NR 566 Final Exam
Raloxifene (Evista) and bisphosphonates (alendronate, calcitonin) - Answer-alternatives for hormone
replacement therapy
Selective Estrogen Receptor Modulators (SERMs) - Answer-Tamoxifen, toremifene, raloxifene -- provide
estrogen benefits while avoiding its drawbacks
Dysfunctional uterine bleeding - Answer-10-14 day course of progestin
Amenorrhea treatment - Answer-progestin helps induce menstrual flow
Amenorrhea estrogen levels are low - Answer-give progestin for 5-10 days
Long term progestin therapy - Answer-protection against endometrial cancer
Estradiol - Answer-most active estrogenic compound. oral estrogen option
Advantages of estrogen transdermal patch - Answer-lower total estrogen dose. less n/v. less fluctuation
of estrogen blood levels. lower r/f DVT, PE and stroke
Femring - Answer-intravaginal ring controls hot flashes and night sweats. Treats vulval and vaginal
atrophy
No gap method of changing from one OC to another - Answer-go straight from one type of OC to the
other without taking a gap.
, initiating OC treatment - Answer-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 - Answer-delayed sexual maturation causing a boy significant
distress. Limited course of Fluoxymesterone and methyltestosterone are approved.
androgen therapy long term - Answer-if delayed puberty is the result of true hypogonadism
role of androgens in anemia - Answer-promote synthesis of erythropoietin the renal hormone that
stimulates production of RBCs
Alprostadil preferred administration - Answer-direct injection into the corpus cavernosum. Rapid
response
Finasteride - Answer-BPH tx 5a reductase inhibitor. Causes prostate to shrink. benefits take months
Tamsulosin - Answer-BPH tx alpha adrenergic antagonist. relaxes smooth muscle. benefits are rapid
Adverse effects of silodosin and tamsulosin - Answer-r/f floppy iris syndrome during cataract surgery.
Chlamydia tx - Answer-azithromycin 1g PO x single dose. doxycycline 100mg PO BID 7 days
Gonococcal urethritis tx - Answer-ceftriaxone IM single dose 250mg-1g based on weight
Bacterial vaginosis tx - Answer-metronidazole 500mg PO 2x day for 7 days.
Raloxifene (Evista) and bisphosphonates (alendronate, calcitonin) - Answer-alternatives for hormone
replacement therapy
Selective Estrogen Receptor Modulators (SERMs) - Answer-Tamoxifen, toremifene, raloxifene -- provide
estrogen benefits while avoiding its drawbacks
Dysfunctional uterine bleeding - Answer-10-14 day course of progestin
Amenorrhea treatment - Answer-progestin helps induce menstrual flow
Amenorrhea estrogen levels are low - Answer-give progestin for 5-10 days
Long term progestin therapy - Answer-protection against endometrial cancer
Estradiol - Answer-most active estrogenic compound. oral estrogen option
Advantages of estrogen transdermal patch - Answer-lower total estrogen dose. less n/v. less fluctuation
of estrogen blood levels. lower r/f DVT, PE and stroke
Femring - Answer-intravaginal ring controls hot flashes and night sweats. Treats vulval and vaginal
atrophy
No gap method of changing from one OC to another - Answer-go straight from one type of OC to the
other without taking a gap.
, initiating OC treatment - Answer-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 - Answer-delayed sexual maturation causing a boy significant
distress. Limited course of Fluoxymesterone and methyltestosterone are approved.
androgen therapy long term - Answer-if delayed puberty is the result of true hypogonadism
role of androgens in anemia - Answer-promote synthesis of erythropoietin the renal hormone that
stimulates production of RBCs
Alprostadil preferred administration - Answer-direct injection into the corpus cavernosum. Rapid
response
Finasteride - Answer-BPH tx 5a reductase inhibitor. Causes prostate to shrink. benefits take months
Tamsulosin - Answer-BPH tx alpha adrenergic antagonist. relaxes smooth muscle. benefits are rapid
Adverse effects of silodosin and tamsulosin - Answer-r/f floppy iris syndrome during cataract surgery.
Chlamydia tx - Answer-azithromycin 1g PO x single dose. doxycycline 100mg PO BID 7 days
Gonococcal urethritis tx - Answer-ceftriaxone IM single dose 250mg-1g based on weight
Bacterial vaginosis tx - Answer-metronidazole 500mg PO 2x day for 7 days.
