FINAL NR 566 ACTUAL EXAM SCRIPT 2026
QUESTIONS AND ANSWERS 100% CORRECT
⩥ 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 replacement therapy side effects? Answer: Hot flashes,
bone fractures, decreased libido, insulin resistance, erectile dysfunction,
gynecomastia, acne, HTN, sterility, hepatotoxicity, mood swings/
aggression.
⩥ Alprostadil: benefits of various routes? (for ED). Answer: injection:
can be done by patient or in ER setting; rapidly leads to erection,
painless
intraurethral pellet insertion: can be done by patient, erection occurs
within 5-10 mins, minimal side effects
⩥ How does carbamazepine impact oral contraceptives and what
symptoms may be associated with that? Answer: accelerates OC
metabolism, reducing OC effect
, can lead to abnormal bleeding, return of menstrual symptoms, and of
course pregnancy!
⩥ what can the provider do is carbamazepine effecting patient's OC?
Answer: 1. Increase the estrogen dosage of the OC.
2. Combine the OC with a second form of birth control.
3. Switch to an alternative form of birth control.
⩥ Benefits of Etonogestrel subdermal implant (Nexplanon)?. Answer: it
is one of the most effective forms of contraception, long-term option
(contraception up to 5 years), reversible by removing rod
⩥ Papaverine plus phentolamine patient education:. Answer: do not
inject more than once in a 24 hr period, notify provider of erection
duration and efficacy, do not take other ED meds with this medication,
needle/injection teaching, do not change the dose yourself, seek medical
attention if erection is >3 hrs
⩥ Chlamydia first line drug/dose/route/frequency. Answer:
Azithromycin 1000 mg PO once
OR
Doxycycline 100 mg PO BID × 7 days
⩥ Uncomplicated gonococcal urethritis first line
drug/dose/route/frequency. Answer: Ceftriaxone 250-500mg IM once
QUESTIONS AND ANSWERS 100% CORRECT
⩥ 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 replacement therapy side effects? Answer: Hot flashes,
bone fractures, decreased libido, insulin resistance, erectile dysfunction,
gynecomastia, acne, HTN, sterility, hepatotoxicity, mood swings/
aggression.
⩥ Alprostadil: benefits of various routes? (for ED). Answer: injection:
can be done by patient or in ER setting; rapidly leads to erection,
painless
intraurethral pellet insertion: can be done by patient, erection occurs
within 5-10 mins, minimal side effects
⩥ How does carbamazepine impact oral contraceptives and what
symptoms may be associated with that? Answer: accelerates OC
metabolism, reducing OC effect
, can lead to abnormal bleeding, return of menstrual symptoms, and of
course pregnancy!
⩥ what can the provider do is carbamazepine effecting patient's OC?
Answer: 1. Increase the estrogen dosage of the OC.
2. Combine the OC with a second form of birth control.
3. Switch to an alternative form of birth control.
⩥ Benefits of Etonogestrel subdermal implant (Nexplanon)?. Answer: it
is one of the most effective forms of contraception, long-term option
(contraception up to 5 years), reversible by removing rod
⩥ Papaverine plus phentolamine patient education:. Answer: do not
inject more than once in a 24 hr period, notify provider of erection
duration and efficacy, do not take other ED meds with this medication,
needle/injection teaching, do not change the dose yourself, seek medical
attention if erection is >3 hrs
⩥ Chlamydia first line drug/dose/route/frequency. Answer:
Azithromycin 1000 mg PO once
OR
Doxycycline 100 mg PO BID × 7 days
⩥ Uncomplicated gonococcal urethritis first line
drug/dose/route/frequency. Answer: Ceftriaxone 250-500mg IM once
