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NR566 STUDY GUIDE REVIEW SET QUESTIONS AND ANSWERS
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NR566 STUDY GUIDE REVIEW SET QUESTIONS AND ANSWERS
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NR566 STUDY GUIDE REVIEW SETQUESTIONS AND ANSWERS
Chlamydia (among adults and adolescents) - Answer-azithromycin 1g PO once, or
doxycycline 100mg PO 2 times/ day x 7 days
Uncomplicated gonococcal urethritis - Answer-ceftriaxone 250mg IM once, plus
azithromycin 1g PO once
Bacterial vaginosis - Answer-Metronidazole 500 mg PO 2 times/dayx7 days or
Metronidazole gel (0.75%) 1 full applicator (5g) intravaginally once/day x5 days or
Clindamycin cream (2%) 1 full applicator (5g) intravaginally at bedtime x7 days
Herpes Simplex Virus (First Clinical Episode) - Answer-Acyclovir 400mg PO 3 times/day
7-10 days
Acyclovir 200mg PO 5 times/day 7-10 days
Famciclovir 250mgPO 3 times/day 7-10 days
Valacyclovir 1g PO 2 times/day every 8 hrs. for 2-7 days until clinical improvement, then
PO acyclovir to complete at least 10 days
Pelvic Inflammatory Disease (PID)
IM or Oral Regimens - Answer-Combination therapy will be needed
doxycycline (100mg PO 2 times/day x14days) plus cefoxitin (2g IM once boosted with
probenecid 1g PO once)
Ceftriaxone (250 mg IM once) with or without metronidazole (500 mg PO 2 times /day
x14 days )
Syphillis: Primary/ Secondary - Answer-Benzathine penicillin G 2.4 million units IM once
Doxazosin - Answer-Alpha Selective Drug used for BPH
side effects are HTN, fainting, dizziness, somnolence and nasal congestion.
dutrasteride - Answer-5a reductase inhibitor that is used for BPH.
Patient EDU: reduces ejaculate volume and libido.
-It cause a decline in PSA in all men.
- It is TERATOGENIC ! it can be absorbed through the skin
-ALL pregnant women should avoid
-Men should not donate blood to avid transmission to women through PRBCs
transfusions
- increases the like hood of high - grade prostate tumor. (should not be used for prostate
cancer prevention)
- must be not be broken or crushed. Take whole with a full glass of water
, Terazosin - Answer-How do you know its working ? For BPH.
various routes of estrogen - Answer-oral, transdermal, intravaginal, parenteral
When is it not safe and or safe to prescribe progesterone (AKA prohestrone ) - Answer-
undiagnosed abnormal vaginal bleeding, active thrombophlebitis, history of thrombolytic
disorders, active liver disease, carcinoma of the breast.
side effects of progestin- only oral contraceptives' - Answer-irregular bleeding, spotting,
amenorrhea, inconsistent cycle length.
benefits of prescribing medroxyprogesterone acetate - Answer-mensuration may cease
completely.
risk for reversible bone loss but the benefits still out way this risk
testerone patient teaching in general - Answer--Virilization may occur in women with
overuse.
-accelerated bone maturation in children can decrease attainable adult height
- can cause hepatitis, jaundice, and liver disease
- retention can occur
- can cause masculization of the female fetus
testostrone topical - Answer-wash hands after every application
cover application site up with clothing after the gel has dried
was the area before contact with another person
women and children should avoid contact with the user skin and wash contaminated are
if contact does occur
Androgens - Answer-tell female patients about the signs of virilization
monitor for liver dysfunction
monitor for the swelling of extremities or unusual weight gain,
remind childbearing age that tis can cause child malformations
When is androgen therapy appropriate vs. not needed related to puberty? - Answer-a
limited course of therapy off label if psychologic pressures of delayed sexual maturation
are causing boy significant distress.
Common side effects in testosterone therapy - Answer-virilization, premature epiphyseal
closure, hepatoxicity, effects cholesterol levels, prostate cancer, edema, abuse
potential, risk for thromboembolic event may occur.
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