Assignment Case: Therapy Choices

Assignment Case: Therapy Choices

Assignment Case: Therapy Choices

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Week 7 Assignment 2 Quiz 1.Question : A twenty-two-year-old woman receives a prescription for oral contraceptives. Education for this patient includes: 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” Question 2. Sallie has been diagnosed with osteoporosis and is asking about the once-a-month pill to treat her condition. How do bisphosphonates treat osteoporosis? By selectively activating estrogen pathways in the bone By reducing bone resorption by inhibiting PTH By reducing bone resorption and inhibiting osteoclastic activity By increasing PTH production Question 3. Elderly patients who are started on levothyroxine for thyroid replacement should be monitored for: Excessive sedation Tachycardia and angina Weight gain Cold intolerance Question 4. Intranasal calcitonin is used in the treatment of osteoporosis. For which patient is Calcitonin therapy appropriate? 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 Question 5. The ongoing monitoring of patients over the age sixty-five years taking alendronate (Fosamax) or any other bisphosphonate is: Annual dual energy X-ray absorptiometry (DEXA) scans Annual vitamin D level Annual renal function evaluation Electrolytes every three months Question 6. When starting a patient with hypothyroidism on thyroid replacement hormones, patient education would include the following: He or she should feel symptomatic improvement in one to two weeks. Drug-related adverse effects such as lethargy and dry skin may occur. It may take four to eight weeks to get to euthyroid symptomatically and by lab testing. Due to the short half-life of levothyroxine, its doses should not be missed. Question 7. Medroxyprogesterone (Depo Provera) injection has an US Food and Drug Administration (FDA) black box warning due to: 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 Question 8. A woman who has migraine with aura: Should not be prescribed estrogen due to the interaction between triptans and estrogen, limiting migraine therapy choices Should not be prescribed estrogen due to an increased incidence of migraines with the use of estrogen Should not be prescribed estrogen due to an increased risk of stroke occurring with estrogen use May be prescribed estrogen without any concerns Question 9. The drug recommended as primary prevention of osteoporosis in women over seventy years old is: Alendronate (Fosamax) Ibandronate (Boniva) Calcium carbonate Raloxifene (Evista) Question 10. The drug recommended as primary prevention of osteoporosis in men over seventy years is: Alendronate (Fosamax) Ibandronate (Boniva) Calcium carbonate Raloxifene (Evista)

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