HORMONE DRUGS - DR. WU

An 18 year-old woman comes into your office inquiring about an oral contraceptive that will help with her dysmenorrhea. She is overweight and has a history of migraines and hypertension. Which of the following would be the best treatment option for her dysmenorrhea?

A. clomiphene
B. medroxyprogesterone
C. diethylstilbestrol
D. tamoxifen
E. cetrorelix acetate

You have just diagnosed a 35 year-old premenopausal woman with breast cancer. Which of the following would be the drug of choice for palliative therapy?

A. diethylstilbestrol
B. flutamide
C. tamoxifen
D. letrozole
E. clomifene

A young couple comes into your office complaining of the inability to get pregnant after trying for several months. The woman is premenopausal has a history of endometrial cancer in her family. Which of the following would be the best therapy option for her infertility?

A. letrozole
B. exemestane
C. clomiphene
D. diethylstilbestrol
E. tamoxifen

A 50 year-old man comes into your office complaining of difficulty urinating and a "weak stream". After several tests, you later diagnose him with prostate cancer. All of the following would be good therapy options for him EXCEPT:

A. cyproterone acetate
B. methyltestosterone
C. flutamide
D. leuprolide
E. diethylstilbestrol

All of the following are adverse effects of oral contraceptives EXCEPT:

A. thrombophlebitis
B. cerebral and coronary thromboembolisms
C. increased platelet aggregation
D. hypertension
E. vaginal, uterine, breast, endometrial and cervical cancer risk
F. all of the above are possible adverse effects

Which of the following can be used as therapy for Cushing's Syndrome?

A. cyproterone acetate
B. mifepristone
C. finasteride
D. medroxyprogesterone
E. methyltestosterone

A 14 year-old girl comes into your office because she is worried that she may be pregnant after having unprotected sex with her boyfriend the night before. She says that she is not ready to become a mother and needs some suggestions on what to do. You recommend a post-coital contraceptive. Which of the following are you likely to write a prescription for?

A. nafarelin
B. letrozole
C. medroxyprogesterone
D. mifepristone
E. refuse to write the prescription and tell her that she's only 14 and shouldn't be having sex any way!

True or false. Testosterone is not important in female development.
True False

_____ should not be given PO because it is inactivated in the liver via first pass metabolism.

A. oxytocin
B. progesterone
C. testosterone
D. estrogen

A 43 year-old man comes into your office with complaints of baldness and a weak stream while urinating. After several tests, he is later diagnosed with prostate hypertrophy, lucky for him it is not cancer. Which of the following would be the best treatment option for his balding, thinning hair and hypertrophic prostate?

A. leuprolide
B. cyproterone acetate
C. Rogaine for Men and Super Beta Prostate
D. testosterone
E. flutamide

A 55 year-old man with liver failure has been recently diagnosed with prostate cancer. Which of the following drugs would be the best treatment option for him?

A. flutamide
B. methyltestosterone
C. bicalutamide
D. norgestrel
E. spironolactone

A woman has gone into preterm labor. Which of the following should be administered?

A. oxytocin
B. a chill pill
C. nafarelin
D. atosiban
E. prostaglandins

_____, _____, and _____ are the 3 main drugs used to treat uterine fibroids.

A woman comes into your office complaining of facial hair and male-pattern baldness. All of the following would be acceptable treatment therapies for her EXCEPT:

A. leuprolide
B. cyproterone acetate
C. spironolactone
D. ketoconazole
E. all of the above are acceptable treatments