Deck 34: Drugs for Disorders and Conditions of the Reproductive System

Question 1

The pharmacist is taking a health history from a postmenopausal patient. What is a potential consequence of estrogen loss for this patient?

A) Stress incontinence
B) Insomnia
C) Colon cancer
D) Vaginal atrophy

Answer 1

Colon cancer

Question 2

What is the purpose of using progestins in patients with dysfunctional uterine bleeding?

A) They limit and stabilize growth of the uterine lining.
B) They allow the uterine lining to thicken.
C) They prevent ovulation.
D) They decrease the occurrence of breast cancer.

Answer 2

They limit and stabilize growth of the uterine lining.

Question 3

A patient is diagnosed with metastatic endometrial cancer. The pharmacist would suspect this hormone to be used with the antineoplastics.

A) Estrogen
B) Progestin
C) Testosterone
D) Prolactin

Answer 3

Progestin

Question 4

High levels of androgens may cause (Select all that apply):
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) testicular shrinkage
B) increased sex drive
C) increased fertility
D) possible mood swings involving rage or depression

Question 5

Which of the following are causes of erectile dysfunction? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Certain diseases, most notably atherosclerosis, diabetes, kidney disease, stroke, and hypertension,
B) Psychogenic causes such as depression, fatigue, guilt, or fear of sexual failure.
C) Some common drugs, including thiazide diuretics, phenothiazines, SSRIs, TCAs, and ACE Inhibitors.
D) High testosterone levels

Question 6

Symptoms of BPH include (select all that apply):
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) increased urinary frequency usually with small amounts of urine
B) decreased urgency to urinate
C) excessive nighttime urination (nocturia)
D) increased force of the urine stream
E) a sensation that the bladder is not completely empty

Question 7

The pharmacist is teaching the patient prescribed tamsulosin for BPH. What should the pharmacist include in the teaching session for this patient? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) "This medication will shrink the prostate."
B) "Drug therapy alleviates the symptoms but does not cure the disease."
C) "This medication will lower your blood pressure."
D) "This medication has no effect on blood pressure."
E) "This medication will be required for the rest of your life."

Question 8

A female patient has been prescribed norethindrone as an oral contraceptive. What is the best explanation by the pharmacist in terms of how this medication is used to prevent pregnancy?

A) It produces a thick, viscous mucus at the entrance to the uterus that prevents penetration by sperm.
B) It terminates pregnancy.
C) It increases ovulation.
D) It prevents ovulation.

Question 9

The pharmacist is providing education to sexually active adolescents. Which contraceptive will the pharmacist include in the section regarding long-term formulations? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

A) Medroxyprogesterone acetate
B) Ethinyl estradiol and levonorgestrel
C) Ethinyl estradiol and norelgestromin
D) Estrogen and progestin
E) Ortho-Novum 7/7/7

Question 10

The pharmacist is caring for a patient who is taking an oral contraceptive. What should the pharmacist advise this patient during medication instruction?

A) Exercise if leg pain is present.
B) Stop smoking.
C) Avoid foods that are high in B6.
D) Avoid foods that are high in folic acid.

Question 11

What are the benefits of oral contraceptives outside of contraception?

A) Decrease in the number of hospitalizations for ectopic pregnancy
B) Treatment for blood clots
C) Prevention of stroke
D) Treatment for pelvic inflammatory disease

Question 12

The hypothalamus secretes gonadotropin-releasing hormone which travels to the pituitary to stimulate the secretion of follicle-stimulating hormone and luteinizing hormone which act on the reproductive system.

Question 13

In oral contraceptives, estrogen is used to make the uterus less favorable for implantation and progestin is used to prevent ovulation.

Question 14

Post-menopausal patients on HRT may have a decreased risk of coronary artery disease, stroke, and venous thromboembolism.

Question 15

Estrogens are the drugs most commonly used for treating uterine abnormalities.

Question 16

Progestins are occasionally prescribed for the treatment of metastatic endometrial carcinoma, in conjunction with antineoplastics.

Question 17

Tocolytics are drugs that stimulate uterine contractions to promote the induction of labour while oxytocics are used to inhibit uterine contractions during premature labour.

Question 18

Lack of sufficient testosterone secretion by the testes can result in male hypogonadism, treatable with replacement testosterone.

Question 19

PDE-5 inhibitors do not cause an erection but enhance the erection by increasing blood flow and maintaining relaxation of the smooth muscle in the penis.

Question 20

BPH is commonly treated with beta-blockers.

Question 21

If sildenafil is taken with cardiovascular products, especially nitrates, an increased risk of hypertension is possible.

Question 22

List the various forms of birth control available in Canada, indicating which are available without a prescription.

Question 23

A patient is has erectile dysfunction and cannot take PDE-5 inhibitors. List his options available on the market in Canada.

Question 24

What is dysfunctional uterine bleeding and how it is treated?