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____ 12. A 56-year-old women is complaining of vaginal dryness and dyspareunia. To treat her symptoms with the lowest adverse effects she should be prescribed: A. Low-dose oral estrogenB. Low-dose estrogen/progesterone combinationC. Vaginal estradiol ringD. Vaginal progesterone cream____ 13. Shana is receiving her first medroxyprogesterone (Depo Provera) injection. Shana will need to be monitored for: A. DepressionB. HypertensionC. Weight lossD. Cataracts____ 14. When prescribing medroxyprogesterone (Depo Provera) injections, essential education would include the adverse drug effects of: A. Hypertension and dysuriaB. Depression and weight gainC. Abdominal pain and constipationD. Orthostatic hypotension and dermatitis____ 15. Medroxyprogesterone (Depo Provera) injection has an FDA Black Box warning due to: A. Development of significant hypertensionB. Increased risk of strokes when on DepoC. Decreased bone density while on DepoD. Risk of life-threatening rash such as Stevens-Johnson____ 16. Shana received her first medroxyprogesterone (Depo Provera) injection 6 weeks ago and calls the clinic with a concern that she has been having a light “period” off and on since receiving her Depo shot. What would be the management of Shana? A. Reassurance that some spotting is normal the first few months of Depo and it should improve.B. Schedule an appointment for an exam as this is not normal.C. Prescribe 4 weeks of estrogen to treat the abnormal vaginal bleeding.D. Order a pregnancy test and suggest she use a back-up method of contraception until she has her next shot.____ 17. William is a 62-year-old male who is requesting a prescription for sildenafil (Viagra). He should be screened for ____ before prescribing sildenafil. A. Renal dysfunctionB. Unstable coronary artery diseaseC. Benign prostatic hypertrophyD. History of priapism____ 18. Men who are prescribed sildenafil (Viagra) need ongoing monitoring for: A. Development of chest pain or dizzinessB. Weight gainC. PriapismD. Renal function
____ 19. Men who are prescribed an erectile dysfunction drug such as sildenafil (Viagra) should be warned about the risk for: A. Impotence when combined with antihypertensivesB. Fatal hypotension if combined with nitratesC. Weight gain if combined with antidepressantsD. All of the above
Chapter 22: Drugs Affecting the Reproductive System Answer SectionMULTIPLE CHOICE1. ANS: D PTS: 12. ANS: B PTS: 13. ANS: D PTS: 14. ANS: A PTS: 15. ANS: B PTS: 16. ANS: A PTS: 17. ANS: B PTS: 18. ANS: C PTS: 19. ANS: C PTS: 110. ANS: A PTS: 111. ANS: C PTS: 112. ANS: C PTS: 113. ANS: A PTS: 114. ANS: B PTS: 115. ANS: C PTS: 116. ANS: A PTS: 117. ANS: B PTS: 118. ANS: A PTS: 119. ANS: B PTS: 1 Chapter 23: Drugs Affecting the Integumentary SystemMultiple ChoiceIdentify the choice that best completes the statement or answers the question.____