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NR566 FINAL EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++

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NR566 FINAL EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++ Terms in this set (87) Chlamydia treatment first line drug, dose, route and frequency Doxycycline 100 mg PO BID x 7 days or Azithromycin 1000 mg po once Uncomplicated gonorrhea urethritis treatment ceftriaxone 500 mg IM single dose with or without doxycycline 100 mg 2x days for days Bacterial Vagionosis 1st line Treatment 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 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 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 side effect hypotension, dizziness, nasal congestions Dutasteride (Avodart) BPH treatment (5a reductase inhibitors) patient teaching 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 improve symptom of dysuria, urgency, UTI, hesitancy Progesterone (progestin) When is day not safe to prescribe if women has had a hysterectomy/pregnant Side effect of progestin oral contraceptives it can cause irregular/ inconsistent bleeding, must be take at same time very day to be effective Medroxyprogesterone Acetate benefits doesn't cause thromboembolic disorder, headache, nausea or most of the other adverse effects associated with combo OCs. testosterone replacement therapy routes administering testosterone supplement through, pill, injections, and patches. Testosterone patch patient teaching 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 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 hot flashes, bone fx, decrease libido, insulin resistance, erectile dysfunction, acne, HTN, sterility, aggression, and mood swings. Alprostadil benefits of various routes: for ED 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? accelerated OC medication and reducing OC EFFECT How might this affect which OCP is prescribed Carbamazepine 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 Benefits of Etonogestrel subdermal implant (Nexplanon) it is one of the most effective forms of contraception, long term option is 5 years, reversible by removing rod can take with women with a hx of thrombosis · Papaverine plus phentolamine Patient Education Do not inject more than once in a 24 hours period, notify provide if erection duration and efficacy, consult MD before taking new medication, seek medical attention right away if erection is 3 hours

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3/29/25, 8:38 NR566 FINAL Flashcards |
AM
NR566 FINAL EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED GRADED A++
Terms in this set (87)


Doxycycline 100 mg PO BID x 7 days
Chlamydia treatment first line drug, dose,
or
route and frequency
Azithromycin 1000 mg po once

Uncomplicated gonorrhea urethritis ceftriaxone 500 mg IM single dose with or without doxycycline 100 mg 2x days for
treatment days

Non pregnant metronidazole 500 mg 2xdays for 7 days
Bacterial Vagionosis
pregnant - vaginal metronidazole 2% for 7 days
1st line Treatment
clindamycin 1% for 7 days

HSV (herpes simplex virus) 12st line 1 Clinical episode: Acyclovir 400 mg 3x days for 7-10 days
treatment 2 Clinical episode: Acyclovir 800 mg 2x days for 5 days

Metronidazole (Flagyl) 500 mg 2x day for 7 days (WOMEN)
Trichomoniasis treatment single dose of 2 grams for MEN
MEN or Women tinidazole 2g single

doxazosin (BPH treatment) (a1 blocker) side effect
side effect hypotension, dizziness, nasal congestions

benefits take months to develop, must continue taking med even if improvement
Dutasteride (Avodart) BPH treatment (5a
not readily seen
reductase inhibitors) patient teaching
may lower ejaculatory volume and libido

Terazosin (Hytrin) how to know is working improve symptom of dysuria, urgency, UTI, hesitancy

Progesterone (progestin) When is day not if women has had a hysterectomy/pregnant
safe to prescribe

it can cause irregular/ inconsistent bleeding, must be take at same time very day
Side effect of progestin oral contraceptives
to be effective

doesn't cause thromboembolic disorder, headache, nausea or most of the other
Medroxyprogesterone Acetate benefits
adverse effects associated with combo OCs.

testosterone replacement therapy routes administering testosterone supplement through, pill, injections, and patches.

wash hands after applying
Testosterone patch patient teaching cover application site with clothing after the drug had dried
wash the application site before skin-to-skin contact another person

Short term: The psychological pressures of delayed sexual maturation are causing a
Androgen therapy appropriate vs. not
boy significant distress
needed related to puberty
Long term: if delayed puberty related to true hypogonadism

Side effect of testosterone replacement hot flashes, bone fx, decrease libido, insulin resistance, erectile dysfunction,
therapy acne, HTN, sterility, aggression, and mood swings.

The injection needs to be done by the patient or in ER setting: rapidly leads to
Alprostadil benefits of various routes: for erection, painless
ED Intraurethral pellet insertion: can be done by the patient, an erection occurs
within 5-10 mins minimal side effects

How does carbamazepine impact oral accelerated OC medication and reducing OC EFFECT
contraceptives and what symptoms may be
associated with that?




1/
6

, 3/29/25, 8:38 NR566 FINAL Flashcards |
AM
Increase the estrogen dosage of the OC
How might this affect which OCP is
Combine the OC with a second from a birth control
prescribed Carbamazepine
Switch to an alternation form of birth control

it is one of the most effective forms of contraception, long term option is 5 years,
Benefits of Etonogestrel subdermal implant reversible by removing rod
(Nexplanon)
can take with women with a hx of thrombosis

Do not inject more than once in a 24 hours period, notify provide if erection duration
· Papaverine plus phentolamine Patient
and efficacy, consult MD before taking new medication, seek medical attention right
Education
away if erection is >3 hours

Syphilis 1st line treatment Penicillin G IV

Nausea, dizziness, daytime sleep attacks, insomnia, constipation, weakness, and
Pramipexole (Mirapex) adverse effect hallucinations,
impulse control disorder can occur ( excessive gambling, spending etc)

When is Pramipexole best to prescribe in early stage of PD
treating Parkinson's disease?

COMT inhibitors can help when levodopa is not working for long enough and starts
When to use/prescribe COMT inhibitors to wear off between doses.
extends the half-life of levodopa

Patient experience sleep attacks associated pt experience overwhelming/irresistible sleepiness that comes on without earning
with PD treatment?

What seizure medication reduces OC Carbamazepine, eslicarbazephine, lamotrigine, oxcarbazepine, phenytoin,
efficacy? phenobarbital, rufinamide, topiramate

How to manage side effects of Take medication with food to decrease GI upset or decrease dose
Bromocriptine ( dopamine agonist):

Dopamine replacement, first-line drug/treatment to dopamine agent) maintain or
Use of levodopa/carbidopa in
improve pts ADLs
treatment/diagnosis
Adverse effects: orthostatic hypotension, psychosis, dyskinesia

Phenytoin (Dilantin) common side effect ( CNS, gingival hyperplasia, leathery, GI upset, blurred vision, suicidal
treat Seizure disorder ) behavior/cognitive decline



this Rx causes gingival hyperplasia


patients should practice good oral hygiene (flossing, massaging gums)

Phenytoin (Dilantin) patient teaching
Folic acid can help decrease occurance of hyperplasia


increase calcium and vitamin D while taking this Rx
avoid driving is not seizure-free for more than 1 years

Patient teaching Phenytoin use with OC Need for 2nd contraceptive or Increase PO contraceptive

Plasma drug level
How to monitor phenytoin for effectiveness
absence of seizure during trial period while finding right medication

Which anticonvulsant would be given for Lamotrigine
someone with epilepsy needing adjunctive
therapy for partial seizures with or without
secondary generalization?

Preventive therapy for migraines headache Metoprolol/propranolol ( Beta-blockers ) are often used as preventive therapy




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