NSG 6005 WEEK 7 KNOWLEDGE CHECK QUIZ ANSWERS (UPDATE)

NSG 6005 WEEK 7 KNOWLEDGE CHECK QUIZ ANSWERS Elderly patients who are started on levothyroxine for thyroid replacement should be monitored for: Student Answer: Excessive sedation Tachycardia and angina Weight gain Cold intolerance Points Received: 2.5 of 2.5 Comments: Question 2. Question : The ongoing monitoring of patients over the age sixty-five years taking alendronate (Fosamax) or any other bisphosphonate is: Student Answer: Annual dual energy X-ray absorptiometry (DEXA) scans Annual vitamin D level Annual renal function evaluation Electrolytes every three months Points Received: 2.5 of 2.5 Comments: Question 3. Question : Angela is a black woman who has heard that women of African descent do not need to worry about osteoporosis. What education would you provide Angela about her risk? Student Answer: She is correct; black women do not have much risk of developing osteoporosis due to their dark skin. Black women are at risk of developing osteoporosis due to their lower calcium intake as a group. If she doesn’t drink alcohol, her risk of developing osteoporosis is low. If she has not lost more than 10% of her weight lately, her risk is low. Points Received: 2.5 of 2.5 Comments: Question 4. Question : Prophylactic use of bisphosphonates is recommended for patients with early osteopenia related to long-term use of which of the following drugs? Student Answer: Selective estrogen-receptor modulators Aspirin Glucocorticoids Calcium supplements Points Received: 2.5 of 2.5 Comments: Question 5. Question : Ashley comes to the clinic with a request for oral contraceptives. She has successfully used oral contraceptives before and has recently started dating a new boyfriend so would like to restart contraception. She denies recent intercourse and has a negative urine pregnancy test in the clinic. An appropriate plan of care would be: Student Answer: Recommending she return to the clinic at the start of her next menses to get a Depo Provera shot Prescribing oral combined contraceptives and recommending that she start them at the beginning of her next period and use a back-up method for the first seven days Prescribing oral contraceptives and having her start them the same day, with a back-up method used for the first seven days Discussing the advantages of using the topical birth control patch and recommending she consider using the patch Points Received: 2.5 of 2.5 Comments: Question 6. Question : Treatment of a patient with hypothyroidism and cardiovascular disease consists of: Student Answer: Levothyroxine Liothyronine Liotrix Methimazole Points Received: 2.5 of 2.5 Comments: Question 7. Question : Which of the following is the mechanism of action of oral combined contraceptives that prevent pregnancy? Student Answer: Estrogen prevents the LH surge necessary for ovulation. Progestins thicken cervical mucous and slow tubal motility. Estrogen thins the endometrium, making implantation difficult. Progestin suppresses FSH release. Points Received: 2.5 of 2.5 Comments: Question 8. Question : Medroxyprogesterone (Depo Provera) injection has an US Food and Drug Administration (FDA) black box warning due to: Student Answer: Development of significant hypertension Increased risk of strokes when on Depo Decreased bone density while on Depo Risk of life-threatening rash such as Stevens-Johnson Points Received: 2.5 of 2.5 Comments: Question 9. Question : A contraindication to the use of combined contraceptives is: Student Answer: Adolescence (not approved for this age) A history of clotting disorder Recent pregnancy Overweight Points Received: 2.5 of 2.5 Comments: Question 10. Question : Shana is receiving her first medroxyprogesterone (Depo Provera) injection. Shana will need to be monitored for: Student Answer: Depression Hypertension Weight loss Cataracts Points Received: 2.5 of 2.5 Comments: Question 11. Question : Intranasal calcitonin is used in the treatment of osteoporosis. For which patient is Calcitonin therapy appropriate? Student Answer: Thin, Caucasian perimenopausal women Men over the age of sixty-five years with osteoporosis Women over the age of sixty-five years with osteopenia Women over the age of sixty-five years with severe osteoporosis Points Received: 2.5 of 2.5 Comments: Question 12. Question : A twenty-two-year-old woman receives a prescription for oral contraceptives. Education for this patient includes: Student Answer: Counseling regarding decreasing or not smoking while taking oral contraceptives Advising a monthly pregnancy test for the first three months she is taking the contraceptive Advising that she may miss two pills in a row and not be concerned about pregnancy Informing her that her next follow-up visit is in one year for a refill and “annual exam” Points Received: 2.5 of 2.5 Comments: Question 13. Question : In addition to methimazole, a symptomatic patient with hyperthyroidism may need a prescription for: Student Answer: A calcium channel blocker A beta blocker Liothyronine An alpha blocker Points Received: 2.5 of 2.5 Comments: Question 14. Question : A woman who is pregnant and has hyperthyroidism is best managed by a specialty team that will most likely treat her with: Student Answer: Methimazole. Propylthiouracil. Radioactive iodine. Nothing; treatment is best delayed until after her pregnancy ends. Points Received: 2.5 of 2.5 Comments: Question 15. Question : The drug recommended as primary prevention of osteoporosis in men over seventy years is: Student Answer: Alendronate (Fosamax) Ibandronate (Boniva) Calcium carbonate Raloxifene (Evista) Points Received: 2.5 of 2.5 Comments: Question 16. Question : Selective estrogen receptor modifiers (SERMs) treat osteoporosis by selectively: Student Answer: Inhibiting magnesium resorption in the kidneys Increasing calcium absorption from the gastrointestinal (GI) tract Acting on the bone to inhibit osteoblast activity Selectively acting on the estrogen receptors in the bone Points Received: 2.5 of 2.5 Comments: Question 17. Question : Dosage changes of conjugated equine estrogen (Premarin) are made at ____ intervals. Student Answer: one to two week two to four week six to eight week twelve week Points Received: 2.5 of 2.5 Comments: Question 18. Question : Inadequate vitamin D intake can contribute to the development of osteoporosis by: Student Answer: Increasing calcitonin production Increasing calcium absorption from the intestine Altering calcium metabolism Stimulating bone formation Points Received: 0 of 2.5 Comments: Question 19. Question : Bisphosphonates treat or prevent osteoporosis by: Student Answer: Inhibiting osteoclastic activity Fostering bone resorption Enhancing calcium uptake in bones Strengthening the osteoclastic proton pump Points Received: 2.5 of 2.5 Comments: Question 20. Question : Men who are prescribed sildenafil (Viagra) need ongoing monitoring for: Student Answer: The development of chest pain or dizziness Weight gain Priapism Renal function