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Chapter 22. Drugs Affecting the Reproductive System
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____     1.        A
19-year-old female is a nasal Staph aureus carrier and is placed on 5
days of rifampin for treatment. Her only other medication is combined oral
contraceptives. What education should she receive regarding her medications?
|
1. |
Separate
the oral ingestion of the rifampin and oral contraceptive by at least an
hour. |
|
2. |
Both
medications are best tolerated if taken on an empty stomach. |
|
3. |
She should use a back-up method of birth
control such as condoms for the rest of the current pill pack. |
|
4. |
If she
gets nauseated with the medications she should call the office for an
antiemetic prescription. |
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____     2.        A
56-year-old woman is complaining of vaginal dryness and dyspareunia. To treat
her symptoms with the lowest adverse effects she should be prescribed:
|
1. |
Low-dose
oral estrogen |
|
2. |
A
low-dose estrogen/progesterone combination |
|
3. |
A vaginal estradiol ring |
|
4. |
Vaginal
progesterone cream |
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____     3.        Shana
is receiving her first medroxyprogesterone (Depo Provera) injection. Shana will
need to be monitored for:
|
1. |
Depression |
|
2. |
Hypertension |
|
3. |
Weight
loss |
|
4. |
Cataracts |
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____     4.        When
prescribing medroxyprogesterone (Depo Provera) injections, essential education
would include advising of the following potential adverse drug effects:
|
1. |
Hypertension
and dysuria |
|
2. |
Depression and weight gain |
|
3. |
Abdominal
pain and constipation |
|
4. |
Orthostatic
hypotension and dermatitis |
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____     5.        The
medroxyprogesterone (Depo Provera) injection has a Black Box Warning due to:
|
1. |
The
potential development of significant hypertension |
|
2. |
Increased
risk of strokes |
|
3. |
Decreased bone density |
|
4. |
The risk
of a life-threatening rash such as Stevens-Johnson |
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____     6.        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?
|
1. |
Reassurance that some spotting is normal
the first few months of Depo and it should improve. |
|
2. |
Schedule
an appointment for an exam as this is not normal. |
|
3. |
Prescribe
4 weeks of estrogen to treat the abnormal vaginal bleeding. |
|
4. |
Order a
pregnancy test and suggest she use a back-up method of contraception until
she has her next shot. |
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