Deck 13: Gynecologic and Obstetric Drugs

Question 1

Women in labor may be given a uterine stimulant drug if they are experiencing ________.

A) dysmenorrhea
B) uterine inertia
C) dilation and effacement of the cervix
D) a vaginal yeast infection

Answer 1

uterine inertia

Question 2

Oral contraceptive drugs can cause all of the following serious adverse drug effects,EXCEPT ________.

A) blood clots
B) infertility
C) stroke
D) heart attack

Answer 2

infertility

Question 3

Which of these problems would cause the physician to give a woman a uterine stimulant drug?

A) weak uterine contractions (uterine inertia)
B) preeclampsia
C) diabetes mellitus that necessitated a rapid delivery for the safety of the mother and fetus
D) all of the above

Answer 3

all of the above

Question 4

The sexually transmitted disease acquired immunodeficiency syndrome is caused by ________.

A) herpes simplex virus, type 2
B) Neisseria gonorrhoeae
C) Treponema pallidum
D) HIV

Question 5

Which of the following words is associated with contraceptive drugs?

A) tocolytic
B) biphasic
C) folic acid
D) hormone replacement therapy

Question 6

Which of the following statements about the trade name drug Plan B is FALSE?

A) It is taken orally.
B) It belongs to the category of progestin-only contraceptive drugs.
C) It is taken before sexual intercourse to prevent pregnancy.
D) It contains levonorgestrel.

Question 7

Monophasic oral contraceptive drugs have a ________.

A) fixed dose of a progestins drug and a varying dose of an estrogen drug
B) fixed dose of both a progestins drug and an estrogen drug
C) varying dose of a progestins drug and a fixed dose of an estrogen
D) varying dose of both a progestins drug and an estrogen drug

Question 8

Ovulation-stimulating drugs stimulate ________.

A) a non-ovulating ovary to release a single mature ovum
B) a non-ovulating ovary to release several mature ova
C) an ovulating ovary to release a single mature ovum
D) an ovulating ovary to release several mature ova

Question 9

When the cervix does not dilate and become thinner during labor,which type of drug can be given?

A) an analgesic drug
B) an estrogen drug
C) an ovulation-stimulating drug
D) a prostaglandin drug

Question 10

Which of the following is NOT the action of a drug used to prevent pregnancy?

A) changing the hormonal environment so that the ovary does not produce or release a mature ovum
B) preventing the production of spermatozoa in the male
C) keeping a fertilized ovum from implanting in the endometrium
D) killing spermatozoa from the male

Question 11

Which of the following is true about Mirena?

A) It is a T-shaped contraceptive device.
B) It is inserted into the uterus.
C) It contains the progestins drug levonorgestrel
D) all of the above

Question 12

Amenorrhea and abnormally heavy menstruation are both treated with ________ drugs that act directly on the endometrium to restore a normal menstrual cycle.

A) analgesic
B) antibiotic
C) hormone replacement therapy
D) progestins

Question 13

The implantable forms of contraceptive drugs,such as Mirena,contain ________.

A) only a progestins drug
B) only an estrogen drug
C) both an estrogen drug and a progestins drug
D) neither an estrogen drug nor a progestins drug

Question 14

In addition to being an oral contraceptive drug,YAZ is also approved by the FDA for treating ________.

A) premenstrual dysphoric disorder
B) premature labor
C) vaginal yeast infections
D) sexually transmitted diseases

Question 15

Which of the following drug forms or routes of administration are NOT used for contraceptive drugs?

A) intravenous injection
B) oral tablets
C) transdermal patch
D) vaginal ring

Question 16

All of the following are true about oral contraceptive drugs,EXCEPT ________.

A) They contain progestins, the primary female hormone.
B) They suppress the release of FSH and LH so that a mature ovum never develops.
C) They cause changes in the cervical mucosa that inhibit spermatozoa.
D) They keep a fertilized ovum from implanting in the endometrium.

Question 17

Which of these diseases is NOT treated with ovulation-stimulating drugs?

A) preterm labor
B) infertility
C) polycystic ovary syndrome
D) hormonal imbalance and anovulation

Question 18

The various symptoms of premenstrual syndrome (PMS)are treated with combination drugs that contain all of the following types of drugs,EXCEPT ________.

A) a sedative drug
B) a progestins drug for contraception
C) a diuretic drug for fluid retention
D) an analgesic drug for pain

Question 19

Drugs used to treat postpartum bleeding ________.

A) keep the ovary from producing an ovum
B) keep the cervix from dilating
C) stimulate the cervix to dilate
D) stimulate the uterine muscle to contract

Question 20

Few drugs are prescribed during pregnancy,particularly during the ________ trimester because of the increased risk of causing birth defects in the developing fetus.

A) first
B) second
C) third
D) fourth

Question 21

Besides being used to treat endometriosis,danazol is also used to treat which other diseases?

A) syphilis
B) fibrocystic disease of the breast
C) dysmenorrhea
D) preterm labor

Question 22

Which one of the following pairs of trade names is NOT a monophasic oral contraceptive drug?

