Question 1

Which of the following holds true for the pharmacokinetics of women?

Accepted Answer

A)  Gastric emptying is faster than that of men. 
B)  Organ blood flow is the same as that of men. 
C)  Evidence is strong concerning renal differences in elimination. 
D)  Medications that involve binding globulins are impacted by estrogen levels. 
A)  Gastric emptying is faster than that of men. 
B)  Organ blood flow is the same as that of men. 
C)  Evidence is strong concerning renal differences in elimination. 
D)  Medications that involve binding globulins are impacted by estrogen levels. D

Question 2

Which of the following is true concerning lesbian health concerns?

Accepted Answer

A)  They cannot contract an STI from another woman. 
B)  Pap smears are not required to screen for cervical cancer. 
C)  Lesbian women have a tendency to be frequent clinic visitors. 
D)  The health risks associated with smoking, alcohol, and depression are higher than in the heterosexual population. 
A)  They cannot contract an STI from another woman. 
B)  Pap smears are not required to screen for cervical cancer. 
C)  Lesbian women have a tendency to be frequent clinic visitors. 
D)  The health risks associated with smoking, alcohol, and depression are higher than in the heterosexual population. D

Question 3

Since 40% of bone accrual occurs during adolescence, building bone during this time is critical. Ways to improve bone accrual in adolescents include:

Accepted Answer

A)  Use of bisphosphonates early if dual energy X-ray absorptiometry (DEX
A)  scans show limited bone accrual 
B)  Encouraging a daily dietary intake of 1,300 mg of calcium and 400 IU of vitamin D 
C)  Avoiding all birth control methods that include progesterone 
D)  Fostering the intake of iron mainly in green and leafy vegetables 
A)  Use of bisphosphonates early if dual energy X-ray absorptiometry (DEX
A)  scans show limited bone accrual 
B)  Encouraging a daily dietary intake of 1,300 mg of calcium and 400 IU of vitamin D 
C)  Avoiding all birth control methods that include progesterone 
D)  Fostering the intake of iron mainly in green and leafy vegetables B

Question 4

Maternal-to-child transmission of HIV infection during pregnancy may be prevented by:

Accepted Answer

A)  Use of antiviral drugs such as zidovudine 
B)  Use of condoms during intercourse 
C)  Both 1 and 2 
D)  Neither 1 nor 2 
A)  Use of antiviral drugs such as zidovudine 
B)  Use of condoms during intercourse 
C)  Both 1 and 2 
D)  Neither 1 nor 2

Question 5

Gender differences between men and women in pharmacokinetics include:

Accepted Answer

A)  More rapid gastric emptying so that drugs absorbed in the stomach have less exposure to absorption sites 
B)  Higher proportion of body fat so that lipophilic drugs have relatively greater volumes of distribution 
C)  Increased levels of bile acids so that drugs metabolized in the intestine have higher concentrations 
D)  Slower organ blood flow rates so drugs tend to take longer to be excreted 
A)  More rapid gastric emptying so that drugs absorbed in the stomach have less exposure to absorption sites 
B)  Higher proportion of body fat so that lipophilic drugs have relatively greater volumes of distribution 
C)  Increased levels of bile acids so that drugs metabolized in the intestine have higher concentrations 
D)  Slower organ blood flow rates so drugs tend to take longer to be excreted

Question 6

The interpretation of DEXA scores in the rare cases of adolescent osteoporosis in teens:

Accepted Answer

A)  Use the same T scores that are established for women 
B)  Cannot be done because of less-than-mature bones 
C)  Must use special Z-scores developed for this reason 
D)  Can only be done if bisphosphonates have already been started 
A)  Use the same T scores that are established for women 
B)  Cannot be done because of less-than-mature bones 
C)  Must use special Z-scores developed for this reason 
D)  Can only be done if bisphosphonates have already been started

Question 7

Women are now the fastest growing population with HIV infection and AIDS. HIV-infected women:

Accepted Answer

A)  Are less likely to become pregnant or to carry a pregnancy to term 
B)  Have higher rates of cervical dysplasia and HPV-concurrent infections 
C)  Are most often over 35 years of age 
D)  Most often come from Asian and Caucasian ethnic groups 
A)  Are less likely to become pregnant or to carry a pregnancy to term 
B)  Have higher rates of cervical dysplasia and HPV-concurrent infections 
C)  Are most often over 35 years of age 
D)  Most often come from Asian and Caucasian ethnic groups

Question 8

The timing of NSAIDS for best control of severe menstrual cramps includes:

Accepted Answer

A)  Taking them for 2-3 days prior to the start of bleeding 
B)  Taking them 2-3 times a day during the first 2 days 
C)  Taking them every 2-3 hours 
D)  They have not been found to be helpful at all 
A)  Taking them for 2-3 days prior to the start of bleeding 
B)  Taking them 2-3 times a day during the first 2 days 
C)  Taking them every 2-3 hours 
D)  They have not been found to be helpful at all

