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NURS_180_PHARM_QUIZ_2_CERTIFICATION_TEST_PAPER_2026_COMPLETE_SOLUTIONS.pdf

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NURS 180 PHARM QUIZ 2 CERTIFICATION TEST
PAPER 2026 COMPLETE SOLUTIONS GRADED
A PLUS

◉ Follicular/proliferative phase.
Answer: endometrium builds up with increasing estrogen levels,
regulated by FSH from anterior pituitary, FSH stimulates follicle
development in ovaries


◉ Luteal/secretory phase.
Answer: follows ovulation (approximately day 14), progesterone
produced by corpus luteum, body temperature increases 0.5-1
degree, prepares endometrium for possible implantation


◉ If pregnancy doesn't occur.
Answer: corpus luteum regresses, progesterone levels fall,
endometrium sheds, cramping and breast discomfort are common
symptoms


◉ Estradiol.
Answer: most potent estrogen, secreted by ovaries in
premenopausal women

, ◉ Estrone.
Answer: metabolite of estradiol (1/3 the potency), primary in
postmenopausal women


◉ Estriol.
Answer: less potent metabolite, produced by placenta


◉ Conjugated equine estrogen.
Answer: Premarin, common HRT


◉ Synthetic estrogens.
Answer: ethinyl estradiol, undergoes less liver metabolism


◉ Estrogens MOA.
Answer: activated steroid receptor complex interacts with nuclear
chromatin to initiate hormone specific RNA synthesis


◉ Estrogens Uses.
Answer: post menopausal hormone therapy, contraception,
replacement in hypogonadism, premature or surgical menopause


◉ Estrogen pharmacokinetics.

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