MENOPAUSE PRACTICE QUESTIONS
AND ANSWERS WITH COMPLETE
SOLUTIONS GUARANTEED
SUCCEESS!!!
Administration of 17β-estradiol topical gel (EstroGel)
JW, a 53-year-old post-menopausal female, presents to the pharmacy with a
new prescription for 17β-estradiol topical gel (EstroGel) for vasomotor
symptom relief. Which of the following is the correct way to apply this
medication?
A. Apply one full pump depression daily to a single arm, spreading it from
the wrist up to the shoulder.
B. Apply one full pump depression daily to the upper arm and shoulder area.
C. Apply one packet daily to one upper thigh.
D. Apply one pouch daily to the thigh and calf of both legs.
✔✔ Answer: A. Apply one full pump depression daily to a single arm, spreading
it from the wrist up to the shoulder.
Rationale: The FDA-approved administration instructions for EstroGel 0.06%
require applying a single pump depression (which delivers 1.25 g of gel containing
0.75 mg of estradiol) once daily. It should be spread in a thin layer over the entire
surface of one arm, extending from the wrist all the way to the shoulder. It should
not be applied to the breasts or vagina, nor should it be limited to only the shoulder
or thighs.
Patient Counseling for 17β-estradiol topical gel (EstroGel)
JW, a 53-year-old post-menopausal female, presents to the pharmacy with a
new prescription for 17β-estradiol topical gel (EstroGel) for vasomotor
symptom relief. Which of the following counseling points should be given to
the patient?
A. Apply the gel immediately after putting on lotions, powders, or skin oils.
B. It is unnecessary to wash your hands after applying the medication.
, C. Make sure the gel is completely dry before putting on clothing.
D. Vigorously massage or rub the gel deep into the skin after application.
✔✔ Answer: C. Make sure the gel is completely dry before putting on clothing.
Rationale: Patients should allow EstroGel to dry entirely (which usually takes
about 2 to 5 minutes) before covering the area with clothing to prevent the
medication from rubbing off.
Why other options are incorrect: Applying lotions or oils right before
application can block the absorption of the hormone. Patients should always
wash their hands with soap and water immediately after application to
prevent accidentally transferring the estrogen to others (such as children or
pets). Lastly, the gel should be spread in a thin, even layer rather than
vigorously massaged or rubbed deep into the skin
CG is a 55-year-old post-menopausal woman seeking treatment for vasomotor
symptoms. She has an intact uterus and a history of breast cancer.
Which of the following patient data is an absolute contraindication to hormone
replacement therapy?
A. Former smoker
B. Current treatment for type 2 diabetes
C. History of breast cancer
D. Family history of CHD
C.
AND ANSWERS WITH COMPLETE
SOLUTIONS GUARANTEED
SUCCEESS!!!
Administration of 17β-estradiol topical gel (EstroGel)
JW, a 53-year-old post-menopausal female, presents to the pharmacy with a
new prescription for 17β-estradiol topical gel (EstroGel) for vasomotor
symptom relief. Which of the following is the correct way to apply this
medication?
A. Apply one full pump depression daily to a single arm, spreading it from
the wrist up to the shoulder.
B. Apply one full pump depression daily to the upper arm and shoulder area.
C. Apply one packet daily to one upper thigh.
D. Apply one pouch daily to the thigh and calf of both legs.
✔✔ Answer: A. Apply one full pump depression daily to a single arm, spreading
it from the wrist up to the shoulder.
Rationale: The FDA-approved administration instructions for EstroGel 0.06%
require applying a single pump depression (which delivers 1.25 g of gel containing
0.75 mg of estradiol) once daily. It should be spread in a thin layer over the entire
surface of one arm, extending from the wrist all the way to the shoulder. It should
not be applied to the breasts or vagina, nor should it be limited to only the shoulder
or thighs.
Patient Counseling for 17β-estradiol topical gel (EstroGel)
JW, a 53-year-old post-menopausal female, presents to the pharmacy with a
new prescription for 17β-estradiol topical gel (EstroGel) for vasomotor
symptom relief. Which of the following counseling points should be given to
the patient?
A. Apply the gel immediately after putting on lotions, powders, or skin oils.
B. It is unnecessary to wash your hands after applying the medication.
, C. Make sure the gel is completely dry before putting on clothing.
D. Vigorously massage or rub the gel deep into the skin after application.
✔✔ Answer: C. Make sure the gel is completely dry before putting on clothing.
Rationale: Patients should allow EstroGel to dry entirely (which usually takes
about 2 to 5 minutes) before covering the area with clothing to prevent the
medication from rubbing off.
Why other options are incorrect: Applying lotions or oils right before
application can block the absorption of the hormone. Patients should always
wash their hands with soap and water immediately after application to
prevent accidentally transferring the estrogen to others (such as children or
pets). Lastly, the gel should be spread in a thin, even layer rather than
vigorously massaged or rubbed deep into the skin
CG is a 55-year-old post-menopausal woman seeking treatment for vasomotor
symptoms. She has an intact uterus and a history of breast cancer.
Which of the following patient data is an absolute contraindication to hormone
replacement therapy?
A. Former smoker
B. Current treatment for type 2 diabetes
C. History of breast cancer
D. Family history of CHD
C.
