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NR 508 MIDTERM EXAM 2025.docx

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NR 508 MIDTERM EXAM

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May 13, 2025
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NR 508 /NR508 MIDTERM EXAM 2025
NEWEST! 2 VERSIONS WITH OVER 200 QUESTIONS WITH DETAILED
VERIFIED ANSWERS AND RATIONALES BRAND NEW!! /A+ GRADE ASSURED




Helima presents with a complaint of vaginal discharge that when tested meets the
criteria for bacterial vaginosis.
Treatment of bacterial vaginosis in nonpregnant symptomatic women would be:
1. Metronidazole 500 mg PO bid x 7 days
2. Doxycycline 100 mg PO bid x 7 days
3. Intravaginal tinidazole daily x 5 days
4. Metronidazole 2 grams PO x 1 dose - ...ANSWER...1. Metronidazole 500 mg
PO bid x 7 days


Besides prescribing antimicrobial therapy, patients with bacterial vaginosis require
education regarding the fact that:
1. The most recent partners in the past 60 days should also be treated.
2. Alcohol should not be consumed during and for 1 day after metronidazole is taken.
3. Condoms should be used during intercourse if intravaginal clindamycin cream is
used.
4. Co-treatment for chlamydia is necessary. - ...ANSWER...2. Alcohol should not be
consumed during and for 1 day after metronidazole is taken.

,Sydney presents to the clinic with vulvovaginal candidiasis. Appropriate treatment for her
would be:
1. OTC intravaginal clotrimazole
2. OTC intravaginal miconazole
3. Oral fluconazole one-time dose
4. Any of the above - ...ANSWER...4. Any of the above
If a woman presents with recurrent vulvovaginal candidiasis she may be treated with:
1. Weekly intravaginal butoconazole for 3 months
2. Fluconazole 150 mg PO daily x 7 doses then monthly for 6 months
3. Weekly fluconazole 150 mg PO x 6 months
4. Intravaginal tioconazole x 14 days - ...ANSWER...4. Intravaginal tioconazole
x 14 days

Zoe presents with genital warts present on her labia. Patient- applied topical therapy for
warts includes:
1. Podofilox 0.5% gel
2. Podophyllin 10% resin
3. Trichloracetic acid
4. Any of the above - ...ANSWER...1. Podofilox 0.5% gel
Sophie presents to the clinic with a malodorous vaginal discharge and is confirmed to have
Trichomonas infection. Treatment for her would include:
1. Metronidazole 2 grams PO x 1 dose
2. Topical intravaginal metronidazole daily x 7 days
3. Intravaginal clindamycin daily x 7 days
4. Azithromycin 2 grams PO x 1 dose - ...ANSWER...1. Metronidazole 2 grams
PO x 1 dose

,In addition to antimicrobial therapy, patients treated for Trichomonas infection should be
educated regarding:
1. Necessity of treating sexual partner simultaneously
2. Abstaining from intercourse until both partners are treated
3. Need for retesting in 3 months due to high reinfection rate
4. All of the above - ...ANSWER...4. All of the above
Prescribing for women during their childbearing years requires constant awareness of the
possibility of:
1. Pregnancy unless the women is on birth control
2. Risk for silent bacterial or viral infections of the genitalia
3. High risk for developmental disorders in their infants
4. Decreased risk for abuse during this time - ...ANSWER...2. Risk for silent bacterial or
viral infections of the genitalia


Intimate partner violence is a serious public health problem. It should be screened for:
1. At every encounter within the health-care system
2. When a women is being seen for symptoms of depression
3. Throughout pregnancy
4. If a sexually transmitted disease is diagnosed -
...ANSWER...1. At every encounter within the health-care system

Because of their longer life expectancy, women are more likely than men to experience a
disabling condition. Common conditions in older women that can produce disability
include:
1. Depression
2. Panic disorders
3. Dementia
4. All of the above - ...ANSWER...4. All of the above

, Gender differences between men and women in pharmacokinetics include:
1. More rapid gastric emptying so that drugs absorbed in the stomach have less
exposure to absorption sites
2. Higher proportion of body fat so that lipophilic drugs have relatively greater
volumes of distribution
3. Increased levels of bile acids so that drugs metabolized in the intestine have
higher concentrations
4. Slower organ blood flow rates so drugs tend to take longer to be excreted -
...ANSWER...2. Higher proportion of body fat so that lipophilic drugs have relatively
greater volumes of distribution

Which of the following drug classes is associated with significant differences in metabolism
based on gender?
1. Beta blockers
2. Antibiotics
3. Serotonin reuptake inhibitors
4. Angiotensin-converting-enzyme (ACE) inhibitors -
...ANSWER...3. Serotonin reuptake inhibitors

Since 40% of bone accrual occurs during adolescence, building bone during this time is
critical. Ways to improve bone accrual in adolescents include:
1. Use of bisphosphonates early if dual energy X-ray absorptiometry (DEXA)
scans show limited bone accrual
2. Encouraging a daily dietary intake of 1,300 mg of calcium and 400 IU of vitamin D
3. Avoiding all birth control methods that include progesterone
4. Fostering the intake of iron mainly in green and leafy vegetables -
...ANSWER...2. Encouraging a daily dietary intake of 1,300 mg of calcium and 400
IU of vitamin D
R133,82
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