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NR 508 MIDTERM EXAM.docx
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NR 508 MIDTERM EXAM.docx
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NR 508 /NR508 MIDTERM EXAM 2024NEWEST! 2 VERSIONS WITH OVER 200
QUESTIONS WITH DETAILED
VERIFIED ANSWERS AND RATIONALES
BRAND NEW!! /A+ GRADE ASSURED
Helima presents with a complaint of vaginal discharge that
when tested meets the criteria for bacterial vaginosis.
Treatment of bacterial vaginosis in nonpregnant symptomatic
women would be:
1. Metronidazole 500 mg PO bid x 7 days
2. Doxycycline 100 mg PO bid x 7 days
3. Intravaginal tinidazole daily x 5 days
4. Metronidazole 2 grams PO x 1 dose -
...ANSWER...1. Metronidazole 500 mg PO bid x 7 days
Besides prescribing antimicrobial therapy, patients with
bacterial vaginosis require education regarding the fact that:
1. The most recent partners in the past 60 days should also
be treated.
2. Alcohol should not be consumed during and for 1 day
after metronidazole is taken.
3. Condoms should be used during intercourse if
intravaginal clindamycin cream is used.
4. Co-treatment for chlamydia is necessary. -
...ANSWER...2. Alcohol should not be consumed during and
for 1 day after metronidazole is taken.
,Sydney presents to the clinic with vulvovaginal candidiasis.
Appropriate treatment for her would be:
1. OTC intravaginal clotrimazole
2. OTC intravaginal miconazole
3. Oral fluconazole one-time dose
4. Any of the above - ...ANSWER...4. Any of the above
If a woman presents with recurrent vulvovaginal candidiasis
she may be treated with:
1. Weekly intravaginal butoconazole for 3 months
2. Fluconazole 150 mg PO daily x 7 doses then monthly for
6 months
3. Weekly fluconazole 150 mg PO x 6 months
4. Intravaginal tioconazole x 14 days - ...ANSWER...4.
Intravaginal tioconazole x 14 days
Zoe presents with genital warts present on her labia. Patient-
applied topical therapy for warts includes:
1. Podofilox 0.5% gel
2. Podophyllin 10% resin
3. Trichloracetic acid
4. Any of the above - ...ANSWER...1. Podofilox 0.5% gel
Sophie presents to the clinic with a malodorous vaginal
discharge and is confirmed to have Trichomonas infection.
Treatment for her would include:
1. Metronidazole 2 grams PO x 1 dose
2. Topical intravaginal metronidazole daily x 7 days
3. Intravaginal clindamycin daily x 7 days
4. Azithromycin 2 grams PO x 1 dose - ...ANSWER...1.
Metronidazole 2 grams PO x 1 dose
,In addition to antimicrobial therapy, patients treated for
Trichomonas infection should be educated regarding:
1. Necessity of treating sexual partner simultaneously
2. Abstaining from intercourse until both partners are treated
3. Need for retesting in 3 months due to high reinfection rate
4. All of the above - ...ANSWER...4. All of the above
Prescribing for women during their childbearing years
requires constant awareness of the possibility of:
1. Pregnancy unless the women is on birth control
2. Risk for silent bacterial or viral infections of the genitalia
3. High risk for developmental disorders in their infants
4. Decreased risk for abuse during this time - ...ANSWER...2.
Risk for silent bacterial or viral infections of the genitalia
Intimate partner violence is a serious public health problem. It
should be screened for:
1. At every encounter within the health-care system
2. When a women is being seen for symptoms of depression
3. Throughout pregnancy
4. If a sexually transmitted disease is diagnosed -
...ANSWER...1. At every encounter within the health-care
system
Because of their longer life expectancy, women are more
likely than men to experience a disabling condition. Common
conditions in older women that can produce disability include:
1. Depression
2. Panic disorders
3. Dementia
4. All of the above - ...ANSWER...4. All of the above
, Gender differences between men and women in
pharmacokinetics include:
1. More rapid gastric emptying so that drugs absorbed in the
stomach have less exposure to absorption sites
2. Higher proportion of body fat so that lipophilic drugs
have relatively greater volumes of distribution
3. Increased levels of bile acids so that drugs metabolized
in the intestine have higher concentrations
4. Slower organ blood flow rates so drugs tend to take longer
to be excreted - ...ANSWER...2. Higher proportion of body
fat so that lipophilic drugs have relatively greater volumes of
distribution
Which of the following drug classes is associated with
significant differences in metabolism based on gender?
1. Beta blockers
2. Antibiotics
3. Serotonin reuptake inhibitors
4. Angiotensin-converting-enzyme (ACE) inhibitors -
...ANSWER...3. Serotonin reuptake inhibitors
Since 40% of bone accrual occurs during adolescence,
building bone during this time is critical. Ways to improve
bone accrual in adolescents include:
1. Use of bisphosphonates early if dual energy X-ray
absorptiometry (DEXA) scans show limited bone
accrual
2. Encouraging a daily dietary intake of 1,300 mg of
calcium and 400 IU of vitamin D
3. Avoiding all birth control methods that
include progesterone
4. Fostering the intake of iron mainly in green and leafy
vegetables - ...ANSWER...2. Encouraging a daily
dietary intake of 1,300 mg of calcium and 400 IU of
vitamin D
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