Deck 51: Women As Patients

Question 1

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

Answer 1

Risk for silent bacterial or viral infections of the genitalia

Question 2

DEXA score interpretation in the rare cases of adolescent osteoporosis:

A)Is done using the same T scores that are established for women
B)Is impossible because of less-than-mature bones
C)Must be done using special Z scores for adolescents
D)Can only be done if bisphosphonates have already been started

Answer 2

Must be done using special Z scores for adolescents

Question 3

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.

Answer 3

Increase intake of carrots, yams, and soy products.

Question 4

Gender differences between men and women in pharmacokinetics include:

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

Question 5

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 serotoninergic system
B)Inhibition of the cyclooxygenase system
C)Fluctuations of the gonadal hormones
D)All of these are theories supported by research

Question 6

Which of the following holds true for the pharmacokinetics of women?

A)Gastric emptying is faster than that of men.
B)Organ blood flow is the same as that of men.
C)Evidence is strong concerning renal differences in elimination.
D)Medications that involve binding globulins are impacted by estrogen levels.

Question 7

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)Nonsteroidal anti-inflammatory drug (NSAIDs)
D)Aspirin

Question 8

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 1 and 2
D)Neither 1 nor 2

Question 9

The metabolism of drugs in women is primarily impacted by:

A)Hepatic blow flow
B)Enzymes of the CYP450 system
C)The amount of gastric secretions
D)Whether they are pre- or postmenopausal

Question 10

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

A)At every encounter within 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

Question 11

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

A)Number of drugs taken: Women tend to take fewer drugs 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 nonadherence.
D)Religious differences: A patient's belief system that is not congruent with the treatment regimen presents high risk for nonadherence.

Question 12

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)Angiotensin-converting-enzyme (ACE) inhibitors

Question 13

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 dual energy x-ray absorptiometry (DEXA) scans show limited bone accrual
B)Encouraging a daily dietary intake of 1,300 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 14

Of all populations with human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS), women are the fastest growing. 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 human papillomavirus (HPV)-concurrent infections
C)Are most often over 35 years of age
D)Most often come from Asian and Caucasian ethnic groups

Question 15

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

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

Question 16

The best way to use nonsteroidal anti-inflammatory drug (NSAIDs) for severe menstrual cramps is:

A)Take them for 2 to 3 days prior to the start of bleeding.
B)Take them 2 to 3 times a day during the first two days.
C)Take them every 2 to 3 hours.
D)They have not been found to be helpful at all.

Question 17

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 18

Which of the following is true concerning lesbian health concerns?

A)They cannot contract a sexually transmitted infection (STI) from another woman.
B)Pap smears are not required to screen for cervical cancer.
C)Lesbian women have a tendency to be frequent clinic visitors.
D)The health risks associated with smoking, alcohol, and depression are higher than in the heterosexual population.

Question 19

Women who experience gestational diabetes mellitus (DM) are more likely to:

A)Develop full DM in the next decade
B)Retain pregnancy-related weight
C)Develop hyperlipidemia
D)All of the above

Question 20

Erroneous information about lesbian, gay, bisexual, transgender, and questioning (LGBTQ) individuals can lead to failure to give accurate advice to them as patients. Which of the following statements is true about lesbians:

A)Lesbians cannot contract a sexually transmitted infection from 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.

Question 21

Compared to men, it takes fewer drugs or less alcohol for women to become intoxicated due to which of the following?

A) Women’s livers process chemicals at a faster rate of speed.
B) Women tend to start experimenting with alcohol and drugs at a later age so have not yet “adapted” like their male peers.
C) Females have a natural higher percentage of body fat.
D) None of these

Question 22

Which of the following may signal a cardiac event in a woman?

A)Sudden, profound weakness
B)Pain or pressure in the back
C)Both 1 and 2
D)Women have the same symptoms as men.

Question 23

Women who present with the classic chest pressure, diaphoresis, and left arm pain of a cardiovascular(CV) event are:

A)Probably having a heart attack
B)Experiencing a panic attack
C)Exaggerating an angina episode
D)Needing to belch and get an antacid

Question 24

All of the following are reasons why have women experience worse CV outcomes than men except:

A)Failure of the system to aggressively treat risk factors on par with men
B)They do not take early action, believing they are not at risk.
C)Women have smaller hearts and vessels compared to men resulting in easier blockages with plaque over the same time period.
D)Women do not like to take medications.