1
NURS
NURS617/ NURS 617 EXAM 3: (NEW 2024/ 2025
UPDATE) PHARMACOTHERAPEUTICS GUIDE| QS & AS|
GRADE A| 100% CORRECT (VERIFIED ANSWERS)-
Possible long term effects of estrogen-progesterone combo contraceptives.
- ANS ✓Increased risk for thromboembolism, stroke, M.I
May cause or increase risk for hypertension
Possible increased risk for endometrial and breast cancer
May cause risk of benign hepatic tumors
Small possibility of post-pill infertility or amenorrhea
Advantages of medroxyprogesterone injection compared to "the pill" - ANS
✓Eliminates the need for daily self-medication; improves compliance and
success
Eliminates the possibility of drug-drug interactions with other orally
administered drugs
Eliminates the adverse effects associated with estrogen
Disadvantages of medroxyprogesterone injection - ANS ✓Causes menstrual
irregularities
requires IM injection
Can cause weight gain
NURS617
, 2
NURS
Can cause headaches, nervousness and may worsen depression.
Advantages of ERT - ANS ✓Produces reversal or improvement of vasomotor
symptoms of menopause (sweating, subjective hyperthermia or hot flashes,
chills), mood swings, and insomnia
Produces reversal of genital (vaginal) atrophy in younger patients; may eliminate
dysparuenia
Prevents loss of bone density
May improve libido
Decreases serum LDL cholesterol
Increases HDL cholesterol
Can produce cosmetic benefit by way of improved skin texture
Disadvantages of ERT - ANS ✓Can cause vaginal bleeding
Commonly causes breast tenderness
Can cause nausea and vomiting when therapy is initiated
May cause headache, migraine, dizziness
May produce weight gain
Associated with an increased risk of breast cancer, endometrial cancer,
myocardial infarction, stroke and deep venous thrombosis
First line therapy for Sinusitis - ANS ✓amoxicillin with or without clavulanate
(Alternative—cefuroxime, cefpodoxime, azithromycin)
NURS617
, 3
NURS
If allergic to PCN use doxycycline or Levofloxacin.
What medication do you give if there is no improvement of sinusitis treated
with Amoxicillin? - ANS ✓Children who do not get better while on first line
treatment should be given high dose amoxicillin-clavulanate, cefdinir,
cefuroxime, or cefpodoxime.
Adults who do not get better with first line treatment give levofloxacin.
First line treatment for Upper UTI - ANS ✓Cefixime
Second line therapy is amoxicillin, TMP-SMZ, ciprofloxacin, or levofloxacin
First line treatment for uncomplicated Lower UTI in a non pregnant patient
- ANS ✓Nitrofurantoin or TMP-SMZ
2nd line is fosfomycin
First line treatment for lower UTI with known or suspected antibiotic
resistance - ANS ✓Amoxicillin-Clavulanate
2nd line is ciprofloxacin or levofloxacin
First line treatment for complicated UTI suitable for outpatient treatment -
ANS ✓TMP/SMZ for 7-14 days
2nd line is Amoxicillin-clavulanate, levofloxacin, or ciprofloxacin
NURS617
NURS
NURS617/ NURS 617 EXAM 3: (NEW 2024/ 2025
UPDATE) PHARMACOTHERAPEUTICS GUIDE| QS & AS|
GRADE A| 100% CORRECT (VERIFIED ANSWERS)-
Possible long term effects of estrogen-progesterone combo contraceptives.
- ANS ✓Increased risk for thromboembolism, stroke, M.I
May cause or increase risk for hypertension
Possible increased risk for endometrial and breast cancer
May cause risk of benign hepatic tumors
Small possibility of post-pill infertility or amenorrhea
Advantages of medroxyprogesterone injection compared to "the pill" - ANS
✓Eliminates the need for daily self-medication; improves compliance and
success
Eliminates the possibility of drug-drug interactions with other orally
administered drugs
Eliminates the adverse effects associated with estrogen
Disadvantages of medroxyprogesterone injection - ANS ✓Causes menstrual
irregularities
requires IM injection
Can cause weight gain
NURS617
, 2
NURS
Can cause headaches, nervousness and may worsen depression.
Advantages of ERT - ANS ✓Produces reversal or improvement of vasomotor
symptoms of menopause (sweating, subjective hyperthermia or hot flashes,
chills), mood swings, and insomnia
Produces reversal of genital (vaginal) atrophy in younger patients; may eliminate
dysparuenia
Prevents loss of bone density
May improve libido
Decreases serum LDL cholesterol
Increases HDL cholesterol
Can produce cosmetic benefit by way of improved skin texture
Disadvantages of ERT - ANS ✓Can cause vaginal bleeding
Commonly causes breast tenderness
Can cause nausea and vomiting when therapy is initiated
May cause headache, migraine, dizziness
May produce weight gain
Associated with an increased risk of breast cancer, endometrial cancer,
myocardial infarction, stroke and deep venous thrombosis
First line therapy for Sinusitis - ANS ✓amoxicillin with or without clavulanate
(Alternative—cefuroxime, cefpodoxime, azithromycin)
NURS617
, 3
NURS
If allergic to PCN use doxycycline or Levofloxacin.
What medication do you give if there is no improvement of sinusitis treated
with Amoxicillin? - ANS ✓Children who do not get better while on first line
treatment should be given high dose amoxicillin-clavulanate, cefdinir,
cefuroxime, or cefpodoxime.
Adults who do not get better with first line treatment give levofloxacin.
First line treatment for Upper UTI - ANS ✓Cefixime
Second line therapy is amoxicillin, TMP-SMZ, ciprofloxacin, or levofloxacin
First line treatment for uncomplicated Lower UTI in a non pregnant patient
- ANS ✓Nitrofurantoin or TMP-SMZ
2nd line is fosfomycin
First line treatment for lower UTI with known or suspected antibiotic
resistance - ANS ✓Amoxicillin-Clavulanate
2nd line is ciprofloxacin or levofloxacin
First line treatment for complicated UTI suitable for outpatient treatment -
ANS ✓TMP/SMZ for 7-14 days
2nd line is Amoxicillin-clavulanate, levofloxacin, or ciprofloxacin
NURS617
