NR566 Final exam study Guide Questions
With Correct Answers A+ Grade
irst line drug, dose, route, frequency: Chlamydia
(Among Adolescents and Adults) - CORRECT ANSWER -Doxycycline 100 mg PO BID x 7 days
ALTERNATIVE:
Azithromycin 1000 mg po once
Or
Levofloxacin 500mg PO daily for 7 days
First line drug, dose, route, frequency: Uncomplicated gonococcal urethritis - CORRECT ANSWER -
ceftriaxone 500 mg IM single dose
First line drug, dose, route, frequency: Bacterial Vaginosis - CORRECT ANSWER -metronidazole 500 mg
BID for 7 days OR
Metronidazole gel 0.75%one full applicator (5 g) intravaginally, once a day for 5 days OR
Clindamycin vaginal cream 2%one full applicator (5 g) intravaginally at bedtime for 7 days
First line drug, dose, route, frequency: Herpes Simplex Virus
(First Clinical Episode) - CORRECT ANSWER -1st Clinical episode:
Acyclovir 400 mg 3x days for 7-10 days OR
Famciclovir 250 mg orally three times a day for 7-10 days OR
Valacyclovir1 g orally twice a day for 7-10 days
First line drug, dose, route, frequency: Pelvic Inflammatory Disease (PID) (IM or Oral Regimens) -
CORRECT ANSWER -Ceftriaxone 500mg IM in single dose + Doxycycline 100 mg PO BID x 14 days +
Metronidazole 500 mg PO BID x 14 days.
First line drug, dose, route, frequency: Syphilis
(Primary and Secondary) - CORRECT ANSWER -Benzathine penicillin G 2.4 million units IM in a single
dose
, Doxazosin Side Effects - CORRECT ANSWER -hypotension, dizziness, nasal congestions
Dutasteride
Patient teaching.
response to delayed onset of therapeutic effect - CORRECT ANSWER -benefits take months to develop,
must continue taking med even if improvement not readily seen
may lower ejaculatory volume and libido
Terazosin.
How to know it's working - CORRECT ANSWER -improve symptoms of dysuria, urgency, UTI, hesitancy
Various routes of administration of estrogen therapy and when each would be used - CORRECT ANSWER
-
· When is it safe and not safe to prescribe progesterone (AKA: progestin) - CORRECT ANSWER -Not safe:
if women has had a hysterectomy/pregnant
Safe:
Side effects of progestin-only oral contraceptives - CORRECT ANSWER -it can cause irregular/
inconsistent bleeding, must be taken at same time every day to be effective
Benefits of prescribing medroxyprogesterone acetate (DepoProvera) - CORRECT ANSWER -doesn't cause
thromboembolic disorder, headache, nausea or most of the other adverse effects associated with
combo OCs.
Testosterone therapy.
Patient teaching in general and consider teaching specific to different routes - CORRECT ANSWER -Patch:
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
testosterone therapy.
With Correct Answers A+ Grade
irst line drug, dose, route, frequency: Chlamydia
(Among Adolescents and Adults) - CORRECT ANSWER -Doxycycline 100 mg PO BID x 7 days
ALTERNATIVE:
Azithromycin 1000 mg po once
Or
Levofloxacin 500mg PO daily for 7 days
First line drug, dose, route, frequency: Uncomplicated gonococcal urethritis - CORRECT ANSWER -
ceftriaxone 500 mg IM single dose
First line drug, dose, route, frequency: Bacterial Vaginosis - CORRECT ANSWER -metronidazole 500 mg
BID for 7 days OR
Metronidazole gel 0.75%one full applicator (5 g) intravaginally, once a day for 5 days OR
Clindamycin vaginal cream 2%one full applicator (5 g) intravaginally at bedtime for 7 days
First line drug, dose, route, frequency: Herpes Simplex Virus
(First Clinical Episode) - CORRECT ANSWER -1st Clinical episode:
Acyclovir 400 mg 3x days for 7-10 days OR
Famciclovir 250 mg orally three times a day for 7-10 days OR
Valacyclovir1 g orally twice a day for 7-10 days
First line drug, dose, route, frequency: Pelvic Inflammatory Disease (PID) (IM or Oral Regimens) -
CORRECT ANSWER -Ceftriaxone 500mg IM in single dose + Doxycycline 100 mg PO BID x 14 days +
Metronidazole 500 mg PO BID x 14 days.
First line drug, dose, route, frequency: Syphilis
(Primary and Secondary) - CORRECT ANSWER -Benzathine penicillin G 2.4 million units IM in a single
dose
, Doxazosin Side Effects - CORRECT ANSWER -hypotension, dizziness, nasal congestions
Dutasteride
Patient teaching.
response to delayed onset of therapeutic effect - CORRECT ANSWER -benefits take months to develop,
must continue taking med even if improvement not readily seen
may lower ejaculatory volume and libido
Terazosin.
How to know it's working - CORRECT ANSWER -improve symptoms of dysuria, urgency, UTI, hesitancy
Various routes of administration of estrogen therapy and when each would be used - CORRECT ANSWER
-
· When is it safe and not safe to prescribe progesterone (AKA: progestin) - CORRECT ANSWER -Not safe:
if women has had a hysterectomy/pregnant
Safe:
Side effects of progestin-only oral contraceptives - CORRECT ANSWER -it can cause irregular/
inconsistent bleeding, must be taken at same time every day to be effective
Benefits of prescribing medroxyprogesterone acetate (DepoProvera) - CORRECT ANSWER -doesn't cause
thromboembolic disorder, headache, nausea or most of the other adverse effects associated with
combo OCs.
Testosterone therapy.
Patient teaching in general and consider teaching specific to different routes - CORRECT ANSWER -Patch:
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
testosterone therapy.