A) Gianvi and Ovral
B) Seasonale and YAZ
C) Alesse and Beyaz
D) Cyclessa and Ortho Tri-Cyclen

Question 23

Of the following trade name prostaglandin drugs,which one is NOT used to help the cervix dilate and efface during labor?

A) Cervidil
B) Cyclessa
C) Cytotec
D) Prepidil

Question 24

All of the following trade name drugs are given to women in menopause as hormone replacement therapy,EXCEPT ________.

A) Climara
B) Menest
C) Pitocin
D) Vivelle

Question 25

Premenstrual syndrome (PMS)is characterized by all of the following,EXCEPT ________.

A) dysmenorrhea
B) severe depression
C) breast tenderness
D) bloating and fluid retention

Question 26

Drugs should be avoided during pregnancy,but which of these drugs is prescribed for pregnant women?

A) Drugs to continue treating chronic diseases such as hypertension and diabetes mellitus
B) Iron and folic acid
C) Prenatal vitamins
D) all of the above

Question 27

Drugs such as clotrimazole (Gyne-Lotrimin,Mycelex)and miconazole (Monistat,Vagistat)are used to treat ________.

A) infections caused by Candida albicans
B) infections caused by Treponema pallidum
C) dysmenorrhea
D) infertility

Question 28

Metronidazole (MetroGel-Vaginal)is used to treat ________.

A) syphilis
B) bacterial vaginosis
C) vaginal yeast infections
D) endometriosis

Question 29

Which of the following drugs is NOT used to treat the pain of dysmenorrhea?

A) naproxen (Aleve, Midol)
B) diclofenac (Cataflam, Flector, Voltaren)
C) ibuprofen (Advil, Motrin)
D) Ortho-Novum

Question 30

Which of the following statements is TRUE?

A) In monophasic oral contraceptive drugs, 7 of the tablets in a 28-day pill pack contain an analgesic drug.
B) Most physicians prescribe an oral contraceptive drug that contains as low a dose of estrogen as possible-35 mcg of estrogen in each tablet.
C) The drug oxytocin (Pitocin) is used to stop premature labor.
D) The risks of serious adverse effects while taking an oral contraceptive drug increase for patients who smoke or are older than 55 years of age.

Question 31

Which of the following drugs is NOT used to treat endometriosis?

A) follitropin beta (Follistim)
B) goserelin (Zoladex)
C) leuprolide (Lupron Depot)
D) nafarelin (Synarel)

Question 32

The trade name drugs Ponstel and Motrin are commonly used to treat what disease?

A) chlamydia vaginal infections
B) menopause
C) labor and delivery
D) dysmenorrhea

Question 33

The contraceptive drug Ortho Evra is in the form of a ________.

A) pill pack
B) vaginal ring
C) T-shaped intrauterine device
D) transdermal patch

Question 34

The triphasic group of oral contraceptive drugs specifically has ________.

A) 35 mcg of estrogen in every tablet
B) 21 pills for a 28-day cycle
C) three phases of varying hormone doses
D) three different types of female hormones in each tablet

Question 35

Premarin is ________.

A) used to prevent pregnancy
B) used to replace estradiol hormone in menopause
C) made from the urine of pregnant mares.
D) B and C

Question 36

Which of the following combination drugs is NOT used to treat the symptoms of menopause?

A) Seasonique
B) Activella
C) Femhrt
D) Prempro

Question 37

Which of the following statements is FALSE?

A) The prefix tri- in the trade name of some oral contraceptive drugs indicates three phases.
B) The trade name Ortho-Novum 10/11 indicates that this is a monophasic oral contraceptive drug.
C) The oral contraceptive drug Seasonique only produces four menstrual periods each year.
D) The first oral contraceptive pill was introduced in 1960.

Question 38

Which of the following sexually transmitted diseases are treated with antibiotic drugs?

A) HIV and AIDS
B) genital herpes
C) candidiasis
D) gonorrhea and syphilis

Question 39

Simone and Raymond Jones have been trying to start a family for two years without success.The doctor has suggested that Simone might benefit from a drug to stimulate ovulation.This drug could be any of the following,EXCEPT ________.

A) urofollitropin (Bravelle)
B) clomiphene (Clomid)
C) clotrimazole (Gyne-Lotrimin, Mycelex)
D) human chorionic gonadotropin (Pregnyl, Profasi)

Question 40

Which was the first oral contraceptive drug that could eliminate all menstrual periods?

A) YAZ
B) MetroGel-Vaginal
C) Lybrel
D) Seasonique

Question 41

PMDD includes all the symptoms of PMS plus an added symptom of endometriosis.

Question 42

There currently are no drugs approved by the FDA to specifically stop preterm labor.

Question 43

Ovulation-stimulating drugs are appropriate for patients who have anovulation (failure to ovulate).

Question 44

Some antiyeast drugs require the patient insert the drug vaginally for 7 days or just 3 days,but antiyeast drug tioconazole only needs to be inserted vaginally just one time.

Question 45

The types of oral contraceptive drugs are one-phasic,two-phasic,three-phasic,and four-phasic.

Question 46

After the tragedy with thalidomide and fetal deformities,the FDA did not approve any drug to treat the nausea and vomiting associated with pregnancy until 2013 then they approved the combination drug ________.

