NR566 Final exam study guide
Questions & Answers (RATED
A)
First line drug, dose, route, frequency: Chlamydia
(Among Adolescents and Adults) - ANSWER Doxycycline 100 mg PO BID x 7 days
ALTERNATIVE:
Azithromycin 1000 mg po once
Or
Levofloxacin 500mg PO daily for 7 days
First line drug, dose, route, frequency: Uncomplicated gonococcal urethritis - ANSWER ceftriaxone
500 mg IM single dose
First line drug, dose, route, frequency: Bacterial Vaginosis - ANSWER metronidazole 500 mg BID for 7
days OR
Metronidazole gel 0.75%one full applicator (5 g) intravaginally, once a day for 5 days OR
Clindamycin vaginal cream 2%one full applicator (5 g) intravaginally at bedtime for 7 days
First line drug, dose, route, frequency: Herpes Simplex Virus
(First Clinical Episode) - ANSWER 1st Clinical episode:
Acyclovir 400 mg 3x days for 7-10 days OR
Famciclovir 250 mg orally three times a day for 7-10 days OR
Valacyclovir1 g orally twice a day for 7-10 days
First line drug, dose, route, frequency: Pelvic Inflammatory Disease (PID) (IM or Oral Regimens) -
ANSWER Ceftriaxone 500mg IM in single dose + Doxycycline 100 mg PO BID x 14 days +
Metronidazole 500 mg PO BID x 14 days.
, Benefits of prescribing medroxyprogesterone acetate (DepoProvera) - ANSWER doesn't cause
thromboembolic disorder, headache, nausea or most of the other adverse effects associated with
combo OCs.
Testosterone therapy.
Patient teaching in general and consider teaching specific to different routes - ANSWER Patch: wash
hands after applying. cover application site with clothing after the drug had dried. wash the
application site before skin-to-skin contact another person
testosterone therapy.
When is androgen therapy appropriate vs. not needed related to puberty? - ANSWER Short term:
The psychological pressures of delayed sexual maturation are causing a boy significant distress
Long term: if delayed puberty related to true hypogonadism
testosterone therapy. common SE - ANSWER hot flashes, bone fx, decrease libido, insulin resistance,
erectile dysfunction, acne, HTN, sterility, aggression, and mood swings.
Alprostadil (for ED).
Benefits of various routes - ANSWER The injection needs to be done by the patient or in ER setting:
rapidly leads to erection, painless
Intraurethral pellet insertion: can be done by the patient, an erection occurs within 5-10 mins and
lasts 30-60 min. minimal side effects
How does carbamazepine impact oral contraceptives and what symptoms may be associated with
that? - ANSWER accelerated OC medication and reducing OC EFFECT
how might taking carbamazepine with oral contraceptives affect which oral contraceptive you
prescribe - ANSWER Increase the estrogen dosage of the OC
Combine the OC with a second from a birth control
Switch to an alternation form of birth control
First line drug, dose, route, frequency: Syphilis
(Primary and Secondary) - ANSWER Benzathine penicillin G 2.4 million units IM in a single dose
Questions & Answers (RATED
A)
First line drug, dose, route, frequency: Chlamydia
(Among Adolescents and Adults) - ANSWER Doxycycline 100 mg PO BID x 7 days
ALTERNATIVE:
Azithromycin 1000 mg po once
Or
Levofloxacin 500mg PO daily for 7 days
First line drug, dose, route, frequency: Uncomplicated gonococcal urethritis - ANSWER ceftriaxone
500 mg IM single dose
First line drug, dose, route, frequency: Bacterial Vaginosis - ANSWER metronidazole 500 mg BID for 7
days OR
Metronidazole gel 0.75%one full applicator (5 g) intravaginally, once a day for 5 days OR
Clindamycin vaginal cream 2%one full applicator (5 g) intravaginally at bedtime for 7 days
First line drug, dose, route, frequency: Herpes Simplex Virus
(First Clinical Episode) - ANSWER 1st Clinical episode:
Acyclovir 400 mg 3x days for 7-10 days OR
Famciclovir 250 mg orally three times a day for 7-10 days OR
Valacyclovir1 g orally twice a day for 7-10 days
First line drug, dose, route, frequency: Pelvic Inflammatory Disease (PID) (IM or Oral Regimens) -
ANSWER Ceftriaxone 500mg IM in single dose + Doxycycline 100 mg PO BID x 14 days +
Metronidazole 500 mg PO BID x 14 days.
, Benefits of prescribing medroxyprogesterone acetate (DepoProvera) - ANSWER doesn't cause
thromboembolic disorder, headache, nausea or most of the other adverse effects associated with
combo OCs.
Testosterone therapy.
Patient teaching in general and consider teaching specific to different routes - ANSWER Patch: wash
hands after applying. cover application site with clothing after the drug had dried. wash the
application site before skin-to-skin contact another person
testosterone therapy.
When is androgen therapy appropriate vs. not needed related to puberty? - ANSWER Short term:
The psychological pressures of delayed sexual maturation are causing a boy significant distress
Long term: if delayed puberty related to true hypogonadism
testosterone therapy. common SE - ANSWER hot flashes, bone fx, decrease libido, insulin resistance,
erectile dysfunction, acne, HTN, sterility, aggression, and mood swings.
Alprostadil (for ED).
Benefits of various routes - ANSWER The injection needs to be done by the patient or in ER setting:
rapidly leads to erection, painless
Intraurethral pellet insertion: can be done by the patient, an erection occurs within 5-10 mins and
lasts 30-60 min. minimal side effects
How does carbamazepine impact oral contraceptives and what symptoms may be associated with
that? - ANSWER accelerated OC medication and reducing OC EFFECT
how might taking carbamazepine with oral contraceptives affect which oral contraceptive you
prescribe - ANSWER Increase the estrogen dosage of the OC
Combine the OC with a second from a birth control
Switch to an alternation form of birth control
First line drug, dose, route, frequency: Syphilis
(Primary and Secondary) - ANSWER Benzathine penicillin G 2.4 million units IM in a single dose
