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29 Cards in this Set
- Front
- Back
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Ann is an 82 year-old female patient. Her T-scores were -4.2 in the lower spine and -3.4 in the left hip. Which condition is indicated by the patients T-scores? Answer ANo condition can be determined with this information. BShe has osteopenia. CShe has osteoporosis. DShe has Marfan syndrome.
EShe has Guillain-Barre Syndrome. |
CShe has osteoporosis. |
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A patient asks the pharmacist if bio-identical hormone replacement therapy is a safer option than using the drugs in products such as Premarin. Choose the safest response: Answer ABio-identical hormone therapy is safer than using "horse" estrogens such as Premarin. BBio-identical hormone therapy is more dangerous than "horse" estrogen. CThese products may be a safer option, but we really do not know at this time. It's safest to assume that the health risks are similar to the estrogens that have been studied until more information is available. DBio-identical hormone therapy is only used for males, such as with Testim.
EBio-identical hormone therapy is only used for pre-menopausal women who are trying to become pregnant. |
CThese products may be a safer option, but we really do not know at this time. It's safest to assume that the health risks are similar to the estrogens that have been studied until more information is available. |
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A patient uses ibandronate. This medication is usually administered in the following formulation: Answer ADaily tablet BWeekly tablet CMonthly tablet DYearly infusion
EPatch |
CMonthly tablet |
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Marvin is a 65 year-old male with NYHA Class I heart failure, prostate enlargement, mild cognitive decline and erectile dysfunction. His medications include valsartan, metoprolol extended-release, hydrochlorothiazide, tamsulosin, finasteride and donepezil. Marvin's testosterone level is within the normal range. He wishes to use sildenafil, but it is not covered by his Medicare plan and he finds the cost per tablet prohibitive. He asks his physician for another option, and the physician suggests testosterone. Select the correct statement: Answer ATestosterone can be used concurrently with finasteride. BThe testosterone will worsen the cognitive decline. CThe testosterone cannot be used in heart failure. DThe testosterone will worsen the prostate symptoms.
EThe popular form of testosterone is called Vivelle. |
DThe testosterone will worsen the prostate symptoms. |
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A patient is asking about raloxifene. Which of the following statements are correct? (Select ALL that apply.) Answer AThe brand name of raloxifene is Prometrium. BRaloxifene is used primarily in women afraid of getting breast cancer. CRaloxifene reduces hot flashes. DRaloxifene increases bone density to a lesser degree than the bisphosphonates or teriparatide.
ERaloxifene has a lower clotting risk than estrogen. |
BRaloxifene is used primarily in women afraid of getting breast cancer.
DRaloxifene increases bone density to a lesser degree than the bisphosphonates or teriparatide. |
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The pharmacist is reviewing a prescription for generic alendronate for an elderly female who lives in a skilled nursing facility. Choose the correct statement: Answer AThis formulation comes with vitamin D; supplemental vitamin D is not required. BShe will require adequate vitamin D with this medication. CShe likely gets adequate vitamin D from sunlight. DShe does not require calcium with this medication.
EThe brand name for this medication is Actonel. |
BShe will require adequate vitamin D with this medication. |
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Which of the following statements concerning denosumab are correct? (Select ALL that apply.) Answer ADenosumab is used for hypercalcemia of malignancy in the formulation called Aredia. BThe brand name for denosumab, when used for high risk patients with osteoporosis, is Prolia. CDenosumab can raise serum calcium levels; calcium should be checked prior to initiation of therapy. DDenosumab is administered every six months, in a medical office. EDenosumab is a monoclonal antibody that prevents osteoclast formation; osteoclasts break down bone.
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BThe brand name for denosumab, when used for high risk patients with osteoporosis, is Prolia.
DDenosumab is administered every six months, in a medical office. EDenosumab is a monoclonal antibody that prevents osteoclast formation; osteoclasts break down bone.
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A 73 year-old woman has a T-score of -4.3 in her right hip, -4.7 in her left hip and has had several vertebral fractures in her lumbar spine. Her only known medical conditions are osteoporosis and hypertension. She has never had any surgeries. This woman may be a candidate for the following therapy: (Select ALL that apply.) Answer AProlia BEstrogen, such as in Premarin, taken with Provera CForteo DTeriparatide
EDenosumab |
AProlia
CForteo DTeriparatide
EDenosumab |
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The Institute of medicine and the National Institutes of Health recommend this daily vitamin D dose for adults 71 years and older: Answer A200 IU daily B600 IU daily C800 IU daily D1000 IU daily
E1500 IU daily |
C800 IU daily |
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A patient gave the pharmacist a prescription for Premarin 0.625 mg daily. Which of the following is an appropriate generic substitution for Premarin? Answer AConjugated equine estrogens BEthinyl estradiol, conjugated CMedroxyprogesterone acetate DEstriol, synthetic
EDrospirenone |
AConjugated equine estrogens |
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Cathy is a 42 year old Hispanic female with a 10-year history of anorexia nervosa. She is 5 feet, 6 inches tall and weighs 111 pounds. Cathy is a nervous person who states that she smokes a cigarette whenever she needs to calm her nerves. She has little calcium in her diet. She says she has had a bad sunburn once and she avoids the sun. She does not take any medications or supplements. Which risk factors for osteoporosis are present in this patient? (Select ALL that apply.) Answer ALow calcium and vitamin D intake BLow body mass index CEthnicity DSmoking
EHistory of anorexia nervosa |
ALow calcium and vitamin D intake BLow body mass index
DSmoking
EHistory of anorexia nervosa |
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What is the percentage of elemental calcium in a calcium citrate tablet? Answer A15% B18% C21% D28%
E40% |
C21% |
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A patient is going to begin alendronate for osteoporosis. Which of the following are possible side effects, or adverse drug reactions, from bisphosphonate therapy? (Select ALL that apply.)