Question 9

Treatment of PMDD that affects all or most of the symptoms includes:

Accepted Answer

A)  Tryptophan up to 6 g/d 
B)  Vitamin E 200-400 mg/d 
C)  Evening primrose oil 500 mg/d 
D)  Fluoxetine 20 mg/d 
A)  Tryptophan up to 6 g/d 
B)  Vitamin E 200-400 mg/d 
C)  Evening primrose oil 500 mg/d 
D)  Fluoxetine 20 mg/d

Question 10

Hot flashes are often a concern during menopause. Which of the following may help in reducing them?

Accepted Answer

A)  Drink one caffeinated liquid per day 
B)  Take progesterone supplementation 
C)  Exercise 20-40 minutes/day 
D)  Increase intake of carrots, yams, and soy products 
A)  Drink one caffeinated liquid per day 
B)  Take progesterone supplementation 
C)  Exercise 20-40 minutes/day 
D)  Increase intake of carrots, yams, and soy products

Question 11

Prescribing for women during their childbearing years requires constant awareness of the possibility of:

Accepted Answer

A)  Pregnancy unless the women is on birth control 
B)  Risk for silent bacterial or viral infections of the genitalia 
C)  High risk for developmental disorders in their infants 
D)  Decreased risk for abuse during this time 
A)  Pregnancy unless the women is on birth control 
B)  Risk for silent bacterial or viral infections of the genitalia 
C)  High risk for developmental disorders in their infants 
D)  Decreased risk for abuse during this time

Question 12

The metabolism of drugs in women is primarily impacted by:

Accepted Answer

A)  Hepatic blow flow 
B)  Enzymes of the CYP450 system differences with men 
C)  The amount of gastric secretions 
D)  Whether they are pre- or postmenopausal 
A)  Hepatic blow flow 
B)  Enzymes of the CYP450 system differences with men 
C)  The amount of gastric secretions 
D)  Whether they are pre- or postmenopausal

Question 13

Factors common in women that can affect adherence to a treatment regimen include all of the following EXCEPT:

Accepted Answer

A)  Number of drugs taken: Women tend to take fewer drugs over longer periods of time 
B)  Fear that medications can cause disease: Information obtained from social networks may be inaccurate for a specific woman 
C)  Nutritional status: Worries about possible weight gain from a given drug may result in nonadherence 
D)  Religious differences: A patient's belief system that is not congruent with the treatment regimen presents high risk for nonadherence 
A)  Number of drugs taken: Women tend to take fewer drugs over longer periods of time 
B)  Fear that medications can cause disease: Information obtained from social networks may be inaccurate for a specific woman 
C)  Nutritional status: Worries about possible weight gain from a given drug may result in nonadherence 
D)  Religious differences: A patient's belief system that is not congruent with the treatment regimen presents high risk for nonadherence

Question 14

Intimate partner violence is a serious public health problem. It should be screened for:

Accepted Answer

A)  At every encounter within the health-care system 
B)  When a women is being seen for symptoms of depression 
C)  Throughout pregnancy 
D)  If a sexually transmitted disease is diagnosed 
A)  At every encounter within the health-care system 
B)  When a women is being seen for symptoms of depression 
C)  Throughout pregnancy 
D)  If a sexually transmitted disease is diagnosed

Question 15

Dysmenorrhea is one of the most common gynecological complaints in young women. The first line of drug treatment for this disorder is:

Accepted Answer

A)  Oral contraceptive pills 
B)  Caffeine 
C)  NSAIDs 
D)  Aspirin 
A)  Oral contraceptive pills 
B)  Caffeine 
C)  NSAIDs 
D)  Aspirin

Question 16

Because of their longer life expectancy, women are more likely than men to experience a disabling condition. Common conditions in older women that can produce disability include:

Accepted Answer

A)  Depression 
B)  Panic disorders 
C)  Dementia 
D)  All of the above 
A)  Depression 
B)  Panic disorders 
C)  Dementia 
D)  All of the above

Question 17

Erroneous information about LGBTQ individuals can lead to failure to give accurate advice to them as patients. Which of the following statements is true about lesbians:

Accepted Answer

A)  Lesbians cannot contract a sexually transmitted infection from their female partner. 
B)  Screening for cervical cancer is not required. 
C)  Lesbians as a group are less likely to have health-care insurance. 
D)  Like women in general, lesbians are more likely than gay men to seek care for health-related issues. 
A)  Lesbians cannot contract a sexually transmitted infection from their female partner. 
B)  Screening for cervical cancer is not required. 
C)  Lesbians as a group are less likely to have health-care insurance. 
D)  Like women in general, lesbians are more likely than gay men to seek care for health-related issues.

