Reproductive and Genitourinary system
A patient is considering taking estrogen and medroxyprogesterone acetate (Prempro) to treat
postmenopausal vasomotor symptoms. You explain to the patient that she would need to watch for
which of the following possible indications of a serious adverse effect of this combination drug? Correct
Answer: swelling or pain in the calf
Finasteride (Proscar) Correct Answer: benign prostatic hypertrophy
Oxybutynin (Ditropan) Correct Answer: urinary incontinence
Sildenafil (Viagra) Correct Answer: erectile dysfunction
Testosterone (Androderm) Correct Answer: male puberty induction
Combination oral contraceptives, such as ethinyl estradiol and drospirenone (Yasmin), require cautious
use with patients who have which of the following disorders? Correct Answer: diabetes mellitus
You are talking with a patient about beginning therapy with testosterone (Delatestryl) to treat testicular
failure. Which of the following potential side effects should you tell the patient to watch for and report?
Correct Answer: weight gain
When talking with a patient about beginning therapy with finasteride (Proscar) to treat benign prostatic
hypertrophy, you should instruct the patient to do which of the following? Correct Answer: expect
improvement in about 6 to 12 months
You should question the use of sildenafil (Viagra) to treat erectile dysfunction in patients who take which
of the following drugs? Correct Answer: Nitroglycerin (Nitrostat) for chest pain
Dinoprostone (Cervidil) Correct Answer: induces uterine contractions
Terbutaline (Brethine) Correct Answer: stops uterine contractions
hCG (Pregnyl) Correct Answer: stimulates ovulation
Medroxyprogesterone (Provera) Correct Answer: Treats endometriosis
You are talking with a patient about beginning therapy with clomiphene (Clomid) to treat infertility.
Which of the following should you instruct the patient to watch for and report? Correct Answer: pelvic
pain
For relief of urinary obstruction due to prostatic enlargement, providers should prescribe which of the
following drugs? Correct Answer: Tamsulosin (Flomax)
You administer oxytocin (Pitocin) to a patient to induce labor. You should monitor her for which of the
following potential adverse reactions to oxytocin? (Select all that apply.) Correct Answer: Urine output
, Blood pressure
Duration of contractions
Fetal heart rate
The primary care provider talks with the couple about clomiphene therapy. Which of the following
instructions should the primary care provider include? Correct Answer: Begin 5 days after menstruation
begins and take it every day for next 5 days.
One month later, the patient tells the primary care provider that she has developed some adverse
effects. Which of the following effects does clomiphene cause? (Select all that apply.) Correct Answer:
Blurred vision
Hot flashes
Breast engorgement
Nausea
The primary care provider should instruct the patient to do which of the following? Correct Answer:
take a pregnancy test
Recognizing the adverse effects of terbutaline (Brethine), the provider should monitor the patient for
which of the following? Correct Answer: tachycardia
Which of the following drugs should the primary care provider have available to reverse the adverse
effects of terbutaline (Brethine)? Correct Answer: Propranolol (Inderal)
A health care professional is caring for a patient who is taking bethanechol (Urecholine) for urinary
retention when advising the patient about taking the drug, which of the following instructions should
the health care professional include? (select all that apply) Correct Answer: Avoid driving and activities
that require alertness
Increase fluid intake
Stay close to a bathroom after taking the drug
When talking with a patient about using leuprolide (Lupron) to treat endometriosis, the health care
professional should include which of the following instructions? Correct Answer: perform weight
bearing activities
A health care professional should question the use of the combination oral contraceptive ethinyl
estradiol and drospirenon (Yasmin) by a patient who Correct Answer: smokes half a pack of cigarettes a
day
A patient is considering taking estrogen and medroxyprogesterone acetate (Prempro) to treat
postmenopausal vasomotor symptoms. You explain to the patient that she would need to watch for
which of the following possible indications of a serious adverse effect of this combination drug? Correct
Answer: swelling or pain in the calf
Finasteride (Proscar) Correct Answer: benign prostatic hypertrophy
Oxybutynin (Ditropan) Correct Answer: urinary incontinence
Sildenafil (Viagra) Correct Answer: erectile dysfunction
Testosterone (Androderm) Correct Answer: male puberty induction
Combination oral contraceptives, such as ethinyl estradiol and drospirenone (Yasmin), require cautious
use with patients who have which of the following disorders? Correct Answer: diabetes mellitus
You are talking with a patient about beginning therapy with testosterone (Delatestryl) to treat testicular
failure. Which of the following potential side effects should you tell the patient to watch for and report?
Correct Answer: weight gain
When talking with a patient about beginning therapy with finasteride (Proscar) to treat benign prostatic
hypertrophy, you should instruct the patient to do which of the following? Correct Answer: expect
improvement in about 6 to 12 months
You should question the use of sildenafil (Viagra) to treat erectile dysfunction in patients who take which
of the following drugs? Correct Answer: Nitroglycerin (Nitrostat) for chest pain
Dinoprostone (Cervidil) Correct Answer: induces uterine contractions
Terbutaline (Brethine) Correct Answer: stops uterine contractions
hCG (Pregnyl) Correct Answer: stimulates ovulation
Medroxyprogesterone (Provera) Correct Answer: Treats endometriosis
You are talking with a patient about beginning therapy with clomiphene (Clomid) to treat infertility.
Which of the following should you instruct the patient to watch for and report? Correct Answer: pelvic
pain
For relief of urinary obstruction due to prostatic enlargement, providers should prescribe which of the
following drugs? Correct Answer: Tamsulosin (Flomax)
You administer oxytocin (Pitocin) to a patient to induce labor. You should monitor her for which of the
following potential adverse reactions to oxytocin? (Select all that apply.) Correct Answer: Urine output
, Blood pressure
Duration of contractions
Fetal heart rate
The primary care provider talks with the couple about clomiphene therapy. Which of the following
instructions should the primary care provider include? Correct Answer: Begin 5 days after menstruation
begins and take it every day for next 5 days.
One month later, the patient tells the primary care provider that she has developed some adverse
effects. Which of the following effects does clomiphene cause? (Select all that apply.) Correct Answer:
Blurred vision
Hot flashes
Breast engorgement
Nausea
The primary care provider should instruct the patient to do which of the following? Correct Answer:
take a pregnancy test
Recognizing the adverse effects of terbutaline (Brethine), the provider should monitor the patient for
which of the following? Correct Answer: tachycardia
Which of the following drugs should the primary care provider have available to reverse the adverse
effects of terbutaline (Brethine)? Correct Answer: Propranolol (Inderal)
A health care professional is caring for a patient who is taking bethanechol (Urecholine) for urinary
retention when advising the patient about taking the drug, which of the following instructions should
the health care professional include? (select all that apply) Correct Answer: Avoid driving and activities
that require alertness
Increase fluid intake
Stay close to a bathroom after taking the drug
When talking with a patient about using leuprolide (Lupron) to treat endometriosis, the health care
professional should include which of the following instructions? Correct Answer: perform weight
bearing activities
A health care professional should question the use of the combination oral contraceptive ethinyl
estradiol and drospirenon (Yasmin) by a patient who Correct Answer: smokes half a pack of cigarettes a
day
