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NURS 682 midterm Questions and Answers
(100% Correct Answers) Already Graded A+
Bactericidal Ans: KILLS bacteria independent of immune system!!
Bacteriostatic Ans: inhibits growth and replication of bacteria (starves
them), leaves them to slowly die off and for immune system to attack
and finish killing the bacteria
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Narrow spectrum Ans: unlikely to disrupt normal flora, effective against
LIMITED number of organisms (very specific) (only gram positive or
negative)
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Broad Spectrum Ans: effective against MULTIPLE organisms from more
than a single class (gram positive and gram negative)
BV Treatment CDC 2021 Ans: •Metronidazole 500mg po bid x7
•Metronidazole gel 0.75% one full applicator (5g) intravaginally qd x5
days (bactericidal)
•Clindamycin cream 2% one full applicator (5g) intravaginally at
bedtime for 7 days
BV alternative treatment Ans: •Clindamycin 300mg po bid x7
(macrolide)
•Clindamycin ovules 100mg intravaginally qhs x3 days
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•Secnidazole 2g oral granules x1
•Tinidazole 2 g orally qd x2 days
•Tinidazole 1 g orally q day x5 days
Metronidazole Ans: •First generation nitroimidazole
•Disrupts DNA and nucleic acid synthesis
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•Targets Anaerobes
Clindamycin Ans: •Macrolide
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•Bacteriostatic or bactericidal- susceptibility and concentration
dependent
•Binds to 50S ribosomal subunit inhibiting protein synthesis
Secnidazole Ans: •Nitroimidazole
•Reduced metabolite formed by anaerobes
•Inhibits nucelic acid synthesis by disrupting DNA
•Avoid in pregnancy and breastfeeding for 96h after use
•May increased r/o candidiasis
•Avoid alcohol during and 2 days after d/c
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Tinidazole Ans: •2nd generation nitroimidazole
•Related to metronidazole
•Also treats giardiasis, amebiasis, and trich
•Mechanism-likely generates free radicals
VVC OTC treatment Ans: •Clotrimazole (Lotrimin)
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• 1% cream- 5g intravaginally daily x7-14 days
•2% cream- 5 g intravaginally daily x3 days
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•Miconazole (Monistat)
•2% cream- 5g intravaginally daily x7 days
•4% cream- 5g intravaginally daily x3 days
•100mg vaginal suppository daily x7 days
•200mg vaginal suppository daily x3 days
•1200mg vaginal suppository daily x1 day
•Tioconazole (Gyno-trosyd)(Monistat 1-Day)
•6.5% ointment 5 g intravaginally in a single application
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Uncomplicated VVC treatment Ans: •Butoconazole 2% cream (Femstat
3/ Gynazole-1)
•5g intravaginally in single application (vaginal bio adhesive)
•Terconazole
•0.4% cream 5 g intravaginally qd x 7 days
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•0.8% cream 5 g intravaginally qd x 3 days
•80mg vaginal suppository- one suppository per vaginal daily x3 days
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•Fluconazole
•150-200mg po x 1
-azole Antifungals Ans: -butoconazole, terconazole, fluconazole
•Increased cell membrane permeability by reducing ergosterol synthesis
•Caution if using oral antifungal
•Many drug interactions
•Statins
•SSRIs
•MAOI