NR566/NR 566 FINAL EXAM QUESTIONS WITH
CORRECT ANSWERS 100% VERIFIED
Raloxifene (Evista) and bisphosphonates (alendronate, calcitonin)
alternatives for hormone replacement therapy
Selective Estrogen Receptor Modulators (SERMs)
Tamoxifen, toremifene, raloxifene -- provide estrogen benefits while avoiding its
drawbacks
Dysfunctional uterine bleeding
10-14 day course of progestin
Amenorrhea treatment
progestin helps induce menstrual flow
Amenorrhea estrogen levels are low
give progestin for 5-10 days
Long term progestin therapy
,protection against endometrial cancer
Estradiol
most active estrogenic compound. oral estrogen option
Advantages of estrogen transdermal patch
lower total estrogen dose. less n/v. less fluctuation of estrogen blood levels. lower r/f
DVT, PE and stroke
Femring
intravaginal ring controls hot flashes and night sweats. Treats vulval and vaginal atrophy
No gap method of changing from one OC to another
go straight from one type of OC to the other without taking a gap.
initiating OC treatment
first day of menstrual cycle (no backup BC needed) OR first sunday after onset of
menses (backup BC needed for 7 days)
Initiating androgen therapy short term
delayed sexual maturation causing a boy significant distress. Limited course of
Fluoxymesterone and methyltestosterone are approved.
, androgen therapy long term
if delayed puberty is the result of true hypogonadism
role of androgens in anemia
promote synthesis of erythropoietin the renal hormone that stimulates production of
RBCs
Alprostadil preferred administration
direct injection into the corpus cavernosum. Rapid response
Finasteride
BPH tx 5a reductase inhibitor. Causes prostate to shrink. benefits take months
Tamsulosin
BPH tx alpha adrenergic antagonist. relaxes smooth muscle. benefits are rapid
Adverse effects of silodosin and tamsulosin
r/f floppy iris syndrome during cataract surgery.
CORRECT ANSWERS 100% VERIFIED
Raloxifene (Evista) and bisphosphonates (alendronate, calcitonin)
alternatives for hormone replacement therapy
Selective Estrogen Receptor Modulators (SERMs)
Tamoxifen, toremifene, raloxifene -- provide estrogen benefits while avoiding its
drawbacks
Dysfunctional uterine bleeding
10-14 day course of progestin
Amenorrhea treatment
progestin helps induce menstrual flow
Amenorrhea estrogen levels are low
give progestin for 5-10 days
Long term progestin therapy
,protection against endometrial cancer
Estradiol
most active estrogenic compound. oral estrogen option
Advantages of estrogen transdermal patch
lower total estrogen dose. less n/v. less fluctuation of estrogen blood levels. lower r/f
DVT, PE and stroke
Femring
intravaginal ring controls hot flashes and night sweats. Treats vulval and vaginal atrophy
No gap method of changing from one OC to another
go straight from one type of OC to the other without taking a gap.
initiating OC treatment
first day of menstrual cycle (no backup BC needed) OR first sunday after onset of
menses (backup BC needed for 7 days)
Initiating androgen therapy short term
delayed sexual maturation causing a boy significant distress. Limited course of
Fluoxymesterone and methyltestosterone are approved.
, androgen therapy long term
if delayed puberty is the result of true hypogonadism
role of androgens in anemia
promote synthesis of erythropoietin the renal hormone that stimulates production of
RBCs
Alprostadil preferred administration
direct injection into the corpus cavernosum. Rapid response
Finasteride
BPH tx 5a reductase inhibitor. Causes prostate to shrink. benefits take months
Tamsulosin
BPH tx alpha adrenergic antagonist. relaxes smooth muscle. benefits are rapid
Adverse effects of silodosin and tamsulosin
r/f floppy iris syndrome during cataract surgery.
