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Endocrine Pharm

Total questions: 56

Worksheet time: 33mins

Name
Class
Date
1.

You're teaching a pt about possible side effects of risedronate. What would you include?

a)

Headache

b)

Reflux

c)

Nausea

d)

Osteonecrosis

e)

Constipation

2.

Which drugs are bisphosphonates?

a)

Fosamax

b)

Ibandronate

c)

Reclast

d)

Actone

e)

Risedronate

3.

_____ move blood calcium into the bone, bind to calcium in bone, and prevent osteoclasts from destroying bone cells and resorbing calcium.

a)

Bisphosphonates

b)

Estrogen Agonists

c)

Osteoclast Monoclonal Antibodies

d)

Sclerostin Inhibitor

4.

Denosumab (Prolia) is a(n) _____.

a)

Bisphosphonates

b)

Osteoclast Monoclonal Antibody

c)

Estrogen Antagonist

d)

Sclerostin Inhibitor

5.

Forteo is also _____, and is a _____.

a)

Teriparatide; synthetic form of PTH.

b)

Teriparatide; natural form of PTH.

c)

Sclerostin Inhibitor; natural form of PTH.

d)

Bisphosphonate; synthetic form of PTH.

6.

Hormone Replacement Therapy (HRT) can only be used temporarily.

a)

True

b)

False

7.

Hypothyroidism can cause cardiac or respiratory failure from slowing the metabolism too much.

a)

True

b)

False

8.

_____ mimic the effect of T3 & T4, helping to regulate metabolism.

a)

Thyroid Hormone Agonists

b)

Antithyroid Hormones

c)

Corticosteroids

d)

Hormonal Contraception

9.

Who might require a higher than usual dose of levothyroxine sodium?

a)

Breastfeeding Women

b)

Pregnant Women

c)

65+ yo

d)

Children under 15 yo

10.

Thyroid Hormone Agonists can cross into breastmilk, therefore are contraindicated for breastfeeding women.

a)

True

b)

False

11.

You're about to administer levothyroxine sodium to your pt. What should you assess before admin?

a)

HR

b)

BP

c)

RR

d)

Temp

12.

Which drugs are contraindicated in pt's taking a thyroid hormone agonist?

a)

Anticoags

b)

Antihypertensives

c)

Antihyperlipidemic

d)

Antigout Drugs

13.

How do you evaluate the effectiveness of levothyroxine sodium?

a)

Vital signs within normal limits.

b)

Activity and MS normal for pt.

c)

Consistent body weight to intake and activity level.

d)

Bowel habits maintained.

e)

Slow weight gain.

14.

What should you consider when you have a 73 yo pt taking thyroid medication?

a)

Initial dose may be lower.

b)

Increase doses more slowly.

c)

Monitor closely for cardiac or nervous system effects.

d)

Do not increase doses.

15.

A goiter is an indication of hypothyroidism.

a)

True

b)

False

16.

_____ work in the thyroid to stop production of new hormones by preventing the binding of iodine and tyrosine.

a)

Antithyroid Drugs

b)

Thyroid Hormone Agonists

c)

Steroid Production Inhibitors

d)

Antidiabetics

17.

Thyroid-suppressing drugs can take 3-4 weeks to be effective.

a)

True

b)

False

18.

Antithyroid drugs have no interaction when taken with anticlotting drugs.

a)

True

b)

False

19.

Before giving an antithyroid med, what should you assess / teach for this pt?

a)

Avoid things that could lead to bleeding risks.

b)

Pt's liver function tests.

c)

Avoid crowds because of lowered immune response.

d)

Check for yellow color in eyes and roof of mouth.

e)

Pt's current drug list.

20.

Taking an antithyroid med while pregnant can increase risk of:

a)

Birth Defects

b)

Fetal Damage

c)

Miscarriage

d)

Infant Cardiac Arrest

21.

An 80 yo taking an antithyroid medication is more prone to adverse effects because of an already decreased immune system.

a)

True

b)

False

22.

What hormones does the adrenal cortex secrete?

a)

Sex Hormones

b)

Aldosterone

c)

Cortisol

d)

LH

23.

Aldosterone is called a mineralocorticoid because it regulates _____ & _____ balance.

a)

Sodium

b)

Calcium

c)

Phorphorous

d)

Water

24.

Cortisol maintains:

a)

BG lvls

b)

Immunity

c)

Stress Response

d)

Excitability of Cardiac Muscle

e)

Sodium lvls

25.

Fludrocortisone is a synthetic drug that acts like _____.

a)

Aldosterone

b)

Water

c)

Androgens

d)

Parathormone

26.

Fludrocortisone can cause _____, teach pt's to monitor for _____.

a)

Heart Failure; weight gain of 2lb/day or 3lb/week.

b)

Heart Failure; weight loss of 2lb/day or 3lb/week.

c)

Heart Failure; weight gain of 1lb/day or 2lb/week.

d)

Heart Failure; weight loss of 1lb/day or 2lb/week.

