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NR566 FINAL EXAM STUDY GUIDE QUESTIONS AND ANSWERS
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NR566 FINAL EXAM STUDY GUIDE QUESTIONS AND ANSWERS
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NR566 FINAL EXAM STUDY GUIDEQUESTIONS AND ANSWERS
First line drug, dose, route, frequency: Chlamydia
(Among Adolescents and Adults) - Answer-Doxycycline 100 mg PO BID x 7 days
ALTERNATIVE:
Azithromycin 1000 mg po once
Or
Levofloxacin 500mg PO daily for 7 days
First line drug, dose, route, frequency: Uncomplicated gonococcal urethritis - Answer-
ceftriaxone 500 mg IM single dose
First line drug, dose, route, frequency: Bacterial Vaginosis - Answer-metronidazole 500
mg BID for 7 days OR
Metronidazole gel 0.75%one full applicator (5 g) intravaginally, once a day for 5 days
OR
Clindamycin vaginal cream 2%one full applicator (5 g) intravaginally at bedtime for 7
days
First line drug, dose, route, frequency: Herpes Simplex Virus
(First Clinical Episode) - Answer-1st Clinical episode:
Acyclovir 400 mg 3x days for 7-10 days OR
Famciclovir 250 mg orally three times a day for 7-10 days OR
Valacyclovir1 g orally twice a day for 7-10 days
First line drug, dose, route, frequency: Pelvic Inflammatory Disease (PID) (IM or Oral
Regimens) - Answer-Ceftriaxone 500mg IM in single dose + Doxycycline 100 mg PO
BID x 14 days + Metronidazole 500 mg PO BID x 14 days.
First line drug, dose, route, frequency: Syphilis
(Primary and Secondary) - Answer-Benzathine penicillin G 2.4 million units IM in a
single dose
Doxazosin Side Effects - Answer-hypotension, dizziness, nasal congestions
Dutasteride
Patient teaching.
response to delayed onset of therapeutic effect - Answer-benefits take months to
develop, must continue taking med even if improvement not readily seen
may lower ejaculatory volume and libido
Terazosin.
, How to know it's working - Answer-improve symptoms of dysuria, urgency, UTI,
hesitancy
Various routes of administration of estrogen therapy and when each would be used -
Answer-
· When is it safe and not safe to prescribe progesterone (AKA: progestin) - Answer-Not
safe: if women has had a hysterectomy/pregnant
Safe:
Side effects of progestin-only oral contraceptives - Answer-it can cause irregular/
inconsistent bleeding, must be taken at same time every day to be effective
Benefits of prescribing medroxyprogesterone acetate (DepoProvera) - Answer-doesn't
cause thromboembolic disorder, headache, nausea or most of the other adverse effects
associated with combo OCs.
Testosterone therapy.
Patient teaching in general and consider teaching specific to different routes - Answer-
Patch: 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
testosterone therapy.
When is 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
testosterone therapy. common SE - Answer-hot flashes, bone fx, decrease libido,
insulin resistance, erectile dysfunction, acne, HTN, sterility, aggression, and mood
swings.
Alprostadil (for ED).
Benefits of various routes - 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 and lasts 30-60 min. 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 taking carbamazepine with oral contraceptives affect which oral
contraceptive you prescribe - 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
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