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 Correct
Answer-4
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.
Correct Answer-2
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 Correct Answer-4
The U.S. Food and Drug Administration warns that androgens may
cause:
1. Peliosis hepatis
2. Orthostatic hypotension
3. Menstrual irregularities
4. Acne Correct 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 Correct Answer-2
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 Correct Answer-1
Absolute contraindications to estrogen therapy include:
1. History of any type of cancer
, 2. Clotting disorders
3. History of tension headaches
4. Orthostatic hypotension Correct Answer-2
Postmenopausal women with an intact uterus should not be prescribed:
1. Estrogen/progesterone combination
2. IM medroxyprogesterone (Depo Provera)
3. Estrogen alone
4. Androgens Correct Answer-3
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 Correct Answer-3
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