Glucocorticoids 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: Prescribing oral contraceptives and having her start them the same day, with a back-up method used for the first seven days A woman who has migraine with aura: Should not be prescribed estrogen due to an increased risk of stroke occurring with estrogen use A contraindication to the use of combined contraceptives is: A history of clotting disorder 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?
Black women are at risk of developing osteoporosis due to their lower calcium intake as a group. Which of the following is the mechanism of action of oral combined contraceptives that prevent pregnancy? Progestins thicken cervical mucous and slow tubal motility. When starting a patient with hypothyroidism on thyroid replacement hormones, patient education would include the following: It may take four to eight weeks to get to euthyroid symptomatically and by lab testing. Inadequate vitamin D intake can contribute to the development of osteoporosis by: Altering calcium metabolism Absolute contraindications to estrogen therapy include: Clotting disorders The drug recommended as primary prevention of osteoporosis in men over seventy years is: Alendronate (Fosamax) Men who are prescribed sildenafil (Viagra) need ongoing monitoring for: The development of chest pain or dizziness Elderly patients who are started on levothyroxine for thyroid replacement should be monitored for: Tachycardia and angina Dosage changes of conjugated equine estrogen (Premarin) are made at ____ intervals. six to eight weeks Infants with congenital hypothyroidism are treated with Levothyroxine Progesterone-only pills are recommended for women who: Are breastfeeding Have a history of migraine Have a medical history that contradicts the use of estrogen All of the above The ongoing monitoring of patients over the age sixty-five years taking alendronate (Fosamax) or any other bisphosphonate is: Annual renal function evaluation 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 reducing bone resorption and inhibiting osteoclastic activity
Medroxyprogesterone (Depo Provera) injection has an US Food and Drug Administration (FDA) black box warning due to: Decreased bone density while on Depo GLP-1 agonists: Directly bind to a receptor in the pancreatic beta cell .
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- Fall '16