NR566 -WEEK 5 STUDY GUIDE EXAM
QUESTIONS & VERIFIED CORRECT
ANSWERS
Regarding osteoporosis, what are the two SERM drugs? - correct answer ✔✔-Tamoxifen
-Raloxifene
Tamoxifen is a good drug because it protects against osteoporosis, but what is it's downside? -
correct answer ✔✔-Higher risk for cancer
-Higher risk for blood clots
What is the the awesome benefit of Tamoxifen other than bone health? - correct answer ✔✔-
Promotes good blood lipid levels
What is one thing that makes Raloxifene better than Tamoxifen? - correct answer ✔✔-Lower
risk for cancer
What is the only drug approved for prevention and treatment of osteoporosis? - correct answer
✔✔-Duavee (conjugated estrogens/bazedoxifene)
What drug prevents osteoporosis and vasomotor symptoms in postmenopausal women with a
uterus? - correct answer ✔✔-Duavee (conjugated estrogens/bazedoxifene)
What are the 3 main benefits of hormone therapy? - correct answer ✔✔-suppression of
vasomotor symptoms
-prevention of urogenital atrophy
-prevention of osteoporosis and related fractures
,Does urogenital atrophy and osteoporosis prevention sustain after withdrawal of HT? - correct
answer ✔✔--No, benefits will decline after HT withdrawal
Although HT therapy is great for bone loss prevention, what will happen when HT is stopped? -
correct answer ✔✔-bone mass rapidly decreases by approximately 12% ---Therapy must be life
long--
Examples of progestins - correct answer ✔✔-Medroxyprogesterone acetate
-Norethindrone
A patient has undiagnosed vaginal bleeding, should she be prescribed HT? - correct answer
✔✔-No, don't give HT with undiagnosed vaginal bleeding
Julie has some blood clotting issues in his body. He has active thrombophlebitis &
thromboembolic disorders Should she use HT? - correct answer ✔✔-No, better not use HT with
blood and clotting issues.
Amy has active liver disease, would HT be okay? - correct answer ✔✔No, better not use HT with
active liver problems
Yolanda has active breast cancer. Should she receive HT? - correct answer ✔✔No, those with
active breast cancer should not receive HT!
The nurse practitioner is considering adding progestin plus estrogen to his patient's med
regimen. The patient has HX of blood clotting disorders. What considerations must be dicussed?
- correct answer ✔✔-Increased risk for
--DVT
--Stroke
, --MI
--PE
Susie just had her 65th birthday. She also has dementia and cardiovascular disease. Regarding
combination of estrogen/progestin, what is she at higher risk for ? - correct answer ✔✔-With
these things, she's at a higher risk for dementia
Tina has a mild risk of breast cancer. Is it a good idea for her to have estrogen/progestin combo?
- correct answer ✔✔-No, this combo of progestin/estrogen increases risk for breast cancer
The new doctor wants to prescribe progestins for a prepubertal child, his attendee says what? -
correct answer ✔✔-He screams "NO", those are not for prepubertal children.
A patient asks her doctor if progestin is okay while breast feeding. What does he say? - correct
answer ✔✔-Progestins while breastfeeding may cause neonatal jaundice.
What are the guidelines for tapering a patient off HT? - correct answer ✔✔-There are no firm
guidelines!
What kind of symptoms may occur while tapering off HT? - correct answer ✔✔-Tapering of HT
may cause vasomotor symptoms.
For women on EPT, the progestin dosage should remain... - correct answer ✔✔-unchanged
because lowering the progestin dosage might permit estrogen to stimulate endometrial growth,
thereby posing a risk for endometrial hyperplasia.
What are some names of intravaginal inserts? - correct answer ✔✔-Imvexxy
-Vagifem
-Yuvafem
QUESTIONS & VERIFIED CORRECT
ANSWERS
Regarding osteoporosis, what are the two SERM drugs? - correct answer ✔✔-Tamoxifen
-Raloxifene
Tamoxifen is a good drug because it protects against osteoporosis, but what is it's downside? -
correct answer ✔✔-Higher risk for cancer
-Higher risk for blood clots
What is the the awesome benefit of Tamoxifen other than bone health? - correct answer ✔✔-
Promotes good blood lipid levels
What is one thing that makes Raloxifene better than Tamoxifen? - correct answer ✔✔-Lower
risk for cancer
What is the only drug approved for prevention and treatment of osteoporosis? - correct answer
✔✔-Duavee (conjugated estrogens/bazedoxifene)
What drug prevents osteoporosis and vasomotor symptoms in postmenopausal women with a
uterus? - correct answer ✔✔-Duavee (conjugated estrogens/bazedoxifene)
What are the 3 main benefits of hormone therapy? - correct answer ✔✔-suppression of
vasomotor symptoms
-prevention of urogenital atrophy
-prevention of osteoporosis and related fractures
,Does urogenital atrophy and osteoporosis prevention sustain after withdrawal of HT? - correct
answer ✔✔--No, benefits will decline after HT withdrawal
Although HT therapy is great for bone loss prevention, what will happen when HT is stopped? -
correct answer ✔✔-bone mass rapidly decreases by approximately 12% ---Therapy must be life
long--
Examples of progestins - correct answer ✔✔-Medroxyprogesterone acetate
-Norethindrone
A patient has undiagnosed vaginal bleeding, should she be prescribed HT? - correct answer
✔✔-No, don't give HT with undiagnosed vaginal bleeding
Julie has some blood clotting issues in his body. He has active thrombophlebitis &
thromboembolic disorders Should she use HT? - correct answer ✔✔-No, better not use HT with
blood and clotting issues.
Amy has active liver disease, would HT be okay? - correct answer ✔✔No, better not use HT with
active liver problems
Yolanda has active breast cancer. Should she receive HT? - correct answer ✔✔No, those with
active breast cancer should not receive HT!
The nurse practitioner is considering adding progestin plus estrogen to his patient's med
regimen. The patient has HX of blood clotting disorders. What considerations must be dicussed?
- correct answer ✔✔-Increased risk for
--DVT
--Stroke
, --MI
--PE
Susie just had her 65th birthday. She also has dementia and cardiovascular disease. Regarding
combination of estrogen/progestin, what is she at higher risk for ? - correct answer ✔✔-With
these things, she's at a higher risk for dementia
Tina has a mild risk of breast cancer. Is it a good idea for her to have estrogen/progestin combo?
- correct answer ✔✔-No, this combo of progestin/estrogen increases risk for breast cancer
The new doctor wants to prescribe progestins for a prepubertal child, his attendee says what? -
correct answer ✔✔-He screams "NO", those are not for prepubertal children.
A patient asks her doctor if progestin is okay while breast feeding. What does he say? - correct
answer ✔✔-Progestins while breastfeeding may cause neonatal jaundice.
What are the guidelines for tapering a patient off HT? - correct answer ✔✔-There are no firm
guidelines!
What kind of symptoms may occur while tapering off HT? - correct answer ✔✔-Tapering of HT
may cause vasomotor symptoms.
For women on EPT, the progestin dosage should remain... - correct answer ✔✔-unchanged
because lowering the progestin dosage might permit estrogen to stimulate endometrial growth,
thereby posing a risk for endometrial hyperplasia.
What are some names of intravaginal inserts? - correct answer ✔✔-Imvexxy
-Vagifem
-Yuvafem
