NR566 FINAL EXAM WITH REAL ANSWERS
Chlamydia treatment first line drug, dose, route and frequency -(ANSWER) Doxycycline 100
mg PO BID x 7 days
or
Azithromycin 1000 mg po once
Uncomplicated gonorrhea urethritis treatment -(ANSWER)ceftriaxone 500 mg IM single dose
with or without doxycycline 100 mg 2x days for days
Bacterial Vagionosis
1st line Treatment -(ANSWER)Non pregnant metronidazole 500 mg 2xdays for 7 days
pregnant - vaginal metronidazole 2% for 7 days
clindamycin 1% for 7 days
HSV (herpes simplex virus) 12st line treatment -(ANSWER)1 Clinical episode: Acyclovir 400
mg 3x days for 7-10 days
2 Clinical episode: Acyclovir 800 mg 2x days for 5 days
Trichomoniasis treatment -(ANSWER)Metronidazole (Flagyl) 500 mg 2x day for 7 days
(WOMEN)
single dose of 2 grams for MEN
MEN or Women tinidazole 2g single
doxazosin (BPH treatment) (a1 blocker) side effect -(ANSWER)side effect
hypotension, dizziness, nasal congestions
Dutasteride (Avodart) BPH treatment (5a reductase inhibitors) patient teaching -
(ANSWER)benefits take months to develop, must continue taking med even if improvement not
readily seen
may lower ejaculatory volume and libido
Terazosin (Hytrin) how to know is working -(ANSWER)improve symptom of dysuria, urgency,
UTI, hesitancy
Progesterone (progestin) When is day not safe to prescribe -(ANSWER)if women has had a
hysterectomy/pregnant
Side effect of progestin oral contraceptives -(ANSWER)it can cause irregular/ inconsistent
bleeding, must be take at same time very day to be effective
Medroxyprogesterone Acetate benefits -(ANSWER)doesn't cause thromboembolic disorder,
headache, nausea or most of the other adverse effects associated with combo OCs.
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, testosterone replacement therapy routes -(ANSWER)administering testosterone supplement
through, pill, injections, and patches.
Testosterone patch patient teaching -(ANSWER)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
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
Side effect of testosterone replacement therapy -(ANSWER)hot flashes, bone fx, decrease libido,
insulin resistance, erectile dysfunction, acne, HTN, sterility, aggression, and mood swings.
Alprostadil benefits of various routes: for ED -(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
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 this affect which OCP is prescribed Carbamazepine -(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
Benefits of Etonogestrel subdermal implant (Nexplanon) -(ANSWER)it is one of the most
effective forms of contraception, long term option is 5 years, reversible by removing rod
can take with women with a hx of thrombosis
· Papaverine plus phentolamine Patient Education -(ANSWER)Do not inject more than once in a
24 hours period, notify provide if erection duration and efficacy, consult MD before taking new
medication, seek medical attention right away if erection is >3 hours
Syphilis 1st line treatment -(ANSWER)Penicillin G IV
Pramipexole (Mirapex) adverse effect -(ANSWER)Nausea, dizziness, daytime sleep attacks,
insomnia, constipation, weakness, and hallucinations,
impulse control disorder can occur ( excessive gambling, spending etc)
When is Pramipexole best to prescribe in treating Parkinson's disease? -(ANSWER)early stage
of PD
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Chlamydia treatment first line drug, dose, route and frequency -(ANSWER) Doxycycline 100
mg PO BID x 7 days
or
Azithromycin 1000 mg po once
Uncomplicated gonorrhea urethritis treatment -(ANSWER)ceftriaxone 500 mg IM single dose
with or without doxycycline 100 mg 2x days for days
Bacterial Vagionosis
1st line Treatment -(ANSWER)Non pregnant metronidazole 500 mg 2xdays for 7 days
pregnant - vaginal metronidazole 2% for 7 days
clindamycin 1% for 7 days
HSV (herpes simplex virus) 12st line treatment -(ANSWER)1 Clinical episode: Acyclovir 400
mg 3x days for 7-10 days
2 Clinical episode: Acyclovir 800 mg 2x days for 5 days
Trichomoniasis treatment -(ANSWER)Metronidazole (Flagyl) 500 mg 2x day for 7 days
(WOMEN)
single dose of 2 grams for MEN
MEN or Women tinidazole 2g single
doxazosin (BPH treatment) (a1 blocker) side effect -(ANSWER)side effect
hypotension, dizziness, nasal congestions
Dutasteride (Avodart) BPH treatment (5a reductase inhibitors) patient teaching -
(ANSWER)benefits take months to develop, must continue taking med even if improvement not
readily seen
may lower ejaculatory volume and libido
Terazosin (Hytrin) how to know is working -(ANSWER)improve symptom of dysuria, urgency,
UTI, hesitancy
Progesterone (progestin) When is day not safe to prescribe -(ANSWER)if women has had a
hysterectomy/pregnant
Side effect of progestin oral contraceptives -(ANSWER)it can cause irregular/ inconsistent
bleeding, must be take at same time very day to be effective
Medroxyprogesterone Acetate benefits -(ANSWER)doesn't cause thromboembolic disorder,
headache, nausea or most of the other adverse effects associated with combo OCs.
Page | 1
, testosterone replacement therapy routes -(ANSWER)administering testosterone supplement
through, pill, injections, and patches.
Testosterone patch patient teaching -(ANSWER)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
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
Side effect of testosterone replacement therapy -(ANSWER)hot flashes, bone fx, decrease libido,
insulin resistance, erectile dysfunction, acne, HTN, sterility, aggression, and mood swings.
Alprostadil benefits of various routes: for ED -(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
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 this affect which OCP is prescribed Carbamazepine -(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
Benefits of Etonogestrel subdermal implant (Nexplanon) -(ANSWER)it is one of the most
effective forms of contraception, long term option is 5 years, reversible by removing rod
can take with women with a hx of thrombosis
· Papaverine plus phentolamine Patient Education -(ANSWER)Do not inject more than once in a
24 hours period, notify provide if erection duration and efficacy, consult MD before taking new
medication, seek medical attention right away if erection is >3 hours
Syphilis 1st line treatment -(ANSWER)Penicillin G IV
Pramipexole (Mirapex) adverse effect -(ANSWER)Nausea, dizziness, daytime sleep attacks,
insomnia, constipation, weakness, and hallucinations,
impulse control disorder can occur ( excessive gambling, spending etc)
When is Pramipexole best to prescribe in treating Parkinson's disease? -(ANSWER)early stage
of PD
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