A patient starting leuprolide is told that symptoms may briefly worsen before improving. This can happen because a GnRH agonist may initially stimulate sex-hormone production before suppressing it with continued treatment.
5 Other Endocrine Medications Online Quiz Questions
Use this free practice quiz with 20 questions to review 5 Other Endocrine Medications, test your knowledge, and prepare for your next test or exam.
A patient taking cabergoline asks about a common potential adverse effect. Enter one.
Fludrocortisone helps replace aldosterone’s effect.
A patient with a prolactin-secreting pituitary tumor is prescribed cabergoline. What is the medication’s purpose?
- A
It replaces deficient cortisol.
- B
It acts as a dopamine agonist to lower prolactin.
- C
It blocks calcium absorption from the intestine.
- D
It stimulates the release of thyroid hormone.
Advanced kidney disease is associated with a greater risk of hypocalcemia in a patient taking denosumab.
- A
True
- B
False
Which medication is described as a PTH replacement therapy for adults with hypoparathyroidism?
A patient with primary adrenal insufficiency takes fludrocortisone. Which assessment is especially relevant when evaluating mineralocorticoid replacement?
- A
Blood pressure and serum electrolytes
- B
Visual acuity only
- C
Serum prolactin only
- D
Hearing and balance only
A patient with primary adrenal insufficiency develops a fever and can keep oral hydrocortisone down. The patient should follow the prescribed .
A patient taking palopegteriparatide for hypoparathyroidism has a dose change. Which follow-up is important?
- A
Monitor serum calcium after the dose change.
- B
Stop monitoring calcium because the drug replaces parathyroid hormone.
- C
Monitor prolactin instead of calcium.
- D
Avoid reporting symptoms of high or low calcium.
Testing before a patient starts denosumab shows low serum calcium. Select all appropriate safety actions.
- A
Begin treatment as scheduled; denosumab will correct the low calcium.
- B
Correct pre-existing hypocalcemia before starting treatment.
- C
Follow the prescribed calcium and vitamin D plan.
- D
Take extra doses of denosumab until calcium normalizes.
A patient with primary adrenal insufficiency becomes severely ill and cannot keep oral hydrocortisone down. Select all actions supported by the safety guidance.
- A
Use emergency injectable hydrocortisone if required by the emergency plan.
- B
Seek urgent medical care.
- C
Replace hydrocortisone with desmopressin.
- D
Wait to seek care until oral medication can be kept down.
A patient with central diabetes insipidus takes desmopressin and develops headache, nausea, and confusion after drinking large amounts of fluid. What medication-related complication is most concerning?
- A
The findings suggest that desmopressin has failed to reduce water loss.
- B
The findings may indicate water retention and hyponatremia.
- C
The findings indicate that blood sodium is dangerously high.
- D
The findings are expected and need no attention.
Explain how a patient with primary adrenal insufficiency should respond to a febrile illness when they can keep oral hydrocortisone down, and how the response changes if they become severely ill or cannot keep the medication down.
Which pair includes potential adverse effects of cabergoline?
- A
Increased appetite and thirst
- B
Nausea and dizziness
- C
Severe low blood sodium
- D
Loss of hearing and balance
Besides lowering prolactin, what effect can cabergoline have on a prolactinoma?
- A
It may reduce the size of the prolactinoma.
- B
It permanently destroys the pituitary gland.
- C
It causes permanent excess prolactin in all patients.
- D
It prevents calcium absorption from the intestine.
A patient with primary adrenal insufficiency takes fludrocortisone. Which clinical finding is relevant to monitor for its mineralocorticoid effects?
- A
Postural blood pressure changes or edema
- B
Visual acuity changes only
- C
Serum prolactin changes only
- D
Hearing and balance changes only
Palopegteriparatide is a replacement therapy for which hormone in adults with hypoparathyroidism?
A patient taking palopegteriparatide for hypoparathyroidism has a dose change. Which measurement is important to follow up?
- A
Serum calcium
- B
Serum prolactin
- C
Blood glucose
- D
Serum sodium
True or false: Advanced kidney disease increases the risk of hypocalcemia in a person receiving denosumab.
- A
True
- B
False
During illness, which hormone does the body need more of in a person with adrenal insufficiency?
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