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
2/
6