Question: Provide three counseling points for a patient starting alendronate (Fosamax®).
Answer Choices:
Answer:\n“Take first thing in the morning on an empty stomach, take with a full glass of water, remain upright for at least 30 minutes.”
Question: Which contraceptive is most appropriate for a 37-year-old smoker (10 cigarettes/day) with a history of missed appointments?
Answer Choices:\n\nA. Depo-Provera® B. Skyla® (levonorgestrel IUS) C. Twirla® (transdermal CHC) D. Mircette® (COC)
Answer:\nB
Question: A 30-year-old with elevated BP wants short-term contraception, planning pregnancy in ~1–2 yrs. Per U.S. MEC, which method is most appropriate?
Answer Choices:\n\nA. Camila® (POP) B. Jolessa® (extended-cycle COC) C. ParaGard® IUD D. Diaphragm
Answer:\nC
Question: Which describes the correct FDA-approved administration for these contraceptive regimens?
Answer Choices:\n\nA. Insert a new NuvaRing® every 1 week B. Apply a new Xulane® patch every 3 weeks C. Insert Mirena® for 10 years D. Insert Nexplanon® for 3 years
Answer:\nD
Question: Which are true regarding hormonal control of bone remodeling? (Select ALL)
Answer Choices:\n\nA. Hypercalcemia → ↑ PTH release B. Hypocalcemia → ↑ calcitonin release C. Hypocalcemia → ↑ PTH release D. Hypercalcemia → ↑ calcitonin release
Answer:\nC and D
Question: During which uterine stage would uterine prostaglandin levels be highest?
Answer Choices:\n\nA. Ovulation B. Secretory phase C. Proliferative phase D. Menses
Answer:\nD
Question: RK is 81 with T-score –3.9, 10-year fracture risk high. Which medication is most appropriate per AACE/ACE?
Answer Choices:\n\nA. Romosozumab (Evenity®) B. Risedronate (Actonel®) C. Alendronate (Fosamax®) D. Raloxifene (Evista®)
Answer:\nA
Question: Which is the most likely method by which progestins elicit contraceptive action?
Answer Choices:\n\nA. Preventing mid-cycle LH and FSH peaks B. Acting as an estrogen antagonist in the ovary C. Inhibiting release of estrogen by the corpus luteum D. Increasing GnRH mid-cycle
Answer:\nA
Question: What hormone is responsible for endometrial growth during the proliferative phase?
Answer Choices:\n\nA. Progesterone B. Estrogen C. FSH D. LH
Answer:\nB
Question: Effectiveness of Plan B One-Step® is most likely highest for whom?
Answer Choices:\n\nA. 21-year-old obese woman 18 hours after barrier failure B. 16-year-old 12 hours after condom break C. 17-year-old 4 days after unprotected intercourse D. 33-year-old 36 hours after unprotected intercourse
Answer:\nB
Question: Which contraceptive formulation is expected to have the greatest risk of VTE?
Answer Choices:\n\nA. Vaginal ring (NuvaRing®) B. Progestin Only Pill C. Transdermal patch (Xulane®) D. Combined Oral Contraceptive (COC)
Answer:\nC
Question: Which is the most appropriate resource for accurate info on medication use during pregnancy?
Answer Choices:\n\nA. Hale’s Medications & Mothers’ Milk B. “Briggs” reference C. FDA pregnancy letter category D. LactMed
Answer:\nB
Question: During which hormonal period of a woman’s uterine cycle is she most fertile?
Answer Choices:\n\nA. Low progesterone, high estrogen B. Low progesterone, low estrogen C. High progesterone, high estrogen D. High progesterone, low estrogen
Answer:\nA
Question: (Graph-based) “On this chart, click where progesterone is high in the luteal phase.”
Answer Choices:
Answer:\nThe region corresponding to post-ovulation, elevated progesterone (luteal phase)
Question: Which of the following would result in an increase in milk ejection?
Answer Choices:\n\nA. Increased firing of cells in the hypothalamus (releasing oxytocin) B. Defective myoepithelial cells C. Increased dopamine in the anterior pituitary D. Increased firing of PIH cells
Answer:\nA
Question: Docetaxel (Taxotere®) carries which black box warning(s)?
Answer Choices:\n\nA. Severe fluid retention B. Alopecia C. Hepatic impairment D. Both A and C
Answer:\nD
Question: Which woman has the highest chance of VTE?
Answer Choices:\n\nA. 24-year-old on Necon® 10/11 B. 33-year-old on Nexplanon® C. 36-year-old on Yasmin® D. 28-year-old who is 20 weeks pregnant
Answer:\nD