NR 566 Final Study Guide
Questions & Answers 100%
Correct!
Chlamydia
(Among Adolescents and Adults) Treatment - ANSWER Doxycycline 100 mg Orally BID for 7 day
**Alternative therapy:
- Azithromycin 1g Orally in a single dose
- Levofloxacin 500 mg orally daily for 7 days
Uncomplicated gonococcal urethritis Treatment - ANSWER Chlamydial infection is excluded:
Ceftriaxone 500 mg IM single dose
If Chlamydial infection has not been excluded:
- Ceftriaxone 500 mg IM single dose
- Doxycycline 100 mg Orally BID for 7 day
**Alternative therapy:
-Gentamicin 240 mg IM in a single dose +
Azithromycin 2 g orally in a single dose
- Cefixime 800 mg orally in a single dose
Bacterial Vaginosis Treatment - ANSWER - Metronidazole 500 mg orally BID for 7 days
- Metronidazole gel 0.75% one full applicator intravaginal, once a day for 5 days
, - Clindamycin vaginal cream 2% one full applicator intravaginal, at bedtime for 7 days
Herpes Simplex Virus
(First Clinical Episode) Treatment - ANSWER - Acyclovir 400 mg orally TID for 7-10 days
- Famciclovir 250 mg orally TID for 7-10 days
- Valacyclovir 1 g orally twice a day for 7-10 days
may lower ejaculatory volume & libido
Should not be handled by pregnant women as the medication is teratogenic
How to know Terazosin is working? - ANSWER improved symptoms of dysuria, urgency, urinary tract
infections, hesitancy etc.
Improvement should occur rapidly
Oral Estrogen - ANSWER Most convenient and used most often.
Transdermal Estrogen - ANSWER Total dose of estrogen is greatly reduced. Less nausea and
vomiting, blood levels of estrogen fluctuate less. Lower risk for DVT, PE, and stroke.
Intravaginal Estrogen - ANSWER Used for local effects. Primarily treatment of vulval and vaginal
atrophy associated with menopause.
Femring (vaginal ring) - used for systemic effects (controlling hot flashes and night sweats), as well as
local effects (vulval and vaginal atrophy)
Side effects of progestin-only oral contraceptives? - ANSWER more likely to cause
irregular/inconsistent bleeding, must be taken at same time every day to be effective
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