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
, NR566/NR 566 Final Exam Questions with CORRECT Answers 100% Verified
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.
Chlamydia tx
azithromycin 1g PO x single dose. doxycycline 100mg PO BID 7 days
Gonococcal urethritis tx
ceftriaxone IM single dose 250mg-1g based on weight
Bacterial vaginosis tx
metronidazole 500mg PO 2x day for 7 days.
Herpes (HSV) tx
acyclovir 400mg TID 7-10 days, valacyclovir or famciclovir
Trichomoniasis tx
metronidazole 2g PO x1 dose or tinidazole
Syphilis
benzathine penicillin 2.4mil units IM
Mild symptoms PD tx
MAO-B inhibitor like rasagiline or selegiline
Severe symptoms PD tx
levodopa + carbodopa or dopamine agonist
PD tx for improving motor function
levodopa
PD tx for drug induced dyskinesias
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
, NR566/NR 566 Final Exam Questions with CORRECT Answers 100% Verified
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.
Chlamydia tx
azithromycin 1g PO x single dose. doxycycline 100mg PO BID 7 days
Gonococcal urethritis tx
ceftriaxone IM single dose 250mg-1g based on weight
Bacterial vaginosis tx
metronidazole 500mg PO 2x day for 7 days.
Herpes (HSV) tx
acyclovir 400mg TID 7-10 days, valacyclovir or famciclovir
Trichomoniasis tx
metronidazole 2g PO x1 dose or tinidazole
Syphilis
benzathine penicillin 2.4mil units IM
Mild symptoms PD tx
MAO-B inhibitor like rasagiline or selegiline
Severe symptoms PD tx
levodopa + carbodopa or dopamine agonist
PD tx for improving motor function
levodopa
PD tx for drug induced dyskinesias
