AM
NURS 533 EXAM 1 WILKES EXAM ACTUAL QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED
A++ LATEST RELEASE 2025/2026
Sample some practice questions
Learn 1/7 Study with Learn
First line agent for DM2? What if CKD or ASCVD?
Choose matching definition
First line is insulin. if CKD or ascvd, continue
First line is metformin. if CKD or ascvd,
1insulin.
2SGLT2 or glp1
First line is sulfonylureas. if CKD or ascvd, First line is lifestyle changes. If CKD or
3Switch to insulin. 4Ascvd, add metformin.
Don't know?
Terms in this set (97)
What is the most effective MHT
treatment for VMS of
menopause ?
Women >60, <10 years from onset of menopause
Discuss safe use of MHT
symptoms. Lowest dose for shortest regimen.
All drugs equally effective. Lowest dose for shortest
systemic estrogen
time possible which tyically ends up 4-5 years.
indicated for women with intact uterus to prevent
Progestin in Menopause-
whats the role? endometrial hypoplasia. Use minimum 10-14 days
/month
Estrogen Adeverse effects Breast tenderness, bloating
When you cannot use MHT Gabapentin & antidepressants
for VMS, what can you
use?
1/
9
, 6/27/25, 8:20
AM
Why cant you use MHT for increased risk for VTE, dementia, CAD, MI
women more than 10 years
after menopause onset
Examples of Emergency Ella, plan b ; used within 72 hours ; Work by supressing
contraception & how do LH & subsequently blocking ovulation
they work?
Nausea, vomiting, constipation, bloating, headache ,
Adverse effects of oral
contraceptives weight gain, decreased libido, decreased vaginal
lubrication,
potent enzyme inducers, phenytoin, phenobarbitol,
Drugs that interact with birth
control rifampin, amoxicillin, lamotrigine, st johns wort,
girdeofulvin, theophylline, modafinil
Alpha blockers such as terazosin, dozazosin, alfuzosin,
tamsulosin, silodosin; Competitively antagonize alpha
1st choice treatment for
adrenergic receptors thereby causing relaxation of
BPH; Examples? MOA?
the bladder, prostatic urethra and prostate smooth
muscle. May induce prostatic apoptosis. Onset is days
to weeks. Will see increased flow, and decreased PVR at
2-4 wks as well as decreased AUA score.
Examples: dutasteride and finasteride. Work by
5 alpha reductase inhibitors;
Blocking testosterone conversion to DHT and help
examples? MOA? Adverse
growth of prostate be stunted. Take 6-12 months to
effects?
work. Adverse effects include: ED, gynecomastia,
decreased ejaculatory function
For moderate to severe disease with enlarged prostate
When do we use 5 alpha
and/or elevated PSA; We will see increased flow rates
reductase inhibitors? How
and slowed progression of disease as evidenced by
do we know it is working?
decreased PSA, decreased prostate size in 6-12
months
Tadafadil (cialis) for BPH; Can be used for refractory
Phosphodiasterase 5
BPH or BPH & ED ; Works by relaxing smooth muscle
inhibitors; Exmaples? how
of urethrea, prostate, and bladder neck. May be anti-
does it work?
inflammatory as well. Can be used alone or with
other agents for BPH.
avanafil, sildenafil, tadalafil, vardenafil ; AE: hypotension,
phosphodiasterase 5
inhibitors flushing, HA, light sensitivity, back pain ABSOLUTE
CONTRAINDICATION WITH NITRATES
Onset is 1-4 wk ; For refractory BPH, or BPH & ED.
How long does it take
2/
9