Question

12. Which of the following are possible side effects of an estrogen prescription? a. Breast tenderness, spotting, and nausea b. Spotting, insomnia, and loss of consciousness c. Breast tenderness, galactorrhea, and erectile dysfunction d. Spotting, hirsutism, and breast tenderness 13. Which of the following is not a risk of hormone replacement therapy? a. Increased risk of blood clots b. Increased risk of endometrial cancer c. Increased risk of colorectal cancer d. Increased risk of deep vein thrombosis 14. At the end of her office visit, Gwendolyn has had her Fosamax refilled by her doctor. She asks for a reminder on how to take it and you say a. Take it first thing in the morning. 30 minutes before eating or drinking anything and with a glass of water and lay down for 60 minutes afterward b. Take it first thing in the morning, before eating or drinking anything, with a full glass of water, and sit upright for at least 30-60 minutes c. Take it first thing in the morning, with food, and a full glass of water d. Bite the pill in half and chew completely before swallowing with a glass of milk 15. Which of the following medications would not be prescribed for patients used to prevent and/or treat osteoporosis? a Boniva (ibandronate) b. Septra (trimethoprim and sulfamethoxazole c. Fortical (calcitonin) d. Evista (Raloxifene) 16. Which of the patient's medications can be used for the symptomatic treatment of vertigo? a Fosamax b. Lopressor c. Antivert d. Premarin 17. In addition to Vitamin D, which of the following vitamins is fat-soluble? a. Niacin (B5) b. Vitamin E c. Riboflavin (B2) d. Folic Acid (B9) 18. Vitamin B5, or Niacin, or Nicotinic acid, can be prescribed for which cardiovascular disease? a. Hypertension b. Hyperlipidemia c. Angina d. Pernicious anemia 19. Before taking Fosamax, a patient should have their serum calcium levels checked to rule out hypocalcemia. Inversely, which of the following category of medications does not cause hypercalcemia as a side effect? a. Glucocorticoids b. Estrogen c. Bronchodilators d. Thiazide diuretics 20. Which of the following medications, with long-term use, can lead to osteoporosis? a Glucocorticoids b. Estrogen c. Bronchodilators d. Thiazide diuretics

Answer 1

12. Possible side effects of estrogen: Ans: (a) Breast tenderness, spotting, nausea Explanation ! other options like loss of hirsutism, exectile dysfunction or even absent. consciousness, is very rare 13. Not a risk of hormone replacement therapy. of colorectal cancer. Ans: (C) increased risk Explanation :- Hormone replacement therapy increases the srists of blood clots, endometsial cancer deep vein thrombosis, shoke. 14. Fosamax it Ans: (6) Take it first thing in the morning before eating or drinking anything, with a full glass of water & sit upright for at least 30-60 minutes. Explanation - Fosa max should not be taken along

with food. Should not bite of chew, should be taken along with water, not coffee, tea or any drink. for osteoporosis : 15. Not prescribed Ans. (b) Septra Explanation :- Septa is an anñbiotic used m treatment of bladdex infections. Other uses are middle ear infections and travelerh. used in diarrhea. Bonira, Fornical, Evista are treatment of osteoporosis 16. medication for Vertigo Ans: (c) Anrivest Explanation :- used Antrext is for motion f sicknes vertigo. Fosamax is used for osteoporosis. Lopressor is used for high blood pressure. Premarin is used for reducing symptoms of menopause. 17. fat soluble vitamins:- Ans: 6) Vitamin E Explanation: Vitamin A,D,E,K are fat souble. Vitamin C, B are water soluble.

acid for 16. Vitamin B5, niacin, Nicokinic cardiovascular diseases Ans (6) Hyperlipidemia Explanation - Vitamin B12 for Pernicious anemia Vitermin Bs, macin, nicolinic auld helps in reducing lipid levels in hyperlipidemia 19. which do not cause hypercalcemia Ans: (b) eskogen Explanation: Eshogen do not cause hypercalcemia Alucocorticolds, Broncho dilators, thiazide diurectics cause lupper calcemia 20. lead to osteoporosis : Ansi (a) Glucocorticoids Explanation: long term use of glucocorticoids cause osteoporosis, fragile bone.