Finall Exam:l NRl 566/l NR566l (Newl 2025/l
2026l Update)l Advancedl Pharmacologyl
forl Carel ofl thel Familyl Guide|l Questionsl
&l Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Chamberlain
QUESTION
Oxandrolonel blackl boxl warning
Answer:
l oxandrolonel isl al 17-alpha-alkylatedl androgen,l whichl isl al forml ofl testosteronel thatl hasl
al higherl riskl ofl liverl toxicityl (specificallyl peliosisl hepatitisl -l bloodl filledl cystsl inl thel
liver)
QUESTION
Monitoringl forl testosteronel (relatedl tol prematurel epiphyseall closure)
Answer:
l Handl andl wristl x-raysl everyl 6l months
QUESTION
Whatl tol dol ifl signsl ofl virilizationl occurl inl womenl orl children:
Answer:
l discontinuel tol preventl irreversiblel changes
,QUESTION
Whatl schedulel drugl isl testosterone?
Answer:
l Schedulel III
QUESTION
Adversel effectsl ofl testosterone
Answer:
l Virilization
Prematurel epiphyseall closure
Hepatotoxicityl (17l alphal alkylatedl compounds)
Liverl cancer
Prostatel cancerl inl thosel withl hxl ofl it
Lowerl HDL,l higherl LDL
Edema
Thrombosisl (MI,l CVA,l DVT)
QUESTION
Routesl ofl testosteronel administration
Answer:
l orall (notl firstl line,l effectsl arel erratic)
Transdermall (patch/gel/liquid)
Topicall (axillae)
Nasall gell -l avoidl withl nosel issues
Implantablel pelletsl -l subcutaneousl injectionl inl hipl orl abdomen;l dosel variesl eachl monthl
(1/3l tol 1/4l tol 1/6)
Buccall tablets
,IM
QUESTION
Wherel dol youl applyl testosteronel patch?
Answer:
l upperl arm,l thigh,l back,l abdomenl (applyl oncel daily)
QUESTION
Whatl arel thel advantagesl ofl testosteronel gell inl comparisonl tol thel patch?
Answer:
l Lessl locall irritation,l doesn'tl falll off,l morel consistentl levels
QUESTION
Patientl educationl forl buccall tabletsl ofl testosterone
Answer:
l Riskl forl transferl withl kissing
Applyl tol gumsl abovel incisorsl
Holdl forl 30l secondsl whenl administering,l leavel inl forl 12l hours;l switchl sides
Notl affectedl byl eating,l drinking,l chewingl guml orl brushingl teeth
QUESTION
Patientl teachingl forl IMl testosterone
, Answer:
l Highestl levelsl rightl afterl administrationl butl thenl levelsl decreasel tol lowerl thanl normall
beforel nextl dosel (canl causel changesl inl libido,l moodl andl energy)
QUESTION
Treatmentl optionsl forl erectilel dysfunction
Answer:
l Lifestylel changesl (exercise,l quitl smoking,l stopl drugsl thatl causel ED)
Drugsl (sildenafil/Viagra,l papaverine-phentolamine/Alprostadill -l 2ndl line)
QUESTION
Sildenafil/Viagral MOA
Answer:
l selectivel inhibitionl ofl phosphodiesterasel 5,l whichl increasesl andl preservel cGMPl levelsl
inl thel penisl tol makel erectionl longer-lasting
QUESTION
Baselinel andl monitoringl forl EDl drugs
Answer:
l HR
BP
eyel andl earl exam
pulmonaryl edema
QUESTION
2026l Update)l Advancedl Pharmacologyl
forl Carel ofl thel Familyl Guide|l Questionsl
&l Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Chamberlain
QUESTION
Oxandrolonel blackl boxl warning
Answer:
l oxandrolonel isl al 17-alpha-alkylatedl androgen,l whichl isl al forml ofl testosteronel thatl hasl
al higherl riskl ofl liverl toxicityl (specificallyl peliosisl hepatitisl -l bloodl filledl cystsl inl thel
liver)
QUESTION
Monitoringl forl testosteronel (relatedl tol prematurel epiphyseall closure)
Answer:
l Handl andl wristl x-raysl everyl 6l months
QUESTION
Whatl tol dol ifl signsl ofl virilizationl occurl inl womenl orl children:
Answer:
l discontinuel tol preventl irreversiblel changes
,QUESTION
Whatl schedulel drugl isl testosterone?
Answer:
l Schedulel III
QUESTION
Adversel effectsl ofl testosterone
Answer:
l Virilization
Prematurel epiphyseall closure
Hepatotoxicityl (17l alphal alkylatedl compounds)
Liverl cancer
Prostatel cancerl inl thosel withl hxl ofl it
Lowerl HDL,l higherl LDL
Edema
Thrombosisl (MI,l CVA,l DVT)
QUESTION
Routesl ofl testosteronel administration
Answer:
l orall (notl firstl line,l effectsl arel erratic)
Transdermall (patch/gel/liquid)
Topicall (axillae)
Nasall gell -l avoidl withl nosel issues
Implantablel pelletsl -l subcutaneousl injectionl inl hipl orl abdomen;l dosel variesl eachl monthl
(1/3l tol 1/4l tol 1/6)
Buccall tablets
,IM
QUESTION
Wherel dol youl applyl testosteronel patch?
Answer:
l upperl arm,l thigh,l back,l abdomenl (applyl oncel daily)
QUESTION
Whatl arel thel advantagesl ofl testosteronel gell inl comparisonl tol thel patch?
Answer:
l Lessl locall irritation,l doesn'tl falll off,l morel consistentl levels
QUESTION
Patientl educationl forl buccall tabletsl ofl testosterone
Answer:
l Riskl forl transferl withl kissing
Applyl tol gumsl abovel incisorsl
Holdl forl 30l secondsl whenl administering,l leavel inl forl 12l hours;l switchl sides
Notl affectedl byl eating,l drinking,l chewingl guml orl brushingl teeth
QUESTION
Patientl teachingl forl IMl testosterone
, Answer:
l Highestl levelsl rightl afterl administrationl butl thenl levelsl decreasel tol lowerl thanl normall
beforel nextl dosel (canl causel changesl inl libido,l moodl andl energy)
QUESTION
Treatmentl optionsl forl erectilel dysfunction
Answer:
l Lifestylel changesl (exercise,l quitl smoking,l stopl drugsl thatl causel ED)
Drugsl (sildenafil/Viagra,l papaverine-phentolamine/Alprostadill -l 2ndl line)
QUESTION
Sildenafil/Viagral MOA
Answer:
l selectivel inhibitionl ofl phosphodiesterasel 5,l whichl increasesl andl preservel cGMPl levelsl
inl thel penisl tol makel erectionl longer-lasting
QUESTION
Baselinel andl monitoringl forl EDl drugs
Answer:
l HR
BP
eyel andl earl exam
pulmonaryl edema
QUESTION
