NR 566 Final Exam / NR566 Final Exam Review
(Latest 2024/2025): with 100% verified solutions
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
, Pelvic Inflammatory Disease (PID) (IM or Oral Regimens) Treatment - ANSWER>>- Ceftriaxone
500 mg IM in a single dose +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID of 14 days
- Cefoxitin 2g IM in a single dose +
Probenecid 1g orally in a single dose +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID for 14 days
- Other parenteral third generation Cephalosporin (Ceftizoxime or Cefotaxime) +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID for 14 days
Syphilis Treatment - ANSWER>>Benzathine Penicillin G 2.4 million units IM in a single dose
Doxazosin side effects (due to alpha 1 receptor being blocked) - ANSWER>>dizziness/syncope,
headache, first-dose orthostatic hypotension, drowsiness, nasal congestion
Dutasteride (Avodart) patient teaching - ANSWER>>benefits take months to develop, must
continue taking med even if improvement not rapidly seen
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.
(Latest 2024/2025): with 100% verified solutions
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
, Pelvic Inflammatory Disease (PID) (IM or Oral Regimens) Treatment - ANSWER>>- Ceftriaxone
500 mg IM in a single dose +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID of 14 days
- Cefoxitin 2g IM in a single dose +
Probenecid 1g orally in a single dose +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID for 14 days
- Other parenteral third generation Cephalosporin (Ceftizoxime or Cefotaxime) +
Doxycycline 100 mg orally BID for 14 days +
Metronidazole 500 mg orally BID for 14 days
Syphilis Treatment - ANSWER>>Benzathine Penicillin G 2.4 million units IM in a single dose
Doxazosin side effects (due to alpha 1 receptor being blocked) - ANSWER>>dizziness/syncope,
headache, first-dose orthostatic hypotension, drowsiness, nasal congestion
Dutasteride (Avodart) patient teaching - ANSWER>>benefits take months to develop, must
continue taking med even if improvement not rapidly seen
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.
