NR566 FINAL PAPER COMPLETE
QUESTIONS AND ACCURATE ANSWERS
ALREADY PASSED GRADED A+
⩥ Selective Estrogen Receptor Modulators (SERMs).
Answer: Tamoxifen, toremifene, raloxifene -- provide estrogen benefits
while avoiding its drawbacks
⩥ Dysfunctional uterine bleeding.
Answer: 10-14 day course of progestin
⩥ Amenorrhea treatment.
Answer: progestin helps induce menstrual flow
⩥ Amenorrhea estrogen levels are low.
Answer: give progestin for 5-10 days
⩥ Long term progestin therapy.
Answer: protection against endometrial cancer
⩥ Estradiol.
Answer: most active estrogenic compound. oral estrogen option
,⩥ Advantages of estrogen transdermal patch.
Answer: lower total estrogen dose. less n/v. less fluctuation of estrogen
blood levels. lower r/f DVT, PE and stroke
⩥ Femring.
Answer: intravaginal ring controls hot flashes and night sweats. Treats
vulval and vaginal atrophy
⩥ No gap method of changing from one OC to another.
Answer: go straight from one type of OC to the other without taking a
gap.
⩥ initiating OC treatment.
Answer: 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.
Answer: delayed sexual maturation causing a boy significant distress.
Limited course of Fluoxymesterone and methyltestosterone are
approved.
⩥ androgen therapy long term.
Answer: if delayed puberty is the result of true hypogonadism
, ⩥ role of androgens in anemia.
Answer: promote synthesis of erythropoietin the renal hormone that
stimulates production of RBCs
⩥ Alprostadil preferred administration.
Answer: direct injection into the corpus cavernosum. Rapid response
⩥ Finasteride.
Answer: BPH tx 5a reductase inhibitor. Causes prostate to shrink.
benefits take months
⩥ Tamsulosin.
Answer: BPH tx alpha adrenergic antagonist. relaxes smooth muscle.
benefits are rapid
⩥ Adverse effects of silodosin and tamsulosin.
Answer: r/f floppy iris syndrome during cataract surgery.
⩥ Chlamydia tx.
Answer: azithromycin 1g PO x single dose. doxycycline 100mg PO BID
7 days
QUESTIONS AND ACCURATE ANSWERS
ALREADY PASSED GRADED A+
⩥ Selective Estrogen Receptor Modulators (SERMs).
Answer: Tamoxifen, toremifene, raloxifene -- provide estrogen benefits
while avoiding its drawbacks
⩥ Dysfunctional uterine bleeding.
Answer: 10-14 day course of progestin
⩥ Amenorrhea treatment.
Answer: progestin helps induce menstrual flow
⩥ Amenorrhea estrogen levels are low.
Answer: give progestin for 5-10 days
⩥ Long term progestin therapy.
Answer: protection against endometrial cancer
⩥ Estradiol.
Answer: most active estrogenic compound. oral estrogen option
,⩥ Advantages of estrogen transdermal patch.
Answer: lower total estrogen dose. less n/v. less fluctuation of estrogen
blood levels. lower r/f DVT, PE and stroke
⩥ Femring.
Answer: intravaginal ring controls hot flashes and night sweats. Treats
vulval and vaginal atrophy
⩥ No gap method of changing from one OC to another.
Answer: go straight from one type of OC to the other without taking a
gap.
⩥ initiating OC treatment.
Answer: 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.
Answer: delayed sexual maturation causing a boy significant distress.
Limited course of Fluoxymesterone and methyltestosterone are
approved.
⩥ androgen therapy long term.
Answer: if delayed puberty is the result of true hypogonadism
, ⩥ role of androgens in anemia.
Answer: promote synthesis of erythropoietin the renal hormone that
stimulates production of RBCs
⩥ Alprostadil preferred administration.
Answer: direct injection into the corpus cavernosum. Rapid response
⩥ Finasteride.
Answer: BPH tx 5a reductase inhibitor. Causes prostate to shrink.
benefits take months
⩥ Tamsulosin.
Answer: BPH tx alpha adrenergic antagonist. relaxes smooth muscle.
benefits are rapid
⩥ Adverse effects of silodosin and tamsulosin.
Answer: r/f floppy iris syndrome during cataract surgery.
⩥ Chlamydia tx.
Answer: azithromycin 1g PO x single dose. doxycycline 100mg PO BID
7 days
