NR 566 final Exam Questions with Verified Answers (Correct
Update)
Question 1: MOA of doxazosin (Cardura)
Answer: Selective alpha 1A blocker, relaxes smooth muscle in the bladder neck, prostate capsule, and
prostatic urethra and thereby decreases dynamic obstruction of the urethra *** benefits develop rapidly
Question 2: Side effects of doxazosin
Answer: Hypotension, fainting, dizziness, somnolence and nasal congestion
Question 3: Various routes of administration of estrogen therapy
Answer: Oral, transdermal, intravaginal, parenteral
Question 4: Baseline data when prescribing estrogen
Answer: pulse, BP, weight, preg test, TSH, Triglycerides or full panel
Question 5: Contraindications with estrogen therapy
Answer: Abnormal vaginal bleeding of unknown origin Estrogen-dependent cancer or breast cancer
History of VT or PE Thrombus Abnormal liver function or disease Pregnancy
Question 6: What is progesterone?
Answer: principle endogenous for gestational hormone, acts before gestation to prepare the uterus for
implantation of fertilized ovum helps maintain uterus throughout pregnancy
Question 7: Progestin impacts what during menstrual cycle?
Answer: endometrium endocervical glands breasts body temp respiration mood
Question 8: Progestin does what during pregnancy?
Answer: Helps sustain pregnancy constipation milk production metabolic ettects suppress maternal
immune system
Question 9: Therapeutic uses of progestin (progesterone)
Answer: endometrial hyperplasia dysfunctional uterine bleeding amenorrhea endometriosis support
pregnancy in vitro fertilization
Page 1
,Question 10: Progestin (progesterone) contraindications
Answer: undiagnosed abnormal vaginal bleeding Caution: active thrombophlebitis history of
thromboembolic disorders active liver disease carcinoma of the breast
Question 11: Side effects of progestin-only OC
Answer: Irregular bleeding spotting irregular periods breast tenderness headaches abd discomfort
arthralgias depression
Question 12: Benefits of prescribing medroxyprogesterone acetate (Depo-Provera)
Answer: 1. those who engage in sex frequently 2. adherence is a problem 3. obtain a pregnancy test
before use
Question 13: what is dutasteride ?
Answer: BPH 5 alpha-reductase inhibitor extremely long half-life, and takes months to clear
Question 14: What do you use dutasteride for?
Answer: BPH - it reduces the prostate size and relieves symptoms of bladder outlet obstruction
Question 15: What are the actions of Dureduces tasteride
Answer: the dihydrotestosterone production, which causes the prostate to shrink, and reduces the
mechanical obstruction of the urethra **** benefits may take months
Question 16: Patient teaching and response to delayed onset of therapeutic effect of Dutasteride?
Answer: Anticipate symptom improvement after 6-12 months. LOOK UP
Question 17: What is Terazosin?
Answer: non-selective alpha1 blocker but works the same as a selective alpha 1a blocker
Question 18: How does Terazosin work? blockade
Answer: of alpha 1a receptors relaxes smooth muscle in the bladder neck, prostate capsule, and prostatic
urethra, decreasing the obstruction of the urethra *** Benefits develop rapidly, must be taken lifelong
Question 19: How is Terazosin different than Dutasteride?
Answer: Does not reduce prostate size
Question 20: How do you know if Terazosin is working?
Answer: Symptomatic improvements and increased urinary flow develop rapidly
Page 2
, Question 21: What is testosterone therapy used for?
Answer: 1. Male hypogonadism 2. Replacement therapy 3. delayed puberty 4. testosterone therapy for
menopausal women 5. Cachexia - decreases risks, does not treat underlying cause 6. Anemias 7. Drug
therapy for transgender men
Question 22: Patient teaching oral androgens
Answer: non-first line, ettects are erratic, not used long-term
Question 23: Pt teaching transdermal testosterone
Answer: Patches - upper arm, thigh, back or abd once daily
Question 24: Pt teaching gel testosterone
Answer: Cause less local irritation, cannot fall ott, produces consistent levels wash application site
before skin-to-skin contact with another person gel should be applied to clean, dry skin, and covered
with clothing
Question 25: Disadvantages of gel testosterone
Answer: concern about transfer skin to skin Female partners : virilization or female partners children:
genital enlargement, premature development of pubic hair, adv bone age, increased libido, and
aggressive behavior
Question 26: pt teaching of nasal gel testosterone
Answer: newest form. do not use in those with nasal abnormalities can cause epistaxis, nasal pharyngitis
Question 27: pt teaching on implantable long pellets of testosterone
Answer: acting formulations subdermal areas, hip area or abdominal wall lateral to the umbilicus
Question 28: Pt teaching with buccal tablets - testosterone
Answer: Tablets are applied to gum area, just above the incisor tooth and are designed to stay in place
until removed The tablet should be held in place with finger over the kip for thirty seconds. One tablet
every 12 hours, alternating sides of mouth with each dose can cause local irritation or food taste
distortion
Question 29: Pt teaching with intramuscular - testosterone
Answer: Long-acting, slow absorption, blood level vary widely formulated in oil Testosterone levels are
higher than normal immediately after dosing, and decline to normal, to lower than normal before next
dose.