Question 18

Which of the following drug classes is associated with significant differences in metabolism based on gender?

Accepted Answer

A)  Beta blockers 
B)  Antibiotics 
C)  Serotonin reuptake inhibitors 
D)  Angiotensin-converting-enzyme (AC
E)  inhibitors 
A)  Beta blockers 
B)  Antibiotics 
C)  Serotonin reuptake inhibitors 
D)  Angiotensin-converting-enzyme (AC
E)  inhibitors

Question 19

Premenstrual dysphoric disorder (PMDD) occurs in a fairly small number of patients. Theories of the pathology behind PMDD that are supported in research include:

Accepted Answer

A)  Altered sensitivity in the serontonic system 
B)  Inhibition of the cyclooxygenase system 
C)  Fluctuations of the gonadal hormones 
D)  All of these are theories supported by research 
A)  Altered sensitivity in the serontonic system 
B)  Inhibition of the cyclooxygenase system 
C)  Fluctuations of the gonadal hormones 
D)  All of these are theories supported by research

Exam 48: Women As Patients

Which of the following holds true for the pharmacokinetics of women?

Which of the following is true concerning lesbian health concerns?

Since 40% of bone accrual occurs during adolescence, building bone during this time is critical. Ways to improve bone accrual in adolescents include:

Maternal-to-child transmission of HIV infection during pregnancy may be prevented by:

Gender differences between men and women in pharmacokinetics include:

The interpretation of DEXA scores in the rare cases of adolescent osteoporosis in teens:

Women are now the fastest growing population with HIV infection and AIDS. HIV-infected women:

The timing of NSAIDS for best control of severe menstrual cramps includes:

Treatment of PMDD that affects all or most of the symptoms includes:

Hot flashes are often a concern during menopause. Which of the following may help in reducing them?

Prescribing for women during their childbearing years requires constant awareness of the possibility of:

The metabolism of drugs in women is primarily impacted by:

Factors common in women that can affect adherence to a treatment regimen include all of the following EXCEPT:

Intimate partner violence is a serious public health problem. It should be screened for:

Dysmenorrhea is one of the most common gynecological complaints in young women. The first line of drug treatment for this disorder is:

Because of their longer life expectancy, women are more likely than men to experience a disabling condition. Common conditions in older women that can produce disability include:

Erroneous information about LGBTQ individuals can lead to failure to give accurate advice to them as patients. Which of the following statements is true about lesbians:

Which of the following drug classes is associated with significant differences in metabolism based on gender?

Premenstrual dysphoric disorder (PMDD) occurs in a fairly small number of patients. Theories of the pathology behind PMDD that are supported in research include:

The Role of the Nurse Practitioner

Review of Basic Principles of Pharmacology

Rational Drug Selection

Legal and Professional Issues in Prescribing

Adverse Drug Reactions

Factors That Foster Positive Outcomes

Cultural and Ethnic Influences in Pharmacotherapeutics

An Introduction to Pharmacogenomics

Nutrition and Nutraceuticals

Herbal Therapy and Nutritional Supplements

Information Technology and Pharmacotherapeutics

Pharmacoeconomics

Over-The-Counter Medications

Drugs Affecting the Autonomic Nervous System

Drugs Affecting the Central Nervous System

Drugs Affecting the Cardiovascular and Renal Systems

Drugs Affecting the Respiratory System

Drugs Affecting the Hematopoietic System

Drugs Affecting the Immune System

Drugs Affecting the Gastrointestinal System

Drugs Affecting the Endocrine System

Drugs Affecting the Reproductive System

Drugs Affecting the Integumentary System

Drugs Used in Treating Infectious Diseases

Drugs Used in Treating Inflammatory Processes

Drugs Used in Treating Eye and Ear Disorders

Anemia

Chronic Stable Angina and Low-Risk Unstable Angina

Anxiety and Depression

Asthma and Chronic Obstructive Pulmonary Disease

Contraception

Dermatologic Conditions

Diabetes Mellitus

Gastroesophageal Reflux and Peptic Ulcer Disease

Headaches

Heart Failure

Human Immunodeficiency Virus Disease and Acquired Immunodeficiency Syndrome

Hormone Replacement Therapy and Osteoporosis

Hyperlipidemia

Hypertension

Hyperthyroidism and Hypothyroidism

Pneumonia

Smoking Cessation

Sexually Transmitted Infections and Vaginitis

Tuberculosis

Upper Respiratory Infections, Otitis Media, and Otitis Externa

Urinary Tract Infections

Men As Patients

Children As Patients

Geriatric Patients

Pain Management: Acute and Chronic Pain

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