A postmenopausal woman has metastatic breast cancer that is ...

[nelaaney]

A postmenopausal woman has metastatic breast cancer that is estrogen receptor negative. She is scheduled to begin chemotherapy the following week and asks her primary care NP what other medications her oncologist may prescribe to treat her cancer.
 
  The NP should expect the oncologist to prescribe: a. toremifene (Fareston).
  b. tamoxifen (Nolvadex).
  c. fulvestrant (Faslodex).
  d. anastrozole (Arimidex).

Question 2

Early-stage Alzheimer's disease is diagnosed in a patient, and the primary care NP recommends therapy with a ChE inhibitor. The patient asks why drug treatment is necessary because most functioning is intact.
 
  The NP should explain that medication may: a. delay progression of symptoms.
  b. produce temporary disease remission.
  c. prevent depressive effects of the disease.
  d. reduce the need for adjunct medications later on.

[SVictor]

Answer to Question 1

D
Anastrozole (Arimidex) is a selective aromatase inhibitor and is useful in postmenopausal women who have estrogen receptornegative breast cancer. The other medications are antiestrogens and treat estrogen receptorpositive cancer.

Answer to Question 2

A
Pharmacologic treatment should begin as soon as Alzheimer's disease is suspected because early treatment can slow disease progression. Medication does not produce disease remission or prevent depression. The disease eventually progresses despite medication, and adjunct therapies are often required.

[nelaaney]

Thanks

[SVictor]

Welcome