NR568/NR 568 Final Exam Questions and
Answers Graded A+
Prevention of Osteoporosis with Hormone Replacement Therapy - Correct answer-
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 - Correct answer-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 - Correct answer-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 - Correct answer-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 - Correct
answer-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
- Correct answer-Bazedoxifene, benefits bones and protects against breast cancer
How do you change a patient from one combo oral contraceptive (OC) to another -
Correct answer-Switch after the last active pill of the previous pack without a
break
How to start OC treatment - Correct answer-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 - Correct answer-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 - Correct answer-blood pressure and
thorough medical history to assess for contraindications ex: hx of thromboembolic
disease
Answers Graded A+
Prevention of Osteoporosis with Hormone Replacement Therapy - Correct answer-
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 - Correct answer-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 - Correct answer-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 - Correct answer-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 - Correct
answer-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
- Correct answer-Bazedoxifene, benefits bones and protects against breast cancer
How do you change a patient from one combo oral contraceptive (OC) to another -
Correct answer-Switch after the last active pill of the previous pack without a
break
How to start OC treatment - Correct answer-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 - Correct answer-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 - Correct answer-blood pressure and
thorough medical history to assess for contraindications ex: hx of thromboembolic
disease