27.

What is the most common reason for adrenal gland hyperfunction?

a)

Tumor

b)

Cancer

c)

Diabetes

d)

Infection

28.

Your pt with type 1 diabetes has just been diagnosed with hypercortisolism. The doctor prescribes mifepristone. What should you do?

a)

Teach importance of adherance.

b)

Clarify with the doctor.

c)

Teach to keep all lab appointments.

29.

Korlym treats hypercortisolism by blocking corticosteroid receptors.

a)

True

b)

False

30.

Side effects of Mifepristone include:

a)

Nausea

b)

Vomiting

c)

Rash

d)

Dizziness

e)

Constipation

31.

Your pt is a 28 yo female and has an active prescription for Korlym. What is the most important teaching for her?

a)

Use two forms of birth control.

b)

Switch to a nonhormonal birth control method.

c)

Take a pregnancy test every other week.

32.

Drugs used for suppressing adrenal hormone production can be used while pregnant and breastfeeding.

a)

True

b)

False

33.

Korlym and Lysodren are used to treat adrenal gland hyperfunction.

a)

True

b)

False

34.

Symptoms of menopause are caused by high estrogen and low FSH.

a)

True

b)

False

35.

What side effects are common with medroxyprogesterone (Prempro)?

a)

Breast Tenderness

b)

Breakthrough Bleeding

c)

Fluid Retention

d)

Weight Gain

e)

Acne

36.

Prempro can increase the risks of blood clotting and development of thrombi and emboli.

a)

True

b)

False

37.

A 58 yo smoker is currently taking medroxyprogesterone. What is she at further risk?

a)

DVT

b)

MI

c)

Stroke

d)

Pulmonary Embolism

e)

Atherosclerosis

38.

Levonorgestrel is generic Mirena.

a)

True

b)

False

39.

Mini-pills contain only progestin and are as effective as combination contraceptives.

a)

True

b)

False

40.

Hormonal contraceptives do not interfere with lactation.

a)

True

b)

False

41.

A 37 yo smoker who is taking Yasmin should be taught to monitor for symptoms of what at risk complications?

a)

Myocardial Infection

b)

Stroke

c)

DVT

d)

Pulmonary Embolism

e)

Cancer

42.

YAZ28, Ocella, and Yasmin birth controls can increase potassium levels, leading to heart block and irregular rhythms.

a)

True

b)

False

43.

Men taking an androgen med should be taught to report any new or troublesome symptoms such as:

a)

Impotence

b)

Fluid Retention

c)

Breast Enlargement

d)

SOB

e)

Constipation

44.

When insulin bind to receptors, _____ on cell membranes _____, allowing _____ to enter the cells, _____ blood glucose level.

a)

Doors; open; glucose; lowering.

b)

Doors; close; insulin; lowering.

c)

Gates; open; insulin; raising.

d)

Gates; open; glucose; lowering.

45.

Goal of fasting blood glucose (FBG) is:

a)

< 100 mg/dL

b)

> 100 mg/dL

c)

< 60 mg/dL

d)

> 60 mg/dL

46.

Your hemoglobin A1C should be between:

a)

6-8%

b)

2- 3%

c)

4-6%

d)

1-2%

47.

Insulin is considered the hormone of starvation.

a)

True

b)

False

48.

Glucagon is considered the hormone of plenty.

a)

True

b)

False

49.

What is the main feature of DM?

a)

High BG

b)

Low BG

c)

Polyuria

d)

Polydipsia

50.

Type 1 DM is an autoimmune disorder.

a)

True

b)

False

51.

In type 2 DM, insulin does not bind well to receptors, causing insulin resistance.

a)

True

b)

False

52.

Which are effective in maintaining good glycemic control in DM type 2?

a)

Weight Reduction

b)

Diet

c)

Antidiabetic Drugs

d)

Exercise

53.

Your pt has an order for Glucotrol. When going to administer the drug, you notice that they doctor just ordered an NPO status for this pt. What should you do?

a)

Don't give this drug.

b)

Administer the drug.

c)

Notify the provider.

d)

Assess BG before admin.

54.

What should you teach a pt taking glipizide?

a)

Take it with a meal.

b)

Teach to monitor for symptoms of hypoglycemia.

c)

Report any constipation.

d)

Report a BG level higher than 60 mg/dL.

55.

Metformin can lead to kidney failure when used in combination with _____.

a)

Contrast Dye

b)

Thyroxine

c)

Anticoags

56.

Biguanides can lead to lactic acidosis. What are the symptoms to monitor for?

a)

Nausea

b)

Vomiting

c)

Rapid, Deep Breathing

d)

Weakness

e)

Headache

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