NR 566 Final Exam Questions and Correct Answers | Latest Update

Raloxifene (Evista) and bisphosphonates (alendronate, calcitonin) -:- alternatives for hormone replacement therapy Selective Estrogen Receptor Modulators (SERMs) -:- Tamoxifen, toremifene, raloxifene -- provide estrogen benefits while avoiding its drawbacks Dysfunctional uterine bleeding -:- 10-14 day course of progestin Amenorrhea treatment -:- progestin helps induce menstrual flow Amenorrhea estrogen levels are low -:- give progestin for 5-10 days Long term progestin therapy -:- protection against endometrial cancer 2 | P a g e | G r a d e A + | 2 0 2 4 / 2 0 2 5 2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain | Excel! Estradiol -:- most active estrogenic compound. oral estrogen option Advantages of estrogen transdermal patch -:- lower total estrogen dose. less n/v. less fluctuation of estrogen blood levels. lower r/f DVT, PE and stroke Femring -:- intravaginal ring controls hot flashes and night sweats. Treats vulval and vaginal atrophy No gap method of changing from one OC to another -:- go straight from one type of OC to the other without taking a gap. initiating OC treatment -:- first day of menstrual cycle (no backup BC needed) OR first sunday after onset of menses (backup BC needed for 7 days) Initiating androgen therapy short term -:- delayed sexual maturation causing a boy significant distress. Limited course of Fluoxymesterone and methyltestosterone are approved. 3 | P a g e | G r a d e A + | 2 0 2 4 / 2 0 2 5 2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain | Excel! androgen therapy long term -:- if delayed puberty is the result of true hypogonadism role of androgens in anemia -:- promote synthesis of erythropoietin the renal hormone that stimulates production of RBCs Alprostadil preferred administration -:- direct injection into the corpus cavernosum. Rapid response Finasteride -:- BPH tx 5a reductase inhibitor. Causes prostate to shrink. benefits take months Tamsulosin -:- BPH tx alpha adrenergic antagonist. relaxes smooth muscle. benefits are rapid Adverse effects of silodosin and tamsulosin -:- r/f floppy iris syndrome during cataract surgery. Chlamydia tx -:- azithromycin 1g PO x single dose. doxycycline 100mg PO BID 7 days 4 | P a g e | G r a d e A + | 2 0 2 4 / 2 0 2 5 2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain | Excel! Gonococcal urethritis tx -:- ceftriaxone IM single dose 250mg-1g based on weight Bacterial vaginosis tx -:- metronidazole 500mg PO 2x day for 7 days. Herpes (HSV) tx -:- acyclovir 400mg TID 7-10 days, valacyclovir or famciclovir Trichomoniasis tx -:- metronidazole 2g PO x1 dose or tinidazole Syphilis -:- benzathine penicillin 2.4mil units IM Mild symptoms PD tx -:- MAO-B inhibitor like rasagiline or selegiline Severe symptoms PD t