NR601 Final Exam - chamberlain
preexposure prophylaxis (PrEP) MSM ANS: combo medication
take daily
mitigate hiv transmission risk
higher risk in olde adults maybe needed for patients with multiple sexual partneres with unprotected
sex or those diagnosed with STI in last 6 months
monitor kidney function
WSW consideration for sex ANS: sexual historyincreased risk for bacterial vaginosis but not STIs
preventive screening in lesiban ANS: suicide risk
preventive screening in gay men ANS: risk for anal cancer and screening
HPV-related cancer
HIVannual anal pap emears
preventive ANS: smoking cessation
vaccination- hepatits A and B
transgender breast screening ANS: transgender men- screen for breast cancer due to residual breast
tissue
transgender women- follow normal guidelines
osteoporosis with transgender ANS: hormonal therapy- increased risk screen over 65yo regardless of sex
at birth
,WSW increased breast cancer risk ANS: nulliparty, eotoh, smoking and obesity
how do we screen for lung cancer and AAA in LGBTQ population ????
urge incontinence ANS: leakage with urgencycan occur with running water, hand washing, going in cold,
sight of garage/returning homeneed to rush to toielt
increased in women who take estrogen and/or progestin
stress incontinence ANS: leakage with effort, exertion, sneezing, or coughing.Leakage may be used by
minimal or no activty when there is severe sphincter damagehappen with sneezing, coughin, laugh, or
physical activity
mixed incontinence ANS: presence of both urgency and stress UTi symptoms
Urge patho ANS: inability to store urine because of uninhibited contractions of hte bladder muscle-
detrusor muscle
stress patho ANS: inability to stone urine because of inadequate sphincter closure
mixed patho ANS: both stress and urge patho
GOld standard for women with UI ANS: Surgery
colposuspension (burch operation)slings (synthetic mesh or aurologous or cadaveric fascia
periurethral injection of coaptite alternative for women wtih sphincter insufficiency
, UI treatment ANS: lifestyle- avoiding excessive or inadeuqate fluid intake, caffeinated beverages and
etoh, minimizing evening fluid intake for nocturia, quitting smoking (stress)
Behavioral ANS: bladder training and pelvic muscle exerised
Medications(urge only)- dulxoetine (not approved in US), antimuscarinic drug (oxybutin) and beta-3
agonist (mirabegron)
device(stress)
surgery (stress) ANS: gold standard
minimally invasive procedure- botulinum toxin,sacral nerve modulation, percutaneous tibial nerve
stimulation
medication associated with UI ANS: ETOH
a-adrenergic agonists/blockers
ACE
antibholinergics
antipsychotics
CCB
Cholinesterase inhibitors
estrogen
gabepentin/lyrica
loop diruectic nacortics
nsaids
sedative hypontic
preexposure prophylaxis (PrEP) MSM ANS: combo medication
take daily
mitigate hiv transmission risk
higher risk in olde adults maybe needed for patients with multiple sexual partneres with unprotected
sex or those diagnosed with STI in last 6 months
monitor kidney function
WSW consideration for sex ANS: sexual historyincreased risk for bacterial vaginosis but not STIs
preventive screening in lesiban ANS: suicide risk
preventive screening in gay men ANS: risk for anal cancer and screening
HPV-related cancer
HIVannual anal pap emears
preventive ANS: smoking cessation
vaccination- hepatits A and B
transgender breast screening ANS: transgender men- screen for breast cancer due to residual breast
tissue
transgender women- follow normal guidelines
osteoporosis with transgender ANS: hormonal therapy- increased risk screen over 65yo regardless of sex
at birth
,WSW increased breast cancer risk ANS: nulliparty, eotoh, smoking and obesity
how do we screen for lung cancer and AAA in LGBTQ population ????
urge incontinence ANS: leakage with urgencycan occur with running water, hand washing, going in cold,
sight of garage/returning homeneed to rush to toielt
increased in women who take estrogen and/or progestin
stress incontinence ANS: leakage with effort, exertion, sneezing, or coughing.Leakage may be used by
minimal or no activty when there is severe sphincter damagehappen with sneezing, coughin, laugh, or
physical activity
mixed incontinence ANS: presence of both urgency and stress UTi symptoms
Urge patho ANS: inability to store urine because of uninhibited contractions of hte bladder muscle-
detrusor muscle
stress patho ANS: inability to stone urine because of inadequate sphincter closure
mixed patho ANS: both stress and urge patho
GOld standard for women with UI ANS: Surgery
colposuspension (burch operation)slings (synthetic mesh or aurologous or cadaveric fascia
periurethral injection of coaptite alternative for women wtih sphincter insufficiency
, UI treatment ANS: lifestyle- avoiding excessive or inadeuqate fluid intake, caffeinated beverages and
etoh, minimizing evening fluid intake for nocturia, quitting smoking (stress)
Behavioral ANS: bladder training and pelvic muscle exerised
Medications(urge only)- dulxoetine (not approved in US), antimuscarinic drug (oxybutin) and beta-3
agonist (mirabegron)
device(stress)
surgery (stress) ANS: gold standard
minimally invasive procedure- botulinum toxin,sacral nerve modulation, percutaneous tibial nerve
stimulation
medication associated with UI ANS: ETOH
a-adrenergic agonists/blockers
ACE
antibholinergics
antipsychotics
CCB
Cholinesterase inhibitors
estrogen
gabepentin/lyrica
loop diruectic nacortics
nsaids
sedative hypontic
