NR566 FINAL study questions with certified answers

Chlamydia treatment first line drug, dose, route and frequency Ans Doxycycline 100 mg PO BID x 7 days or Azithromycin 1000 mg po once Uncomplicated gonorrhea urethritis treatment Ans ceftriaxone 500 mg IM single dose with or without doxycycline 100 mg 2x days for days Bacterial Vagionosis 1st line Treatment Ans 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 Ans 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 Ans 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 Ans side effect hypotension, dizziness, nasal congestions Dutasteride (Avodart) BPH treatment (5a reductase inhibitors) patient teaching Ans 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 Ans improve symptom of dysuria, urgency, UTI, hesitancy Progesterone (progestin) When is day not safe to prescribe Ans if women has had a hysterectomy/pregnant Side effect of progestin oral contraceptives Ans it can cause irregular/ inconsistent bleeding, must be take at same time very day to be effective Medroxyprogesterone Acetate benefits Ans doesn't cause thromboembolic disorder, headache, nausea or most of the other adverse effects associated with combo OCs. testosterone replacement therapy routes Ans administering testosterone supplement through, pill, injections, and patches. Testosterone patch patient teaching Ans 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 Ans 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 Ans hot flashes, bone fx, decrease libido, insulin resistance, erectile dysfunction, acne, HTN, sterility, aggression, and mood swings. Alprostadil benefits of various routes: for ED Ans 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? Ans accelerated OC medication and reducing OC EFFECT How might this affect which OCP is prescribed Carbamazepine Ans 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) Ans 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 Ans 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 Ans Penicillin G IV