Pharm- STIs, APEA- Pharm Respiratory , APEA- Psych Pharm,
Principles of Pharmacology- APEA , APEA Pharm- Pregnancy ,
APEA- Orthopedics PHARM, APEA- Neuro Pharm, APEA
Pharm- Men's Health Questions AND Correct Answers
A 20-year-old man with phimosis should be instructed to
apply betamethasone (Sernivo) 0.05% cream at least twice
daily for:
3 days.
7 days.
3 weeks.
6 weeks. - ✔✔6 weeks.
Topical steroid creams can help soften tightened foreskin and
facilitate retraction. Steroids should be applied to the tight
rink of foreskin and head of penis twice daily for 6-8 weeks.
A 23-year-old patient with an uncomplicated urinary tract
infection (UTI) is allergic to sulfamethoxazole/trimethoprim
(Bactrim). This patient should be treated with:
Cipro.
Bactrim DS.
SMX-TMP DS.
,Septra. - ✔✔Cipro.
A 23-year-old woman complains of breakthrough bleeding 1
month after being started on a combination oral
contraceptive (OC). The nurse practitioner should:
advise the patient to use additional protection during
intercourse, until resolved.
change to a progestin-only formulation.
advise the patient that breakthrough bleeding in the first 3
months is common.
change to a contraceptive patch for better regulation of
hormones. - ✔✔advise the patient that breakthrough
bleeding in the first 3 months is common.
A 23-year-old woman with a desire for pregnancy needs
treatment for symptoms related to polycystic ovarian
syndrome (PCOS). The initial choice is:
liraglutide (Victoza).
metformin (Glucophage).
spironolactone (Aldactone).
finasteride (Proscar). - ✔✔metformin (Glucophage).
,Spironolactone and finasteride are second-line therapy
options.
Victoza is not indicated in the treatment of PCOS.
A 24-year-old man patient treated for epididymitis caused by
Neisseria gonorrhoeae should be advised that:
partners do not require treatment.
partner therapy is recommended.
sexual intercourse should be avoided for 6 weeks.
infertility is not associated with epididymitis. - ✔✔partner
therapy is recommended.
A 25-year-old pregnant woman has asymptomatic bacteriuria.
The best treatment plan for this patient is to:
have her return if she becomes symptomatic.
administer gentamicin intramuscularly for one dose.
initiate cephalexin (Keflex) for 7 days.
prescribe trimethoprim/sulfamethoxazole (Bactrim) for 3
days. - ✔✔initiate cephalexin (Keflex) for 7 days.
, A 28-year-old man presents with urethritis. He should initially
be treated with:
azithromycin 1 gram orally.
ceftriaxone 250 mg orally.
azithromycin 1 gram orally plus ceftriaxone 250 mg
intramuscularly.
azithromycin 1 gram orally plus doxycycline 100 mg. -
✔✔azithromycin 1 gram orally plus ceftriaxone 250 mg
intramuscularly.
A 28-year-old pregnant woman in her first trimester is
referred for anticoagulation therapy due to a history of
venous thromboembolism. Guidelines recommend the
initiation of:
enoxaparin (Lovenox).
warfarin (Coumadin).
fondaparinux (Arixtra).
apixaban (Eliquis). - ✔✔enoxaparin (Lovenox).
heparins preferred in pregnancy