A 16-year-old girl with primary dysmenorrhea, abnormal menses, and pelvic pain presents to her primary care physician for treatment. She has a history of asthma and allergic rhinitis. Her physician begins therapy with oral estradiol. Which of the following is the most common adverse effect for this patient to be aware of?

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Endocrine Pharmacology Quizlet Questions

Question 1 of 5

A 16-year-old girl with primary dysmenorrhea, abnormal menses, and pelvic pain presents to her primary care physician for treatment. She has a history of asthma and allergic rhinitis. Her physician begins therapy with oral estradiol. Which of the following is the most common adverse effect for this patient to be aware of?

Correct Answer: D

Rationale: Nausea is the most common side effect of oral estradiol, especially early in therapy, due to estrogen's GI effects.

Question 2 of 5

A 67-year-old woman with diabetes presents to clinic for an annual visit. She has been doing well over the past, and her hemoglobin \A_{1c is 6.9%. Her fasting cholesterol showed a total cholesterol of 152mg\dL, LDL of 68mg\dL, and HDL of 31mg\dL. Which medication is shown to have the greatest increase in HDL?

Correct Answer: D

Rationale: Niacin significantly increases HDL levels, more so than fibrates (gemfibrozil) or statins (lovastatin), addressing her low HDL.

Question 3 of 5

A 43-year-old man with a history of low libido and erectile dysfunction presents to his primary care physician for treatment. Physical examination reveals normal testicular size. Serum testosterone is 200mg\dL. He is on treatment with testosterone 1% gel. Which of the following adverse effects is possible as a result of this preparation?

Correct Answer: C

Rationale: Testosterone therapy can stimulate prostate growth, leading to inflammation or exacerbation of BPH as a common adverse effect.

Question 4 of 5

A 42-year-old man is a habitual coffee drinker of caffeinated products. Chronic use of this product has led to his addiction. What is the most likely mechanism of action of caffeine?

Correct Answer: D

Rationale: Caffeine inhibits adenosine receptors (not guanosine), increasing alertness by blocking inhibitory adenosine signaling; 'thymine receptors' is likely a typo.

Question 5 of 5

A 78-year-old postmenopausal woman has been steadily losing weight over the past 6 months. She has no family history of breast or endometrial cancer. Which steroid hormone could she be given to increase her appetite?

Correct Answer: D

Rationale: Megestrol, a progestin, is used as an appetite stimulant in cachexia or weight loss, unlike the other hormones listed.

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