NR566 FINAL QUESTIONS WITH ANSWERS

NR566 FINAL QUESTIONS WITH ANSWERS


Chlamydia treatment first line drug, dose, route and frequency -
cx cx cx cx cx cx cx cx cx




ansDoxycycline 100 mg PO BID x 7 days
cx cx cx cx cx cx cx cx




or
Azithromycin 1000 mg po once cx cx cx cx




Uncomplicated gonorrhea urethritis treatment - cx cx cx cx




ansceftriaxone 500 mg IM single dose with or without doxycycline 100 mg 2x days for days
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx




Bacterial Vagionosis cx




1st line Treatment - ansNon pregnant metronidazole 500 mg 2xdays for 7 days
cx cx cx cx cx cx cx cx cx cx cx cx




pregnant - vaginal metronidazole 2% for 7 days cx cx cx cx cx cx cx




clindamycin 1% for 7 days cx cx cx cx




HSV (herpes simplex virus) 12st line treatment -
cx cx cx cx cx cx cx




ans1 Clinical episode: Acyclovir 400 mg 3x days for 7-10 days
cx cx cx cx cx cx cx cx cx cx cx




2 Clinical episode: Acyclovir 800 mg 2x days for 5 days
cx cx cx cx cx cx cx cx cx cx




Trichomoniasis treatment - ansMetronidazole (Flagyl) 500 mg 2x day for 7 days (WOMEN) cx cx cx cx cx cx cx cx cx cx cx cx




single dose of 2 grams for MEN cx cx cx cx cx cx




MEN or Women tinidazole 2g single
cx cx cx cx cx




doxazosin (BPH treatment) (a1 blocker) side effect - ansside effect
cx cx cx cx cx cx cx cx cx




hypotension, dizziness, nasal congestions cx cx cx




Dutasteride (Avodart) BPH treatment (5a reductase inhibitors) patient teaching -
cx cx cx cx cx cx cx cx cx




ansbenefits take months to develop, must continue taking med even if improvement not re
cx cx cx cx cx cx cx cx cx cx cx cx cx cx




adily seen cx




may lower ejaculatory volume and libido
cx cx cx cx cx




Terazosin (Hytrin) how to know is working - cx cx cx cx cx cx cx




ansimprove symptom of dysuria, urgency, UTI, hesitancy
cx cx cx cx cx cx cx




Progesterone (progestin) When is day not safe to prescribe - cx cx cx cx cx cx cx cx cx




ansif women has had a hysterectomy/pregnant
cx cx cx cx cx cx




Side effect of progestin oral contraceptives - ansit can cause irregular/
cx cx cx cx cx cx cx cx cx cx




inconsistent bleeding, must be take at same time very day to be effective
cx cx cx cx cx cx cx cx cx cx cx cx cx




Medroxyprogesterone Acetate benefits - cx cx cx




ansdoesn't cause thromboembolic disorder, headache, nausea or most of the other adver
cx cx cx cx cx cx cx cx cx cx cx cx




se effects associated with combo OCs.
cx cx cx cx cx

, testosterone replacement therapy routes - cx cx cx cx




ansadministering testosterone supplement through, pill, injections, and patches.
cx cx cx cx cx cx cx cx




Testosterone patch patient teaching - answash hands after applying cx cx cx cx cx cx cx cx cx




cover application site with clothing after the drug had dried
cx cx cx cx cx cx cx cx cx




wash the application site before skin-to-skin contact another person
cx cx cx cx cx cx cx cx




Androgen therapy appropriate vs. not needed related to puberty - cx cx cx cx cx cx cx cx cx




ansShort term: The psychological pressures of delayed sexual maturation are causing a b
cx cx cx cx cx cx cx cx cx cx cx cx cx




oy significant distress
cx cx




Long term: if delayed puberty related to true hypogonadism
cx cx cx cx cx cx cx cx




Side effect of testosterone replacement therapy -
cx cx cx cx cx cx




anshot flashes, bone fx, decrease libido, insulin resistance, erectile dysfunction, acne, HT
cx cx cx cx cx cx cx cx cx cx cx cx




N, sterility, aggression, and mood swings.
cx cx cx cx cx




Alprostadil benefits of various routes: for ED - cx cx cx cx cx cx cx




ansThe injection needs to be done by the patient or in ER setting: rapidly leads to erection,
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx




painless
Intraurethral pellet insertion: can be done by the patient, an erection occurs within 5-cx cx cx cx cx cx cx cx cx cx cx cx cx




10 mins minimal side effects
cx cx cx cx




How does carbamazepine impact oral contraceptives and what symptoms may be associat
cx cx cx cx cx cx cx cx cx cx cx




ed with that? - ansaccelerated OC medication and reducing OC EFFECT
cx cx cx cx cx cx cx cx cx cx




How might this affect which OCP is prescribed Carbamazepine -
cx cx cx cx cx cx cx cx cx




ansIncrease the estrogen dosage of the OC
cx cx cx cx cx cx cx




Combine the OC with a second from a birth control cx cx cx cx cx cx cx cx cx




Switch to an alternation form of birth control
cx cx cx cx cx cx cx




Benefits of Etonogestrel subdermal implant (Nexplanon) - cx cx cx cx cx cx




ansit is one of the most effective forms of contraception, long term option is 5 years, reversi
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx




ble by removing rod
cx cx cx




can take with women with a hx of thrombosis
cx cx cx cx cx cx cx cx




· Papaverine plus phentolamine Patient Education -
cx cx cx cx cx cx




ansDo not inject more than once in a 24 hours period, notify provide if erection duration and
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx c




efficacy, consult MD before taking new medication, seek medical attention right away if ere
x cx cx cx cx cx cx cx cx cx cx cx cx cx




ction is >3 hours cx cx cx




Syphilis 1st line treatment - ansPenicillin G IV cx cx cx cx cx cx cx