NR566 Final Exam Study Guide And
Already Passed 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.
Already Passed 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.