A) Cyclessa
B) Diclegis
C) Ocella
D) Midol

Question 47

Melissa Radike has endometriosis.To treat her symptoms,her physician prescribed a hormone drug because it will suppress her menstrual cycle for several months,during which time the endometrial implants of endometriosis will shrink and fade.

Question 48

Oral contraceptive drugs exert a hormonal influence to prevent pregnancy and are 100 percent effective if taken as directed.

Question 49

Climara Pro and CombiPatch to treat menopause,and Ortho Evra to prevent pregnancy all come in the drug form of a transdermal patch.

Question 50

Progestin-only oral contraceptive drugs are useful for mothers who are breastfeeding because the drug does not interfere with milk production.

Question 51

Progesterone drugs prepare the endometrium to receive fertilized ova,and are used in conjunction with other drugs for infertility in women.

Question 52

Ovulation-stimulating drugs are not appropriate for patients with infertility due to blocked uterine tubes or problems that require surgical intervention.

Question 53

The over-the-counter trade name drug Remifemin is advertised to relieve the symptoms of menopause.It contains the herb known as ________.

A) black cohosh
B) snakeroot
C) bugbane
D) all of the above

Question 54

Which of these drugs have an unofficial "unlabeled use" (but legal)to treat preterm labor?

A) terbutaline, a bronchodilator drug used to treat asthma
B) magnesium sulfate, a drug used to prevent and treat seizures
C) folic acid
D) A and B

Question 55

Progestin-only contraceptive drugs only contain a progestins drug,but these drugs are equally as effective in preventing pregnancy as combination oral contraceptive drugs.

Question 56

Antidepressant drugs are usually used to treat depression,but can also be used to treat the hot flashes that occur with menopause.

Question 57

Biphasic oral contraceptive drugs have one phase that provides a fixed dose of a progestins drug and a fixed dose of an estrogen drug.

Question 58

The well-known generic drug oxytocin that is a uterine stimulant drug used to stimulate the uterus and induce labor is related to the trade name drug ________.

A) Cervidil
B) Estrostep
C) Prempro
D) Pitocin

Question 59

A 28-day pill pack of an oral contraceptive drug consists of 21 tablets that contain hormones and 7 tablets that ________.

A) are inert
B) may contain sugar
C) may contain iron
D) all of the above

Question 60

The contraceptive effect of some progestins-only implanted contraceptive devices can last from three to five years.

Question 61

The drugs Glucophage and Avandia are used to treat type 2 diabetes mellitus,but they are also used to stimulate ovulation in patients with polycystic ovaries.

Question 62

The symptoms of menopause can be treated by HRT.The abbreviation HRT stands for ________.

Question 63

Vaginal yeast infections are caused by Candida albicans,and the infection is known as ________.

Question 64

The first FDA-approved prescription drug for treating the hot flashes of menopause that was not a hormone drug was paroxetine (________).

Question 65

The trade name Quartette tells you that this is a ________-phasic oral contraceptive drug.

Question 66

Premature labor contractions can be inhibited by using uterine-relaxing drugs.These drugs are known as ________ drugs.

Question 67

Lybrel is a continuous oral contraceptive drug and this means the woman has ________ menstrual periods each year.

Question 68

Infertility drugs are often used as part of an ART program.The abbreviation ART stands for ________.

Question 69

________ (painful menstrual cramps)is caused by an increase in prostaglandins that causes the uterus to contract painfully.

Question 70

The abbreviation BCP stands for ________.

Question 71

Carboprost (Hemabate)is used to treat postpartum hemorrhage caused by abnormal uterine muscle relaxation.

Question 72

The drug thalidomide which caused the birth defect of seal limbs or phocomelia was taken in the late 1950s by pregnant women in Europe to treat their symptoms of ________.

Question 73

Sonjalee Williams is taking an oral contraceptive drug.She knows this will help protect her from becoming pregnant and from contracting a sexually transmitted disease.

Question 74

The numbers next to these trade name drugs tell you that Ortho-Novum 10/11 is a ________ oral contraceptive drug and Ortho-Novum 7/7/7 is a ________ oral contraceptive drug.

Question 75

The ending -azole is common to drugs used to treat the ________ infection of candidiasis.

Question 76

Breads,cereals,and pastas have supplemental iron added to them to decrease the risk of babies being born with neural tube defects in women of childbearing age.

Question 77

To induce labor,the hormone ________ (secreted by the posterior pituitary gland)and the drug Pitocin both work in the same way to bind to receptors on the smooth muscle of the uterus,causing the uterus to contract.

Question 78

Patients taking oral contraceptive drugs should avoid taking the herb St.John's wort for depression because it can increase the chance of getting pregnant.

Question 79

In a 28-day pack of an oral contraceptive drug,the tablets for the last 7 days are ________ tablets containing no hormone drug.

Question 80

Prostaglandins secreted by the placenta help to widen and thin the cervix as labor begins.They cause smooth muscle fibers in the cervix to dilate and the collagen fibers to break down.This process of dilatation and effacement is known as cervical ________.