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NR 566 FINAL EXAM REVIEW QUESTIONS WITH VERIFIED ANSWERS

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NR 566 FINAL EXAM REVIEW QUESTIONS WITH VERIFIED ANSWERS

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  • August 15, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NR566
  • NR566
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biggdreamer
NR 566 FINAL EXAM REVIEW
QUESTIONS WITH VERIFIED ANSWERS
Raloxifene (evista) and bisphosphonates (alendronate, calcitonin) - answer-alternatives
for hormone replacement therapy

Selective estrogen receptor modulators (serms) - answer-tamoxifen, toremifene,
raloxifene -- provide estrogen benefits while avoiding its drawbacks

Dysfunctional uterine bleeding - answer-10-14 day course of progestin

Amenorrhea treatment - answer-progestin helps induce menstrual flow

Amenorrhea estrogen levels are low - answer-give progestin for 5-10 days

Long term progestin therapy - answer-protection against endometrial cancer

Estradiol - answer-most active estrogenic compound. Oral estrogen option

Advantages of estrogen transdermal patch - answer-lower total estrogen dose. Less
n/v. Less fluctuation of estrogen blood levels. Lower r/f dvt, pe and stroke

Femring - answer-intravaginal ring controls hot flashes and night sweats. Treats vulval
and vaginal atrophy

No gap method of changing from one oc to another - answer-go straight from one type
of oc to the other without taking a gap.

Initiating oc treatment - answer-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 - answer-delayed sexual maturation causing a
boy significant distress. Limited course of fluoxymesterone and methyltestosterone are
approved.

Androgen therapy long term - answer-if delayed puberty is the result of true
hypogonadism

Role of androgens in anemia - answer-promote synthesis of erythropoietin the renal
hormone that stimulates production of rbcs

Alprostadil preferred administration - answer-direct injection into the corpus
cavernosum. Rapid response

, Finasteride - answer-bph tx 5a reductase inhibitor. Causes prostate to shrink. Benefits
take months

Tamsulosin - answer-bph tx alpha adrenergic antagonist. Relaxes smooth muscle.
Benefits are rapid

Adverse effects of silodosin and tamsulosin - answer-r/f floppy iris syndrome during
cataract surgery.

Chlamydia tx - answer-azithromycin 1g po x single dose. Doxycycline 100mg po bid 7
days

Gonococcal urethritis tx - answer-ceftriaxone im single dose 250mg-1g based on weight

Bacterial vaginosis tx - answer-metronidazole 500mg po 2x day for 7 days.

Herpes (hsv) tx - answer-acyclovir 400mg tid 7-10 days, valacyclovir or famciclovir

Trichomoniasis tx - answer-metronidazole 2g po x1 dose or tinidazole

Syphilis - answer-benzathine penicillin 2.4mil units im

Mild symptoms pd tx - answer-mao-b inhibitor like rasagiline or selegiline

Severe symptoms pd tx - answer-levodopa + carbodopa or dopamine agonist

Pd tx for improving motor function - answer-levodopa

Pd tx for drug induced dyskinesias - answer-dopamine agonist

Comt inhibitor - answer-entacapone (comtan). Added to levo/carbidopa to increase levo
concentrations & extend half life & decrease wearing off time

Pramipexole side effects - answer-impulse control disorders, combined with levodopa
causes orthostatic hypotension and dyskinesias

Pregabalin - answer-safest medication for seizure patients on oc

Phenytoin - answer-can decrease effects of ocs, warfarin and glucocorticoids

Migraine tx 1st line - answer-serotonin 1b/1d receptor agonists (triptans)

First line migraine prevention - answer-propanolol

Divalproex - answer-antiepileptic med reduce migraine attacks. Contraindicated in
pregnancy

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