Deck 48: Women As Patients

Question 1

Maternal-to-child transmission of HIV infection during pregnancy may be prevented by:

A) Use of antiviral drugs such as zidovudine
B) Use of condoms during intercourse
C) Both A and B
D) Neither A nor B

Answer 1

Use of antiviral drugs such as zidovudine

Question 2

Erroneous information about LGBTQ individuals can lead to failure to give accurate advice to them as patients.Which of the following statements are true about lesbians

A) Lesbians cannot contract a sexually transmitted infection form their female partner
B) Screening for cervical cancer is not required
C) Lesbians as a group are less likely to have health care insurance
D) Like women in general,lesbians are more likely than gay men to seek care for health related issues

Answer 2

Lesbians as a group are less likely to have health care insurance

Question 3

Intimate partner violence is a serious public health problem.It should be screened for:

A) At every encounter with the health care system
B) When a women is being seen for symptoms of depression
C) Throughout pregnancy
D) If a sexually transmitted disease is diagnosed

Answer 3

At every encounter with the health care system

Question 4

Dysmenorrhea is one of the most common gynecological complaints in young women.The first line of drug treatment for this disorder is:

A) Oral contraceptive pills
B) Caffeine
C) NSAIDs
D) Aspirin

Question 5

Treatment of PMDD that affects all or most of the symptoms includes:

A) Tryptophan up to 6 g/d
B) Vitamin E 200 to 400 mg/d
C) Evening primrose oil 500 mg/d
D) Fluoxetine 20 mg/d

Question 6

Which of the following drug classes is associated with significant differences in metabolism based on gender?

A) Beta blockers
B) Antibiotics
C) Serotonin reuptake inhibitors
D) ACE inhibitors

Question 7

Premenstrual dysphoric disorder (PMDD)occurs in a fairly small number of patients.Theories of the pathology behind PMDD that are supported in research include:

A) Altered sensitivity in the serontonic system
B) Inhibition of the cyclooxygenase system
C) Fluctuations of the gonadal hormones
D) All of these are theories supported by research

Question 8

Hot flashes are often a concern during menopause.Which of the following may help in reducing them?

A) Drink one caffeinated liquid per day
B) Take progesterone supplementation
C) Exercise 20 to 40 minutes/day
D) Increase intake of carrots,yams,and soy products

Question 9

Prescribing for women during their childbearing years requires constant awareness of the possibility of:

A) Pregnancy unless the women is on birth control
B) Risk for silent bacterial or viral infections of the genitalia
C) High risk for developmental disorders in their infants
D) Decreased risk for abuse during this time

Question 10

Because of their longer life expectancy,women are more likely than men to experience a disabling condition.Common conditions in older women that can produce disability include:

A) Depression
B) Panic disorders
C) Dementia
D) All of the above

Question 11

Since 40% of bone accrual occurs during adolescence,building bone during this time is critical.Ways to improve bone accrual in adolescents include:

A) Use of bisphosphonates early if DEXA scans show limited bone accrual
B) Encouraging a daily dietary intake of 1300 mg of calcium and 400 IU of vitamin D
C) Avoiding all birth control methods that include progesterone
D) Fostering the intake of iron mainly in green and leafy vegetables

Question 12

Gender differences between men and women in pharmacokinetics include:

A) More rapid gastric emptying so that drugs absorbed in the stomach have less exposure to absorption sites
B) Higher proportion of body fat so that lipophilic drugs have relatively greater volumes of distribution
C) Increased levels of bile acids so that drugs metabolized in the intestine have higher concentrations
D) Slower organ blood flow rates to that drugs tend to take longer to be excreted

Question 13

The physiologic anemia of pregnancy can be treated with:

A) Drinking to cups per day of stinging nettle tea with cinnamon and honey
B) Taking ferrous sulfate tablets with citrus juices
C) Both A and B
D) Neither A nor B

Question 14

Factors common in women that can affect adherence to a treatment regimen include all of the following EXCEPT:

A) Number of drug taken: Women tend to take less drugs but over longer periods of time
B) Fear that medications can cause disease: Information obtained from social networks may be inaccurate for a specific woman
C) Nutritional status: Worries about possible weight gain from a given drug may result in non-adherence
D) Religious differences: A patient's belief system that is not congruent with the treatment regimen presents high risk for nonadherence.

Question 15

Women are now the fastest growing population with HIV infection and AIDS.HIV infected women:

A) Are less likely to become pregnant or to carry a pregnancy to term
B) Have higher rates of cervical dysplasia and HPV concurrent infections
C) Are most often over 35 years of age
D) Most often come from Asian and Caucasian ethnic groups