1. Which ofthe following istransdermal fentanyl indicated for?:
Answer Persistent painin patients who are already opioid tolerant
2. Ashley comes to the clinic with a request for oral contraceptives. She has successfully
used oral contraceptives before and has recently started dating a new boyfriend so would
like to restart contraception. She denies recent intercourse and has a negative urine
pregnancy test in the clinic. Anappropriate plan of care would be:
A. Recommending she return to the clinic at the start of her next menses toget a Depo
Provera shot
B. Prescribing oral combined contraceptives and recommending thatshe startthemat the
beginning of her next period and use a back-up method forthe firstseven days
C. Prescribing oral contraceptives and having her start them the same day,with a back-up
method used for the first seven days
D. Discussing the advantages of using the topical birth control patch and recommending
she consider using the patch:
Answer B. Prescribing oral contraceptivesand having her start them the same day, with a
back-up method used for the first seven days
3. Sallie has been diagnosed with osteoporosis and is asking about the once-a-month pill
to treat her condition. How do bisphosphonates treat osteoporosis?
A. By selectively activating estrogen pathways in the bone
B. By reducing bone resorption by inhibiting PTH
C. By reducing bone resorption and inhibiting osteoclastic activity
D. By increasing PTH production:
Answer B. By reducing bone resorption and inhibitingosteoclastic activity
4. Shana is receiving her first medroxyprogesterone (Depo Provera) injection.Shana will
need to be monitored for:
A. Depression
B. Hypertension
C. Weight loss
D. Cataracts:
Answer A. Depression
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