Page 3
Update)
Question 1: MOA of doxazosin (Cardura)
Answer: Selective alpha 1A blocker, relaxes smooth muscle in the bladder neck, prostate capsule, and
prostatic urethra and thereby decreases dynamic obstruction of the urethra *** benefits develop rapidly
Question 2: Side effects of doxazosin
Answer: Hypotension, fainting, dizziness, somnolence and nasal congestion
Question 3: Various routes of administration of estrogen therapy
Answer: Oral, transdermal, intravaginal, parenteral
Question 4: Baseline data when prescribing estrogen
Answer: pulse, BP, weight, preg test, TSH, Triglycerides or full panel
Question 5: Contraindications with estrogen therapy
Answer: Abnormal vaginal bleeding of unknown origin Estrogen-dependent cancer or breast cancer
History of VT or PE Thrombus Abnormal liver function or disease Pregnancy
Question 6: What is progesterone?
Answer: principle endogenous for gestational hormone, acts before gestation to prepare the uterus for
implantation of fertilized ovum helps maintain uterus throughout pregnancy
Question 7: Progestin impacts what during menstrual cycle?
Answer: endometrium endocervical glands breasts body temp respiration mood
Question 8: Progestin does what during pregnancy?
Answer: Helps sustain pregnancy constipation milk production metabolic ettects suppress maternal
immune system
Question 9: Therapeutic uses of progestin (progesterone)
Answer: endometrial hyperplasia dysfunctional uterine bleeding amenorrhea endometriosis support
pregnancy in vitro fertilization
Page 1
,Question 10: Progestin (progesterone) contraindications
Answer: undiagnosed abnormal vaginal bleeding Caution: active thrombophlebitis history of
thromboembolic disorders active liver disease carcinoma of the breast
Question 11: Side effects of progestin-only OC
Answer: Irregular bleeding spotting irregular periods breast tenderness headaches abd discomfort
arthralgias depression
Question 12: Benefits of prescribing medroxyprogesterone acetate (Depo-Provera)
Answer: 1. those who engage in sex frequently 2. adherence is a problem 3. obtain a pregnancy test
before use
Question 13: what is dutasteride ?
Answer: BPH 5 alpha-reductase inhibitor extremely long half-life, and takes months to clear
Question 14: What do you use dutasteride for?
Answer: BPH - it reduces the prostate size and relieves symptoms of bladder outlet obstruction
Question 15: What are the actions of Dureduces tasteride
Answer: the dihydrotestosterone production, which causes the prostate to shrink, and reduces the
mechanical obstruction of the urethra **** benefits may take months
Question 16: Patient teaching and response to delayed onset of therapeutic effect of Dutasteride?
Answer: Anticipate symptom improvement after 6-12 months. LOOK UP
Question 17: What is Terazosin?
Answer: non-selective alpha1 blocker but works the same as a selective alpha 1a blocker
Question 18: How does Terazosin work? blockade
Answer: of alpha 1a receptors relaxes smooth muscle in the bladder neck, prostate capsule, and prostatic
urethra, decreasing the obstruction of the urethra *** Benefits develop rapidly, must be taken lifelong
Question 19: How is Terazosin different than Dutasteride?
Answer: Does not reduce prostate size
Question 20: How do you know if Terazosin is working?
Answer: Symptomatic improvements and increased urinary flow develop rapidly
Page 2
, Question 21: What is testosterone therapy used for?
Answer: 1. Male hypogonadism 2. Replacement therapy 3. delayed puberty 4. testosterone therapy for
menopausal women 5. Cachexia - decreases risks, does not treat underlying cause 6. Anemias 7. Drug
therapy for transgender men
Question 22: Patient teaching oral androgens
Answer: non-first line, ettects are erratic, not used long-term
Question 23: Pt teaching transdermal testosterone
Answer: Patches - upper arm, thigh, back or abd once daily
Question 24: Pt teaching gel testosterone
Answer: Cause less local irritation, cannot fall ott, produces consistent levels wash application site
before skin-to-skin contact with another person gel should be applied to clean, dry skin, and covered
with clothing
Question 25: Disadvantages of gel testosterone
Answer: concern about transfer skin to skin Female partners : virilization or female partners children:
genital enlargement, premature development of pubic hair, adv bone age, increased libido, and
aggressive behavior
Question 26: pt teaching of nasal gel testosterone
Answer: newest form. do not use in those with nasal abnormalities can cause epistaxis, nasal pharyngitis
Question 27: pt teaching on implantable long pellets of testosterone
Answer: acting formulations subdermal areas, hip area or abdominal wall lateral to the umbilicus
Question 28: Pt teaching with buccal tablets - testosterone
Answer: Tablets are applied to gum area, just above the incisor tooth and are designed to stay in place
until removed The tablet should be held in place with finger over the kip for thirty seconds. One tablet
every 12 hours, alternating sides of mouth with each dose can cause local irritation or food taste
distortion
Question 29: Pt teaching with intramuscular - testosterone
Answer: Long-acting, slow absorption, blood level vary widely formulated in oil Testosterone levels are
higher than normal immediately after dosing, and decline to normal, to lower than normal before next
dose.
Page 3