Answer ALoose stools, diarrhea, or constipation BAlopecia CPossible risk of jaw necrosis, with higher risk after dental extractions DGastritis, stomach upset, heartburn
EBone pain |
CPossible risk of jaw necrosis, with higher risk after dental extractions DGastritis, stomach upset, heartburn
EBone pain |
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A prescriber is asking for information about the Reclast injection. (Select ALL that apply.) Answer AReclast contains the same active ingredient as Zometa. BReclast contains the same active ingredient as Aredia. CMany patients feel sick for a few days after the injection, with flu-like symptoms. DUnlike the other bisphosphonates, it is safer (and acceptable) to use in severe renal insufficiency.
EThe primary use of Reclast is in patients who cannot tolerate an oral bisphosphonate. |
AReclast contains the same active ingredient as Zometa.
CMany patients feel sick for a few days after the injection, with flu-like symptoms.
EThe primary use of Reclast is in patients who cannot tolerate an oral bisphosphonate. |
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KM is a 58 year-old female with complaints of dry, painful intercourse. She reports this condition began when she was finished with her periods. KM has a history of one pregnancy and one DVT (during the pregnancy). She has no known other medical conditions except for intermittent eczema. Which of the following options would be best to help KM manage this condition? Answer AOsphena BPremarin topical cream CEstring DReplens
EPremarin oral tablets |
DReplens |
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What is the most common application site for the Vivelle-Dot and most estrogen patches? Answer AHip BLower abdomen CButtocks DUpper thigh
EBack |
BLower abdomen |
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Select the correct statement regarding low testosterone treatment in older males: Answer AMales should be routinely treated with testosterone since lower testosterone is a normal part of the aging process. BA benefit to testosterone treatment is improved benign prostatic hyperplasia (BPH) symptoms. CCertain men find that using endogenous testosterone can improve their appearance, vigor and/or sexual performance; not all have these benefits. DThe use of testosterone lowers clotting risk in older men.
ELow testosterone is called hypergonadism. |
CCertain men find that using endogenous testosterone can improve their appearance, vigor and/or sexual performance; not all have these benefits. |
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Identify the application site for the low testosterone (low "T") product Axiron:
Answer AShoulders BAbdomen CUnderams DNares
EUpper arms |
CUnderams |
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Identify the application site for the low testosterone (low "T") product Natesto.
Answer AUnderarms BUpper arms CNares DShoulders
EAbdomen |
CNares |
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A patient will begin to use Axiron. Counseling should include the following points: Answer AApply deodorant first (prior to Axiron). BApply to the nasal passages with the enclosed applicator. CWait at least 15 minutes before showering after applying the drug. DThis drug contains topical estradiol therapy.
EThis drug can help treat hot flashes. |
AApply deodorant first (prior to Axiron). |
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AndroGel comes in 1% and 1.62% strengths. Each can be applied to clean, dry skin on the shoulders or upper arms. In addition, the lower strength only (1%) can be applied to this additional location: Answer AThe back BThe buttocks CThe breasts DThe abdomen
EThe hips |
DThe abdomen |
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The Drug Enforcement Administration has placed topical testosterone products into this scheduled category: Answer AC-I BC-II CC-III DC-IV EC-V
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CC-III |
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Which of the following formulations contains estrogen plus a progestin? (Select ALL that apply.) Answer APremphase BPrempro CCombipatch DEstroGel
EClimara |
APremphase BPrempro CCombipatch |
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Osphena is an oral Selective Estrogen Receptor Modulator (SERM) indicated for the following condition: Answer AVasomotor symptoms BBreast cancer prevention CDyspareunia DLow serum testosterone
ELow serum luteinizing hormone |
CDyspareunia |
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Which of the following drugs or conditions can lower testosterone? (Select ALL that apply.) Answer ACimetidine BMethadone CCoreg DNormal aging process
EEffexor |
ACimetidine BMethadone
DNormal aging process |
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Which of the following hormone formulations used for vasomotor symptoms should be recommended as monotherapy in a female who has a uterus? Answer APremarin BEstraderm CVivelle-Dot DClimaraPro
EClimara |
DClimaraPro |
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What is the rationale behind the flurry of recent low testosterone (low "T") products entering the marketplace over the past couple of years? Answer AFemales using testosterone BHigh school boys using testosterone CFormulations that enable alternate application sites DHigher drug concentrations of testosterone
ELower drug concentrations of testosterone |
CFormulations that enable alternate application sites |
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Osphena is a new drug indicated for dyspareunia. Due to clotting risk present with this drug, it should only be used with the following presentation: Answer ACervical cancer BMild symptoms only from painful intercourse due to menopause CModerate to severe painful intercourse due to menopause DBreast cancer
EHot flashes/night sweats |
CModerate to severe painful intercourse due to menopause |
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Identify the common ingredient in Natesto, Axiron, Vogelxo and AndroGel: Answer AEstrone topical gel BTestosterone topical gel CEstradiol topical gel DEstriol topical gel
EEstrogen/testosterone topical gel |
BTestosterone topical gel |
