A pregnant client who is taking Risperidone (Risperdal), an ...

[krzymel]

A pregnant client who is taking Risperidone (Risperdal), an antipsychotic prescribed for her bipolar disorder, is at high risk for developing which of the following hormonal adverse effects?
 
  A)
  Increased growth hormone production
  B)
  Decreased human chorionic gonadotropin levels
  C)
  Excess prolactin secretion
  D)
  Decreased follicle-stimulating hormone secretion

Question 2

A 28-year-old female has been told she has atypical glandular cells following Pap smear.
 
  The physician will likely recommend which procedure that can be performed in his office to remove the abnormal zone and provide a specimen for further histological evaluation?
  A)
  Cone biopsy
  B)
  Intracavitary irradiation
  C)
  Trachelectomy
  D)
  Loop electrosurgical excision procedure (LEEP)

[stillxalice]

Answer to Question 1

Ans:
C

Feedback:

Although prolactin does not appear to play a physiologic role in ovarian function, hyperprolactinemia leads to hypogonadism. Hyperprolactinemia may occur as an adverse effect of drug treatment using phenothiazine derivatives (i.e., antipsychotic drugs that block dopamine receptors).

Answer to Question 2

Ans:
D

Feedback:

Because adenocarcinoma of the cervix is being detected more frequently, especially in women younger than 35 years of age, a Pap smear result of atypical glandular cells warrants further evaluation. The LEEP has taken the place of cone biopsies in most situations and is now the first-line management for CIN II/III. This outpatient procedure allows for the simultaneous diagnosis and treatment of dysplastic lesions found on colposcopy. In skilled hands, this wire can remove the entire transformation zone, providing adequate treatment for the lesion while obtaining a specimen for further histological evaluation. Cone biopsy is a surgical procedure that removes a cone-shaped wedge of cervix. Trachelectomy is removal of the cervix, and intracavitary irradiation is a form of brachytherapy to treat cervical cancer.

[krzymel]

TYSM

[Zebsrer]

Excellent