NR568 Final Exam (2025) – Advanced Pharmacology
for Adult-Gerontology Primary Care NP |
Chamberlain – Verified Questions and Correct
Answers|| LATEST UPDATE 2025/26
Prevention of Osteoporosis with Hormone Replacement Therapy -CORRECTANSWER
Estrogen therapy helps maintain bone density and prevent osteoporosis in
postmenopausal women. HRT is only recommended when the benefits outweigh risks
When/when not to use progestin for HRT -CORRECTANSWER Should be added to
estrogen therapy in women with an intact uterus to prevent endometrial hyperplasia and
reduce risk of endometrial cancer. UNNECESSARY IN WOMEN WITHOUT A UTERUS
What are local estrogen options and what are they used for -CORRECTANSWER ex:
vaginal rings and creams, used for GU symptoms like vaginal dryness without
significant systemic effects
What are system estrogen options and what are they used for -CORRECTANSWER ex:
transdermal patches and oral formulations, used for generalized menopausal symptoms
such as hot flashes and prevention of osteoporosis
What are transdermal estrogen options and what are they used for -
CORRECTANSWER has fewer adverse effects compared to oral estrogen and has a
reduced risk of venous thromboembolism and stroke
, What Selective Estrogen Receptor Modulator (SERM) is used to treat osteoporosis -
CORRECTANSWER Bazedoxifene, benefits bones and protects against breast cancer
How do you change a patient from one combo oral contraceptive (OC) to another -
CORRECTANSWER Switch after the last active pill of the previous pack without a
break
How to start OC treatment -CORRECTANSWER best to start on the first day of
menstruations or the first Sunday after menstruations. If started mid-cycle, backup
contraption should be used for a week
What to educate patients on when taking OCs -CORRECTANSWER Importance of
adherence, what to do if dose is missed, and potential side effects ex: nausea,
breakthrough bleeding
What baseline data is need to start OCs -CORRECTANSWER blood pressure and
thorough medical history to assess for contraindications ex: hx of thromboembolic
disease
How to suggest the appropriate birth control method -CORRECTANSWER Consider the
patients health status, risk of thromboembolism, preference for daily vs long term
contraception
for Adult-Gerontology Primary Care NP |
Chamberlain – Verified Questions and Correct
Answers|| LATEST UPDATE 2025/26
Prevention of Osteoporosis with Hormone Replacement Therapy -CORRECTANSWER
Estrogen therapy helps maintain bone density and prevent osteoporosis in
postmenopausal women. HRT is only recommended when the benefits outweigh risks
When/when not to use progestin for HRT -CORRECTANSWER Should be added to
estrogen therapy in women with an intact uterus to prevent endometrial hyperplasia and
reduce risk of endometrial cancer. UNNECESSARY IN WOMEN WITHOUT A UTERUS
What are local estrogen options and what are they used for -CORRECTANSWER ex:
vaginal rings and creams, used for GU symptoms like vaginal dryness without
significant systemic effects
What are system estrogen options and what are they used for -CORRECTANSWER ex:
transdermal patches and oral formulations, used for generalized menopausal symptoms
such as hot flashes and prevention of osteoporosis
What are transdermal estrogen options and what are they used for -
CORRECTANSWER has fewer adverse effects compared to oral estrogen and has a
reduced risk of venous thromboembolism and stroke
, What Selective Estrogen Receptor Modulator (SERM) is used to treat osteoporosis -
CORRECTANSWER Bazedoxifene, benefits bones and protects against breast cancer
How do you change a patient from one combo oral contraceptive (OC) to another -
CORRECTANSWER Switch after the last active pill of the previous pack without a
break
How to start OC treatment -CORRECTANSWER best to start on the first day of
menstruations or the first Sunday after menstruations. If started mid-cycle, backup
contraption should be used for a week
What to educate patients on when taking OCs -CORRECTANSWER Importance of
adherence, what to do if dose is missed, and potential side effects ex: nausea,
breakthrough bleeding
What baseline data is need to start OCs -CORRECTANSWER blood pressure and
thorough medical history to assess for contraindications ex: hx of thromboembolic
disease
How to suggest the appropriate birth control method -CORRECTANSWER Consider the
patients health status, risk of thromboembolism, preference for daily vs long term
contraception
