NU664 Exam 1 Study Guide Exam Questions (ACTUAL
EXAM)/NEWEST WITH WELL SORTED QUESTIONS AND
ANSWERS /GRADED A+
Influenza symptoms
Ans: fever, couch, myalgia (malaise, sore throat, nausea, nasal congestion, headache)
Influenza Management
Ans: meds to improve comfort (Tylenol/Ibuprofen other OTC)
+ Oseltamivir 75mg PO BID x 5 days
Medication not to take with influenza
Ans: Salicylates (Aspirin) = Reyes Syndrome
Flu vaccine recommendations in pregnancy
Ans: pregnant patients should get the flu shot during any trimester
NO nasal spray flu
Benefit of flu shot during pregnancy
,Ans: prevent hospitalization, protect baby from flu for several months after birth
Influenza treatment in pregnancy
Ans: prompt empiric treatment with antiviral medication (Oseltamivir 75mg PO BID x 5 days)
greatest benefit within 48 hours of symptoms
Which birth control methods have estrogen and progesterone
Ans: Combination pills, Patch (Ortho Vera) Ring (NuvaRing)
How do combination pills work
Ans: inhibit ovulation, decrease ovum transport, early luteolysis, thicken cervical mucous, alter
endometrium (thin)
Dose range for combination pills
Ans: 10mcg-20mcg
When would you increase the dose of a combination pill
Ans: irregular bleeding
When should you start a combination pill
Ans: first day of menses or first Sunday after menses occur (helps prevent their cycle during the
weekend)
Failure of combination birth control
,Ans: Typical 9%, perfect 0.1%
Advantages of combination pills
Ans: cycle control
reduce dysmenorrhea, ovarian cysts, anemia, PMDD, mittelschmerz (pain with ovulation), acne,
hirsutism, PID, pain from endometriosis
prevents ovarian, endometrial & breast cancer
improves bone mineral density
reduced menstrual bone loss by 60% -- prevents iron deficiency anemia
Disadvantages of combination pills
Ans: expense, daily dosing, break through bleeding, glucose intolerance, gall bladder disease
Side effects of combination pills
Ans: break through bleeding, N/B, HA, breast tenderness, mood changes (depression)
Major complications of combination pills
Ans: thrombophlebitis, PE, CVC, cancer, hepatocellular adenoma
Drug-drug interactions wit combination pills
Ans: rifampin, vit C, anti-convulsants, St. John's wort
, Patient on antibiotics for strep throat/sinusitis need to make what change when taking combination
birth control pills
Ans: use condoms during antibiotic use and through one week post-treatment
What are the emergency warning signs of a blood clot related to combination pills
Ans: ACHES - abdominal pain, chest pain, HA, eye or visual changes, swelling
Patient teaching for combination pills
Ans: continue condom use for STI prevention
If someone experiences a symptoms of ACHES they should
Ans: go to the emergency room and do no take the pill
When will FU be after starting combination birth control
Ans: 3-6 months
What should someone do if they miss a combination pill by less than 12 hours/1 dose
Ans: take the pill immediately, no additional or emergency contraception needed, continue rest of the
pack
what should someone do if they miss more than 1 combination pill
Ans: take today's pill and forgotten pill (2 pills in 1 day) if there are at least seven active pills in the pack
When does someone with a missed combination pill need emergency contraception
Ans: - if there was intercourse within 7 days of two missed pills
EXAM)/NEWEST WITH WELL SORTED QUESTIONS AND
ANSWERS /GRADED A+
Influenza symptoms
Ans: fever, couch, myalgia (malaise, sore throat, nausea, nasal congestion, headache)
Influenza Management
Ans: meds to improve comfort (Tylenol/Ibuprofen other OTC)
+ Oseltamivir 75mg PO BID x 5 days
Medication not to take with influenza
Ans: Salicylates (Aspirin) = Reyes Syndrome
Flu vaccine recommendations in pregnancy
Ans: pregnant patients should get the flu shot during any trimester
NO nasal spray flu
Benefit of flu shot during pregnancy
,Ans: prevent hospitalization, protect baby from flu for several months after birth
Influenza treatment in pregnancy
Ans: prompt empiric treatment with antiviral medication (Oseltamivir 75mg PO BID x 5 days)
greatest benefit within 48 hours of symptoms
Which birth control methods have estrogen and progesterone
Ans: Combination pills, Patch (Ortho Vera) Ring (NuvaRing)
How do combination pills work
Ans: inhibit ovulation, decrease ovum transport, early luteolysis, thicken cervical mucous, alter
endometrium (thin)
Dose range for combination pills
Ans: 10mcg-20mcg
When would you increase the dose of a combination pill
Ans: irregular bleeding
When should you start a combination pill
Ans: first day of menses or first Sunday after menses occur (helps prevent their cycle during the
weekend)
Failure of combination birth control
,Ans: Typical 9%, perfect 0.1%
Advantages of combination pills
Ans: cycle control
reduce dysmenorrhea, ovarian cysts, anemia, PMDD, mittelschmerz (pain with ovulation), acne,
hirsutism, PID, pain from endometriosis
prevents ovarian, endometrial & breast cancer
improves bone mineral density
reduced menstrual bone loss by 60% -- prevents iron deficiency anemia
Disadvantages of combination pills
Ans: expense, daily dosing, break through bleeding, glucose intolerance, gall bladder disease
Side effects of combination pills
Ans: break through bleeding, N/B, HA, breast tenderness, mood changes (depression)
Major complications of combination pills
Ans: thrombophlebitis, PE, CVC, cancer, hepatocellular adenoma
Drug-drug interactions wit combination pills
Ans: rifampin, vit C, anti-convulsants, St. John's wort
, Patient on antibiotics for strep throat/sinusitis need to make what change when taking combination
birth control pills
Ans: use condoms during antibiotic use and through one week post-treatment
What are the emergency warning signs of a blood clot related to combination pills
Ans: ACHES - abdominal pain, chest pain, HA, eye or visual changes, swelling
Patient teaching for combination pills
Ans: continue condom use for STI prevention
If someone experiences a symptoms of ACHES they should
Ans: go to the emergency room and do no take the pill
When will FU be after starting combination birth control
Ans: 3-6 months
What should someone do if they miss a combination pill by less than 12 hours/1 dose
Ans: take the pill immediately, no additional or emergency contraception needed, continue rest of the
pack
what should someone do if they miss more than 1 combination pill
Ans: take today's pill and forgotten pill (2 pills in 1 day) if there are at least seven active pills in the pack
When does someone with a missed combination pill need emergency contraception
Ans: - if there was intercourse within 7 days of two missed pills
