NU 641 Quiz 4 Exam Questions with All Correct
Answers | Graded A
/. Men who use transdermal testosterone gel (AndroGel) should be advised to avoid:
1. Washing their hands after applying the gel
2. Wearing occlusive clothing while using the gel
3. Exposure to estrogens while using the gel
4. Skin-to-skin contact with pregnant women while using the gel
/.Education when prescribing androgens to male patients includes advising that:
1. Short-term use places the patient at risk for hepatocellular carcinoma.
2. Cholestatic hepatitis and jaundice may occur with low doses of androgens.
3. Gynecomastia is a rare occurrence with the use of androgens.
4. Low sperm levels only occur with long-term use of androgens.
/.Patients who are prescribed exogenous androgens need to be warned that decreased
libido:
1. Is an unusual side effect of androgens and should be reported to the provider
2. Is treated with increased doses of androgens, so the patient should let the provider
know if he is having problems
3. May be a sign of early prostate cancer and he should make an appointment for a
prostate screening exam
4. May occur with androgen therapy
/.The U.S. Food and Drug Administration warns that androgens may cause:
1. Peliosis hepatis
2. Orthostatic hypotension
3. Menstrual irregularities
4. Acne - Answer-1
/.Monitoring for a patient who is using androgens includes evaluation of:
1. Complete blood count and C-reactive protein levels
2. Lipid levels and liver function tests
3. Serum potassium and magnesium levels
4. Urine protein and potassium levels
/.Male patients require ______________________ before and during androgen therapy.
1. A digital prostate exam
2. A Doppler exam of testicular blood flow
3. Urine analysis for proteinuria
4. Serial orthostatic blood pressures
, /.Absolute contraindications to estrogen therapy include:
1. History of any type of cancer
2. Clotting disorders
3. History of tension headaches
4. Orthostatic hypotension
/.Postmenopausal women with an intact uterus should not be prescribed:
1. Estrogen/progesterone combination
2. IM medroxyprogesterone (Depo Provera)
3. Estrogen alone
4. Androgens
/.Women who have migraines with an aura should not be prescribed estrogen because
of:
1. The interaction between triptans and estrogen, limiting migraine therapy choices
2. An increased incidence of migraines with the use of estrogen
3. An increased risk of stroke occurring with estrogen use
4. Patients with migraines may be prescribed estrogen without any concerns
/.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 -
/.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.
/.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
Answers | Graded A
/. Men who use transdermal testosterone gel (AndroGel) should be advised to avoid:
1. Washing their hands after applying the gel
2. Wearing occlusive clothing while using the gel
3. Exposure to estrogens while using the gel
4. Skin-to-skin contact with pregnant women while using the gel
/.Education when prescribing androgens to male patients includes advising that:
1. Short-term use places the patient at risk for hepatocellular carcinoma.
2. Cholestatic hepatitis and jaundice may occur with low doses of androgens.
3. Gynecomastia is a rare occurrence with the use of androgens.
4. Low sperm levels only occur with long-term use of androgens.
/.Patients who are prescribed exogenous androgens need to be warned that decreased
libido:
1. Is an unusual side effect of androgens and should be reported to the provider
2. Is treated with increased doses of androgens, so the patient should let the provider
know if he is having problems
3. May be a sign of early prostate cancer and he should make an appointment for a
prostate screening exam
4. May occur with androgen therapy
/.The U.S. Food and Drug Administration warns that androgens may cause:
1. Peliosis hepatis
2. Orthostatic hypotension
3. Menstrual irregularities
4. Acne - Answer-1
/.Monitoring for a patient who is using androgens includes evaluation of:
1. Complete blood count and C-reactive protein levels
2. Lipid levels and liver function tests
3. Serum potassium and magnesium levels
4. Urine protein and potassium levels
/.Male patients require ______________________ before and during androgen therapy.
1. A digital prostate exam
2. A Doppler exam of testicular blood flow
3. Urine analysis for proteinuria
4. Serial orthostatic blood pressures
, /.Absolute contraindications to estrogen therapy include:
1. History of any type of cancer
2. Clotting disorders
3. History of tension headaches
4. Orthostatic hypotension
/.Postmenopausal women with an intact uterus should not be prescribed:
1. Estrogen/progesterone combination
2. IM medroxyprogesterone (Depo Provera)
3. Estrogen alone
4. Androgens
/.Women who have migraines with an aura should not be prescribed estrogen because
of:
1. The interaction between triptans and estrogen, limiting migraine therapy choices
2. An increased incidence of migraines with the use of estrogen
3. An increased risk of stroke occurring with estrogen use
4. Patients with migraines may be prescribed estrogen without any concerns
/.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 -
/.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.
/.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
