NR 566/ NR566 FINAL EXAM QS & ANS (LATEST 2025
/ 2026)
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.
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
When to use/prescribe COMT inhibitors - ANSWER-COMT inhibitors can help when levodopa is not
working for long enough and starts to wear off between doses.
extends the half-life of levodopa
Patient experience sleep attacks associated with PD treatment? - ANSWER-pt experience
overwhelming/irresistible sleepiness that comes on without earning
What seizure medication reduces OC efficacy? - ANSWER-Carbamazepine, eslicarbazephine,
lamotrigine, oxcarbazepine, phenytoin, phenobarbital, rufinamide, topiramate
How to manage side effects of Bromocriptine ( dopamine agonist): - ANSWER-Take medication with
food to decrease GI upset or decrease dose
Use of levodopa/carbidopa in treatment/diagnosis - ANSWER-Dopamine replacement, first-line
drug/treatment to dopamine agent) maintain or improve pts ADLs
Adverse effects: orthostatic hypotension, psychosis, dyskinesia
Phenytoin (Dilantin) common side effect ( treat Seizure disorder ) - ANSWER-CNS, gingival hyperplasia,
leathery, GI upset, blurred vision, suicidal behavior/cognitive decline
/ 2026)
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.
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
When to use/prescribe COMT inhibitors - ANSWER-COMT inhibitors can help when levodopa is not
working for long enough and starts to wear off between doses.
extends the half-life of levodopa
Patient experience sleep attacks associated with PD treatment? - ANSWER-pt experience
overwhelming/irresistible sleepiness that comes on without earning
What seizure medication reduces OC efficacy? - ANSWER-Carbamazepine, eslicarbazephine,
lamotrigine, oxcarbazepine, phenytoin, phenobarbital, rufinamide, topiramate
How to manage side effects of Bromocriptine ( dopamine agonist): - ANSWER-Take medication with
food to decrease GI upset or decrease dose
Use of levodopa/carbidopa in treatment/diagnosis - ANSWER-Dopamine replacement, first-line
drug/treatment to dopamine agent) maintain or improve pts ADLs
Adverse effects: orthostatic hypotension, psychosis, dyskinesia
Phenytoin (Dilantin) common side effect ( treat Seizure disorder ) - ANSWER-CNS, gingival hyperplasia,
leathery, GI upset, blurred vision, suicidal behavior/cognitive decline
