NR566 FINAL EXAM UPDATED 2024/2025
(100% CORRECT)
Chlamydia treatment first line drug, dose, route and frequency - CORRECT ANSWER -
Doxycycline 100 mg PO BID x 7 days
or
Azithromycin 1000 mg po once
Uncomplicated gonorrhea urethritis treatment - CORRECT ANSWER - ceftriaxone 500
mg IM single dose with or without doxycycline 100 mg 2x days for days
Bacterial Vagionosis
1st line Treatment - CORRECT ANSWER - Non pregnant metronidazole 500 mg 2xdays
for 7 days
pregnant - vaginal metronidazole 2% for 7 days
clindamycin 1% for 7 days
HSV (herpes simplex virus) 12st line treatment - CORRECT ANSWER - 1 Clinical
episode: Acyclovir 400 mg 3x days for 7-10 days
2 Clinical episode: Acyclovir 800 mg 2x days for 5 days
Trichomoniasis treatment - CORRECT ANSWER - Metronidazole (Flagyl) 500 mg 2x day
for 7 days (WOMEN)
single dose of 2 grams for MEN
MEN or Women tinidazole 2g single
doxazosin (BPH treatment) (a1 blocker) side effect - CORRECT ANSWER - side effect
hypotension, dizziness, nasal congestions
Dutasteride (Avodart) BPH treatment (5a reductase inhibitors) patient teaching -
CORRECT ANSWER - benefits take months to develop, must continue taking med even
if improvement not readily seen
may lower ejaculatory volume and libido
Terazosin (Hytrin) how to know is working - CORRECT ANSWER - improve symptom of
dysuria, urgency, UTI, hesitancy
Progesterone (progestin) When is day not safe to prescribe - CORRECT ANSWER - if
women has had a hysterectomy/pregnant
, Side effect of progestin oral contraceptives - CORRECT ANSWER - it can cause irregular/
inconsistent bleeding, must be take at same time very day to be effective
Medroxyprogesterone Acetate benefits - CORRECT ANSWER - doesn't cause
thromboembolic disorder, headache, nausea or most of the other adverse effects
associated with combo OCs.
testosterone replacement therapy routes - CORRECT ANSWER - administering
testosterone supplement through, pill, injections, and patches.
Testosterone patch patient teaching - CORRECT ANSWER - 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
Androgen therapy appropriate vs. not needed related to puberty - CORRECT 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
Side effect of testosterone replacement therapy - CORRECT ANSWER - hot flashes,
bone fx, decrease libido, insulin resistance, erectile dysfunction, acne, HTN, sterility,
aggression, and mood swings.
Alprostadil benefits of various routes: for ED - CORRECT ANSWER - The injection needs
to be done by the patient or in ER setting: rapidly leads to erection, painless
Intraurethral pellet insertion: can be done by the patient, an erection occurs within 5-10
mins minimal side effects
How does carbamazepine impact oral contraceptives and what symptoms may be
associated with that? - CORRECT ANSWER - accelerated OC medication and reducing
OC EFFECT
How might this affect which OCP is prescribed Carbamazepine - CORRECT ANSWER -
Increase the estrogen dosage of the OC
Combine the OC with a second from a birth control
Switch to an alternation form of birth control
(100% CORRECT)
Chlamydia treatment first line drug, dose, route and frequency - CORRECT ANSWER -
Doxycycline 100 mg PO BID x 7 days
or
Azithromycin 1000 mg po once
Uncomplicated gonorrhea urethritis treatment - CORRECT ANSWER - ceftriaxone 500
mg IM single dose with or without doxycycline 100 mg 2x days for days
Bacterial Vagionosis
1st line Treatment - CORRECT ANSWER - Non pregnant metronidazole 500 mg 2xdays
for 7 days
pregnant - vaginal metronidazole 2% for 7 days
clindamycin 1% for 7 days
HSV (herpes simplex virus) 12st line treatment - CORRECT ANSWER - 1 Clinical
episode: Acyclovir 400 mg 3x days for 7-10 days
2 Clinical episode: Acyclovir 800 mg 2x days for 5 days
Trichomoniasis treatment - CORRECT ANSWER - Metronidazole (Flagyl) 500 mg 2x day
for 7 days (WOMEN)
single dose of 2 grams for MEN
MEN or Women tinidazole 2g single
doxazosin (BPH treatment) (a1 blocker) side effect - CORRECT ANSWER - side effect
hypotension, dizziness, nasal congestions
Dutasteride (Avodart) BPH treatment (5a reductase inhibitors) patient teaching -
CORRECT ANSWER - benefits take months to develop, must continue taking med even
if improvement not readily seen
may lower ejaculatory volume and libido
Terazosin (Hytrin) how to know is working - CORRECT ANSWER - improve symptom of
dysuria, urgency, UTI, hesitancy
Progesterone (progestin) When is day not safe to prescribe - CORRECT ANSWER - if
women has had a hysterectomy/pregnant
, Side effect of progestin oral contraceptives - CORRECT ANSWER - it can cause irregular/
inconsistent bleeding, must be take at same time very day to be effective
Medroxyprogesterone Acetate benefits - CORRECT ANSWER - doesn't cause
thromboembolic disorder, headache, nausea or most of the other adverse effects
associated with combo OCs.
testosterone replacement therapy routes - CORRECT ANSWER - administering
testosterone supplement through, pill, injections, and patches.
Testosterone patch patient teaching - CORRECT ANSWER - 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
Androgen therapy appropriate vs. not needed related to puberty - CORRECT 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
Side effect of testosterone replacement therapy - CORRECT ANSWER - hot flashes,
bone fx, decrease libido, insulin resistance, erectile dysfunction, acne, HTN, sterility,
aggression, and mood swings.
Alprostadil benefits of various routes: for ED - CORRECT ANSWER - The injection needs
to be done by the patient or in ER setting: rapidly leads to erection, painless
Intraurethral pellet insertion: can be done by the patient, an erection occurs within 5-10
mins minimal side effects
How does carbamazepine impact oral contraceptives and what symptoms may be
associated with that? - CORRECT ANSWER - accelerated OC medication and reducing
OC EFFECT
How might this affect which OCP is prescribed Carbamazepine - CORRECT ANSWER -
Increase the estrogen dosage of the OC
Combine the OC with a second from a birth control
Switch to an alternation form of birth control
