceptives on the first Sunday after the onset of
menses, how long should they use a backup contraceptive method?
o A) No backup needed
o B) 2 days
o C) 7 days
o D) 14 days
o Correct Answer: C
10.If a patient misses one or more oral contraceptive pills during the first
week, what is the priority instruction?
o A) Take one pill as soon as possible and use backup for 7 days.
o B) Skip the missed pills and continue the pack as normal.
o C) Stop the current pack and start a new pack immediately.
o D) Take two pills daily for the next three days.
o Correct Answer: A
