NR 566 Final Study Guide with Complete
Solutions
Chlamydia
(Among Adolescents and Adults) Treatment - ANSWER-Doxycycline 100 mg Orally BID
for 7 day
**Alternative therapy:
- Azithromycin 1g Orally in a single dose
- Levofloxacin 500 mg orally daily for 7 days
Uncomplicated gonococcal urethritis Treatment - ANSWER-Chlamydial infection is
excluded:
Ceftriaxone 500 mg IM single dose
- Other parenteral third generation Cephalosporin (Ceftizoxime or Cefotaxime) +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID for 14 days
Syphilis Treatment - ANSWER-Benzathine Penicillin G 2.4 million units IM in a single
dose
Doxazosin side effects (due to alpha 1 receptor being blocked) -
ANSWER-dizziness/syncope, headache, first-dose orthostatic hypotension, drowsiness,
nasal congestion
If Chlamydial infection has not been excluded:
- Ceftriaxone 500 mg IM single dose
- Doxycycline 100 mg Orally BID for 7 day
**Alternative therapy:
-Gentamicin 240 mg IM in a single dose +
Azithromycin 2 g orally in a single dose
- Cefixime 800 mg orally in a single dose
Bacterial Vaginosis Treatment - ANSWER-- Metronidazole 500 mg orally BID for 7 days
- Metronidazole gel 0.75% one full applicator intravaginal, once a day for 5 days
- Clindamycin vaginal cream 2% one full applicator intravaginal, at bedtime for 7 days
Herpes Simplex Virus
, How does carbamazepine impact oral contraceptives and what symptoms may be
associated with that? - ANSWER-accelerates OC metabolism, reducing OC effect
can lead to abnormal bleeding, return of menstrual symptoms, and of course
pregnancy!
what can the provider do is carbamazepine effecting patient's OC? - ANSWER-1.
Increase the estrogen dosage of the OC.
2. Combine the OC with a second form of birth control.
3. Switch to an alternative form of birth control.
Benefits of Etonogestrel subdermal implant (Nexplanon)? - ANSWER-it is one of the
most effective forms of contraception, long-term option (contraception up to 5 years),
reversible by removing rod
- Safe during breastfeeding after the 21st day postpartum
Papaverine plus phentolamine patient education: - ANSWER-do not inject more than
once in a 24 hr period, notify provider of erection duration and efficacy, do not take
other ED meds with this medication, needle/injection teaching, do not change the dose
yourself, seek medical attention if erection is >3 hrs
(First Clinical Episode) Treatment - ANSWER-- Acyclovir 400 mg orally TID for 7-10
days
- Famciclovir 250 mg orally TID for 7-10 days
- Valacyclovir 1 g orally twice a day for 7-10 days
Pelvic Inflammatory Disease (PID) (IM or Oral Regimens) Treatment - ANSWER--
Ceftriaxone 500 mg IM in a single dose +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID of 14 days
- Cefoxitin 2g IM in a single dose +
Probenecid 1g orally in a single dose +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID for 14 days
Dutasteride (Avodart) patient teaching - ANSWER-benefits take months to develop,
must continue taking med even if improvement not rapidly seen
may lower ejaculatory volume & libido
Solutions
Chlamydia
(Among Adolescents and Adults) Treatment - ANSWER-Doxycycline 100 mg Orally BID
for 7 day
**Alternative therapy:
- Azithromycin 1g Orally in a single dose
- Levofloxacin 500 mg orally daily for 7 days
Uncomplicated gonococcal urethritis Treatment - ANSWER-Chlamydial infection is
excluded:
Ceftriaxone 500 mg IM single dose
- Other parenteral third generation Cephalosporin (Ceftizoxime or Cefotaxime) +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID for 14 days
Syphilis Treatment - ANSWER-Benzathine Penicillin G 2.4 million units IM in a single
dose
Doxazosin side effects (due to alpha 1 receptor being blocked) -
ANSWER-dizziness/syncope, headache, first-dose orthostatic hypotension, drowsiness,
nasal congestion
If Chlamydial infection has not been excluded:
- Ceftriaxone 500 mg IM single dose
- Doxycycline 100 mg Orally BID for 7 day
**Alternative therapy:
-Gentamicin 240 mg IM in a single dose +
Azithromycin 2 g orally in a single dose
- Cefixime 800 mg orally in a single dose
Bacterial Vaginosis Treatment - ANSWER-- Metronidazole 500 mg orally BID for 7 days
- Metronidazole gel 0.75% one full applicator intravaginal, once a day for 5 days
- Clindamycin vaginal cream 2% one full applicator intravaginal, at bedtime for 7 days
Herpes Simplex Virus
, How does carbamazepine impact oral contraceptives and what symptoms may be
associated with that? - ANSWER-accelerates OC metabolism, reducing OC effect
can lead to abnormal bleeding, return of menstrual symptoms, and of course
pregnancy!
what can the provider do is carbamazepine effecting patient's OC? - ANSWER-1.
Increase the estrogen dosage of the OC.
2. Combine the OC with a second form of birth control.
3. Switch to an alternative form of birth control.
Benefits of Etonogestrel subdermal implant (Nexplanon)? - ANSWER-it is one of the
most effective forms of contraception, long-term option (contraception up to 5 years),
reversible by removing rod
- Safe during breastfeeding after the 21st day postpartum
Papaverine plus phentolamine patient education: - ANSWER-do not inject more than
once in a 24 hr period, notify provider of erection duration and efficacy, do not take
other ED meds with this medication, needle/injection teaching, do not change the dose
yourself, seek medical attention if erection is >3 hrs
(First Clinical Episode) Treatment - ANSWER-- Acyclovir 400 mg orally TID for 7-10
days
- Famciclovir 250 mg orally TID for 7-10 days
- Valacyclovir 1 g orally twice a day for 7-10 days
Pelvic Inflammatory Disease (PID) (IM or Oral Regimens) Treatment - ANSWER--
Ceftriaxone 500 mg IM in a single dose +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID of 14 days
- Cefoxitin 2g IM in a single dose +
Probenecid 1g orally in a single dose +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID for 14 days
Dutasteride (Avodart) patient teaching - ANSWER-benefits take months to develop,
must continue taking med even if improvement not rapidly seen
may lower ejaculatory volume & libido
