NU641 QUIZ 4 | QUESTIONS AND ANSWERS | VERIFIED
ANSWERS (100% CORRECT) | LATEST EXAM UPDATE
What is the first-line drug treatment for dysmenorrhea?
Nsaids
What is a lifestyle preventative step for UTIs?
Voiding 10-15 minutes after intercourse
Does drinking cranberry juice prevent or help treat a UTI?
NO
What are the three types of oral contraceptives with explanation?
Monophonic-same dose of estrogen and progestin for full cycle
Biphasic-vary the dose of progestin increase in latter half-off market
Triphasic-vary the dose of estrogen, progestin, or both, most common
What contraceptives are recommended for patients noncompliant with oral contraceptives?
Vaginal ring
IUD
Nexplanon
Depo shots
Which patients are not a good fit for topical contraceptive patches?
Pts whose weight is >198 lb, increased failure rate
What side effect is likely with first generation progesterones?
Spotting and breakthrough bleeding
What side effects are likely with second generation progesterones?
Acne, hirsutism, dyslipidemia
Why are third generation progesterones optimal choice for many?
Lowest side effect profile
How do you initiate oral contraceptives?
Confirm negative pregnancy test
Have them use a backup method for at least the first seven days
When is plan b contraindicated?
When the patient is already pregnant
What drugs are known to decrease effectiveness of oral contraceptives?
And what should a patient do when taking them concurrently?
, Tetracycline, rifampin, phenytoin
Use a backup method
What should you monitor for in a patient with initial medroxyprogesterone (Depo-Provera)
injection?
Depression
What ongoing monitoring should occur for women on estrogen replacement therapy?
Lipids repeat is abnormal
Annual health history and risk profile review assessment
Annual mammogram
When is menopause diagnosed?
When the patient has no menses for 12 months
What is hormone replacement therapy indicated for?
Symptomatic relief of menopause including hot flashes, flushing, night sweats, treatment or
prevention of vaginal atrophy, early surgical menopause
What is the main goal of HRT?
Reduce or prevent vasomotor symptoms
What HRT is used for vaginal atrophy and dryness post-hysterectomy?
Vaginal estrogen cream or vaginal estradiol ring
Why do patients taking hormonal contraceptives and HRT need to take the drug at the same
time daily?
To prevent breakthrough bleeding
What are the clinical effects/uses of estrogen?
Regulation of menstrual cycle
Maintenance of the normal structure of the skin and blood vessels
What HRT should be prescribed for post-menopausal women with an intact uterus?
Estrogen and progesterone, never estrogen alone as it will thicken the lining of the intact uterus
and increase the risk of uterine cancer. Progesterone thins the endometrium.
What are the supplementation guidelines for estrogen in menopause?
Supplementation for the first five years is considered to have a reasonable risk/benefit profile
for some women
Intact uterus-estrogen and progesterone for 3-5 years as longer use will increase risk of breast
cancer
Women without intact uterus-estrogen therapy alone can continue longer when benefit balance
is greater than risk
What are the clinical effects of estrogen?
ANSWERS (100% CORRECT) | LATEST EXAM UPDATE
What is the first-line drug treatment for dysmenorrhea?
Nsaids
What is a lifestyle preventative step for UTIs?
Voiding 10-15 minutes after intercourse
Does drinking cranberry juice prevent or help treat a UTI?
NO
What are the three types of oral contraceptives with explanation?
Monophonic-same dose of estrogen and progestin for full cycle
Biphasic-vary the dose of progestin increase in latter half-off market
Triphasic-vary the dose of estrogen, progestin, or both, most common
What contraceptives are recommended for patients noncompliant with oral contraceptives?
Vaginal ring
IUD
Nexplanon
Depo shots
Which patients are not a good fit for topical contraceptive patches?
Pts whose weight is >198 lb, increased failure rate
What side effect is likely with first generation progesterones?
Spotting and breakthrough bleeding
What side effects are likely with second generation progesterones?
Acne, hirsutism, dyslipidemia
Why are third generation progesterones optimal choice for many?
Lowest side effect profile
How do you initiate oral contraceptives?
Confirm negative pregnancy test
Have them use a backup method for at least the first seven days
When is plan b contraindicated?
When the patient is already pregnant
What drugs are known to decrease effectiveness of oral contraceptives?
And what should a patient do when taking them concurrently?
, Tetracycline, rifampin, phenytoin
Use a backup method
What should you monitor for in a patient with initial medroxyprogesterone (Depo-Provera)
injection?
Depression
What ongoing monitoring should occur for women on estrogen replacement therapy?
Lipids repeat is abnormal
Annual health history and risk profile review assessment
Annual mammogram
When is menopause diagnosed?
When the patient has no menses for 12 months
What is hormone replacement therapy indicated for?
Symptomatic relief of menopause including hot flashes, flushing, night sweats, treatment or
prevention of vaginal atrophy, early surgical menopause
What is the main goal of HRT?
Reduce or prevent vasomotor symptoms
What HRT is used for vaginal atrophy and dryness post-hysterectomy?
Vaginal estrogen cream or vaginal estradiol ring
Why do patients taking hormonal contraceptives and HRT need to take the drug at the same
time daily?
To prevent breakthrough bleeding
What are the clinical effects/uses of estrogen?
Regulation of menstrual cycle
Maintenance of the normal structure of the skin and blood vessels
What HRT should be prescribed for post-menopausal women with an intact uterus?
Estrogen and progesterone, never estrogen alone as it will thicken the lining of the intact uterus
and increase the risk of uterine cancer. Progesterone thins the endometrium.
What are the supplementation guidelines for estrogen in menopause?
Supplementation for the first five years is considered to have a reasonable risk/benefit profile
for some women
Intact uterus-estrogen and progesterone for 3-5 years as longer use will increase risk of breast
cancer
Women without intact uterus-estrogen therapy alone can continue longer when benefit balance
is greater than risk
What are the clinical effects of estrogen?
