NR 566 FINAL EXAM REVIEW /LATEST
ADVANCED PHARMACOLOGY FOR CARE
OF FAMILY 2025/2026 A+ GRADED 100%
VERIFIED.
Raloxifene (Evista) and bisphosphonates (alendronate, calcitonin) - ANS -alternatives for
hormone replacement therapy
Selective Estrogen Receptor Modulators (SERMs) - ANS -Tamoxifen, toremifene, raloxifene --
provide estrogen benefits while avoiding its drawbacks
Dysfunctional uterine bleeding - ANS -10-14 day course of progestin
Amenorrhea treatment - ANS -progestin helps induce menstrual flow
Amenorrhea estrogen levels are low - ANS -give progestin for 5-10 days
Long term progestin therapy - ANS -protection against endometrial cancer
Estradiol - ANS -most active estrogenic compound. oral estrogen option
Advantages of estrogen transdermal patch - ANS -lower total estrogen dose. less n/v. less
fluctuation of estrogen blood levels. lower r/f DVT, PE and stroke
Femring - ANS -intravaginal ring controls hot flashes and night sweats. Treats vulval and
vaginal atrophy
No gap method of changing from one OC to another - ANS -go straight from one type of OC to
the other without taking a gap.
initiating OC treatment - ANS -first day of menstrual cycle (no backup BC needed) OR first
sunday after onset of menses (backup BC needed for 7 days)
Initiating androgen therapy short term - ANS -delayed sexual maturation causing a boy
significant distress. Limited course of Fluoxymesterone and methyltestosterone are approved.
androgen therapy long term - ANS -if delayed puberty is the result of true hypogonadism
, role of androgens in anemia - ANS -promote synthesis of erythropoietin the renal hormone that
stimulates production of RBCs
Alprostadil preferred administration - ANS -direct injection into the corpus cavernosum. Rapid
response
Finasteride - ANS -BPH tx 5a reductase inhibitor. Causes prostate to shrink. benefits take
months
Tamsulosin - ANS -BPH tx alpha adrenergic antagonist. relaxes smooth muscle. benefits are
rapid
Adverse effects of silodosin and tamsulosin - ANS -r/f floppy iris syndrome during cataract
surgery.
Chlamydia tx - ANS -azithromycin 1g PO x single dose. doxycycline 100mg PO BID 7 days
Gonococcal urethritis tx - ANS -ceftriaxone IM single dose 250mg-1g based on weight
Bacterial vaginosis tx - ANS -metronidazole 500mg PO 2x day for 7 days.
Herpes (HSV) tx - ANS -acyclovir 400mg TID 7-10 days, valacyclovir or famciclovir
Trichomoniasis tx - ANS -metronidazole 2g PO x1 dose or tinidazole
Syphilis - ANS -benzathine penicillin 2.4mil units IM
Mild symptoms PD tx - ANS -MAO-B inhibitor like rasagiline or selegiline
Severe symptoms PD tx - ANS -levodopa + carbodopa or dopamine agonist
PD tx for improving motor function - ANS -levodopa
PD tx for drug induced dyskinesias - ANS -dopamine agonist
COMT inhibitor - ANS -Entacapone (Comtan). added to levo/carbidopa to increase levo
concentrations & extend half life & decrease wearing off time
Pramipexole side effects - ANS -impulse control disorders, combined with levodopa causes
orthostatic hypotension and dyskinesias
Pregabalin - ANS -Safest medication for seizure patients on OC
ADVANCED PHARMACOLOGY FOR CARE
OF FAMILY 2025/2026 A+ GRADED 100%
VERIFIED.
Raloxifene (Evista) and bisphosphonates (alendronate, calcitonin) - ANS -alternatives for
hormone replacement therapy
Selective Estrogen Receptor Modulators (SERMs) - ANS -Tamoxifen, toremifene, raloxifene --
provide estrogen benefits while avoiding its drawbacks
Dysfunctional uterine bleeding - ANS -10-14 day course of progestin
Amenorrhea treatment - ANS -progestin helps induce menstrual flow
Amenorrhea estrogen levels are low - ANS -give progestin for 5-10 days
Long term progestin therapy - ANS -protection against endometrial cancer
Estradiol - ANS -most active estrogenic compound. oral estrogen option
Advantages of estrogen transdermal patch - ANS -lower total estrogen dose. less n/v. less
fluctuation of estrogen blood levels. lower r/f DVT, PE and stroke
Femring - ANS -intravaginal ring controls hot flashes and night sweats. Treats vulval and
vaginal atrophy
No gap method of changing from one OC to another - ANS -go straight from one type of OC to
the other without taking a gap.
initiating OC treatment - ANS -first day of menstrual cycle (no backup BC needed) OR first
sunday after onset of menses (backup BC needed for 7 days)
Initiating androgen therapy short term - ANS -delayed sexual maturation causing a boy
significant distress. Limited course of Fluoxymesterone and methyltestosterone are approved.
androgen therapy long term - ANS -if delayed puberty is the result of true hypogonadism
, role of androgens in anemia - ANS -promote synthesis of erythropoietin the renal hormone that
stimulates production of RBCs
Alprostadil preferred administration - ANS -direct injection into the corpus cavernosum. Rapid
response
Finasteride - ANS -BPH tx 5a reductase inhibitor. Causes prostate to shrink. benefits take
months
Tamsulosin - ANS -BPH tx alpha adrenergic antagonist. relaxes smooth muscle. benefits are
rapid
Adverse effects of silodosin and tamsulosin - ANS -r/f floppy iris syndrome during cataract
surgery.
Chlamydia tx - ANS -azithromycin 1g PO x single dose. doxycycline 100mg PO BID 7 days
Gonococcal urethritis tx - ANS -ceftriaxone IM single dose 250mg-1g based on weight
Bacterial vaginosis tx - ANS -metronidazole 500mg PO 2x day for 7 days.
Herpes (HSV) tx - ANS -acyclovir 400mg TID 7-10 days, valacyclovir or famciclovir
Trichomoniasis tx - ANS -metronidazole 2g PO x1 dose or tinidazole
Syphilis - ANS -benzathine penicillin 2.4mil units IM
Mild symptoms PD tx - ANS -MAO-B inhibitor like rasagiline or selegiline
Severe symptoms PD tx - ANS -levodopa + carbodopa or dopamine agonist
PD tx for improving motor function - ANS -levodopa
PD tx for drug induced dyskinesias - ANS -dopamine agonist
COMT inhibitor - ANS -Entacapone (Comtan). added to levo/carbidopa to increase levo
concentrations & extend half life & decrease wearing off time
Pramipexole side effects - ANS -impulse control disorders, combined with levodopa causes
orthostatic hypotension and dyskinesias
Pregabalin - ANS -Safest medication for seizure patients on OC
