1. Monitoring for a patient who is using androgens includes: (Points : 1)
Complete blood count and C-reactive protein level
Lipid levels and liver function tests
Serum potassium and magnesium levels
Urine protein and potassium levels
Question 2. 2. A 19-year-old female is a nasal Staph aureus carrier and is placed on 5 days of rifampin for treatment. Her only other medication is combined oral contraceptives. What education should she receive regarding her medications? (Points : 1)
Separate the oral ingestion of the rifampin and oral contraceptive by at least an hour.
Both medications are best tolerated if taken on an empty stomach.
She should use a back-up method of birth control such as condoms for the rest of the current pill pack.
If she gets nauseated with the medications she should call the office for an antiemetic prescription.
Question 3. 3. Medroxyprogesterone (Depo Provera) injection has an FDA Black Box warning due to: (Points : 1)
Development of significant hypertension
Increased risk of strokes when on Depo
Decreased bone density while on Depo
Risk of life-threatening rash such as Stevens-Johnson
Question 4. 4. The mechanism of action of oral combined contraceptives which prevents pregnancy is: (Points : 1)
Estrogen prevents the LH surge necessary for ovulation
Progestins thicken cervical mucous and slow tubal motility
Estrogen thins the endometrium making implantation difficult
Progestin suppresses FSH release
Question 5. 5. Obese women may have increased risk of failure with which contraceptive method? (Points : 1)
Combined oral contraceptives
Progestin-only oral contraceptive pill
Combined topical patch
Question 6. 6. Ashley comes to 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. An appropriate plan of care would be: (Points : 1)
Recommend she return to the clinic at the start of her next menses to get a Depo Provera shot
Prescribe oral combined contraceptives and recommend she start them at the beginning of her next period and use a back-up method for the first 7 days
Prescribe oral contraceptives and have her start them the same day with a back-up method used for the first 7 days
Discuss the advantages of using the topical birth control patch and recommend she consider using the patch
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