A child is diagnosed with AD/HD after being expelled from school ...

[frankwu]

A child is diagnosed with AD/HD after being expelled from school for disruptive behaviors. The child's parents are reluctant to start medication because of the stigma attached. The primary care NP should suggest:
 
  a. Ritalin.
  b. Concerta.
  c. Adderall.
  d. Dexedrine.

Question 2

Osteopenia is diagnosed in a 55-year-old woman who has not had a period in 15 months. She has a positive family history of breast cancer. The primary care NP should recommend:
 
  a. testosterone therapy.
  b. estrogen-only therapy.
  c. nonhormonal drugs for osteoporosis.
  d. estrogen-progesterone therapy for 1 to 2 years.

[nyrave]

Answer to Question 1

B
Concerta is a long-acting stimulant, and children taking it can avoid having to take a dose of medication at school. The other choices are shorter acting and may require dosing during school.

Answer to Question 2

C
Although estrogen slows the progression of osteoporosis, it also increases the risk of breast cancer when initiated early in menopause. This woman should receive a nonhormonal treatment for osteoporosis and may receive HT in 5 years if menopausal symptoms persist. Testosterone therapy, estrogen-only therapy, and estrogen-progesterone therapy are not indicated.

[frankwu]

TYSM

[laurnthompson]

Excellent