NR566 FINAL EXAM QUESTIONS AND
ANSWERS
Chlamydia treatment first line drug, dose, route and frequency - Answer-Doxycycline
100 mg PO BID x 7 days
or
Azithromycin 1000 mg po once
Uncomplicated gonorrhea urethritis treatment - Answer-ceftriaxone 500 mg IM single
dose with or without doxycycline 100 mg 2x days for days
Bacterial Vagionosis
1st line Treatment - Answer-Non pregnant metronidazole 500 mg 2xdays for 7 days
pregnant - vaginal metronidazole 2% for 7 days
clindamycin 1% for 7 days
HSV (herpes simplex virus) 12st line treatment - Answer-1 Clinical episode: Acyclovir
400 mg 3x days for 7-10 days
2 Clinical episode: Acyclovir 800 mg 2x days for 5 days
Trichomoniasis treatment - Answer-Metronidazole (Flagyl) 500 mg 2x day for 7 days
(WOMEN)
single dose of 2 grams for MEN
MEN or Women tinidazole 2g single
doxazosin (BPH treatment) (a1 blocker) side effect - Answer-side effect
hypotension, dizziness, nasal congestions
Dutasteride (Avodart) BPH treatment (5a reductase inhibitors) patient teaching -
Answer-benefits take months to develop, must continue taking med even if
improvement not readily seen
may lower ejaculatory volume and libido
Terazosin (Hytrin) how to know is working - Answer-improve symptom of dysuria,
urgency, UTI, hesitancy
Progesterone (progestin) When is day not safe to prescribe - Answer-if women has had
a hysterectomy/pregnant
Side effect of progestin oral contraceptives - Answer-it can cause irregular/ inconsistent
bleeding, must be take at same time very day to be effective
, Medroxyprogesterone Acetate benefits - Answer-doesn't cause thromboembolic
disorder, headache, nausea or most of the other adverse effects associated with combo
OCs.
testosterone replacement therapy routes - Answer-administering testosterone
supplement through, pill, injections, and patches.
Testosterone patch patient teaching - Answer-wash hands after applying
cover application site with clothing after the drug had dried
wash the application site before skin-to-skin contact another person
Androgen therapy appropriate vs. not needed related to puberty - Answer-Short term:
The psychological pressures of delayed sexual maturation are causing a boy significant
distress
Long term: if delayed puberty related to true hypogonadism
Side effect of testosterone replacement therapy - Answer-hot flashes, bone fx, decrease
libido, insulin resistance, erectile dysfunction, acne, HTN, sterility, aggression, and
mood swings.
Alprostadil benefits of various routes: for ED - Answer-The injection needs to be done
by the patient or in ER setting: rapidly leads to erection, painless
Intraurethral pellet insertion: can be done by the patient, an erection occurs within 5-10
mins minimal side effects
How does carbamazepine impact oral contraceptives and what symptoms may be
associated with that? - Answer-accelerated OC medication and reducing OC EFFECT
How might this affect which OCP is prescribed Carbamazepine - Answer-Increase the
estrogen dosage of the OC
Combine the OC with a second from a birth control
Switch to an alternation form of birth control
Benefits of Etonogestrel subdermal implant (Nexplanon) - Answer-it is one of the most
effective forms of contraception, long term option is 5 years, reversible by removing rod
can take with women with a hx of thrombosis
· Papaverine plus phentolamine Patient Education - Answer-Do not inject more than
once in a 24 hours period, notify provide if erection duration and efficacy, consult MD
before taking new medication, seek medical attention right away if erection is >3 hours
Syphilis 1st line treatment - Answer-Penicillin G IV
Pramipexole (Mirapex) adverse effect - Answer-Nausea, dizziness, daytime sleep
attacks, insomnia, constipation, weakness, and hallucinations,
ANSWERS
Chlamydia treatment first line drug, dose, route and frequency - Answer-Doxycycline
100 mg PO BID x 7 days
or
Azithromycin 1000 mg po once
Uncomplicated gonorrhea urethritis treatment - Answer-ceftriaxone 500 mg IM single
dose with or without doxycycline 100 mg 2x days for days
Bacterial Vagionosis
1st line Treatment - Answer-Non pregnant metronidazole 500 mg 2xdays for 7 days
pregnant - vaginal metronidazole 2% for 7 days
clindamycin 1% for 7 days
HSV (herpes simplex virus) 12st line treatment - Answer-1 Clinical episode: Acyclovir
400 mg 3x days for 7-10 days
2 Clinical episode: Acyclovir 800 mg 2x days for 5 days
Trichomoniasis treatment - Answer-Metronidazole (Flagyl) 500 mg 2x day for 7 days
(WOMEN)
single dose of 2 grams for MEN
MEN or Women tinidazole 2g single
doxazosin (BPH treatment) (a1 blocker) side effect - Answer-side effect
hypotension, dizziness, nasal congestions
Dutasteride (Avodart) BPH treatment (5a reductase inhibitors) patient teaching -
Answer-benefits take months to develop, must continue taking med even if
improvement not readily seen
may lower ejaculatory volume and libido
Terazosin (Hytrin) how to know is working - Answer-improve symptom of dysuria,
urgency, UTI, hesitancy
Progesterone (progestin) When is day not safe to prescribe - Answer-if women has had
a hysterectomy/pregnant
Side effect of progestin oral contraceptives - Answer-it can cause irregular/ inconsistent
bleeding, must be take at same time very day to be effective
, Medroxyprogesterone Acetate benefits - Answer-doesn't cause thromboembolic
disorder, headache, nausea or most of the other adverse effects associated with combo
OCs.
testosterone replacement therapy routes - Answer-administering testosterone
supplement through, pill, injections, and patches.
Testosterone patch patient teaching - Answer-wash hands after applying
cover application site with clothing after the drug had dried
wash the application site before skin-to-skin contact another person
Androgen therapy appropriate vs. not needed related to puberty - Answer-Short term:
The psychological pressures of delayed sexual maturation are causing a boy significant
distress
Long term: if delayed puberty related to true hypogonadism
Side effect of testosterone replacement therapy - Answer-hot flashes, bone fx, decrease
libido, insulin resistance, erectile dysfunction, acne, HTN, sterility, aggression, and
mood swings.
Alprostadil benefits of various routes: for ED - Answer-The injection needs to be done
by the patient or in ER setting: rapidly leads to erection, painless
Intraurethral pellet insertion: can be done by the patient, an erection occurs within 5-10
mins minimal side effects
How does carbamazepine impact oral contraceptives and what symptoms may be
associated with that? - Answer-accelerated OC medication and reducing OC EFFECT
How might this affect which OCP is prescribed Carbamazepine - Answer-Increase the
estrogen dosage of the OC
Combine the OC with a second from a birth control
Switch to an alternation form of birth control
Benefits of Etonogestrel subdermal implant (Nexplanon) - Answer-it is one of the most
effective forms of contraception, long term option is 5 years, reversible by removing rod
can take with women with a hx of thrombosis
· Papaverine plus phentolamine Patient Education - Answer-Do not inject more than
once in a 24 hours period, notify provide if erection duration and efficacy, consult MD
before taking new medication, seek medical attention right away if erection is >3 hours
Syphilis 1st line treatment - Answer-Penicillin G IV
Pramipexole (Mirapex) adverse effect - Answer-Nausea, dizziness, daytime sleep
attacks, insomnia, constipation, weakness, and hallucinations,
