NR 508 Week 2 Quiz 2025| Chamberlain University|
Actual Exam Questions and Answers
A patient presents with a complaint of vaginal discharge that meets the criteria for bacterial
vaginosis. Treatment of bacterial vaginosis in non-pregnant symptomatic women would be:
A) Azithromycin 1 g orally as a single dose
B) Metronidazole 500 mg orally twice daily for 7 days
C) Fluconazole 150 mg orally as a single dose
D) Ceftriaxone 250 mg intramuscularly as a single dose
Correct Answer: B) Metronidazole 500 mg orally twice daily for 7 days
Explanation: Metronidazole is the first-line treatment for bacterial vaginosis in non-pregnant
women, effectively targeting the anaerobic bacteria responsible for the condition. A 7-day course
is standard to ensure resolution.
The medroxyprogesterone (Depo Provera) injection has a Black Box Warning due to:
A) Increased risk of breast cancer
B) Potential for significant bone mineral density loss
C) Risk of severe allergic reactions
D) Increased risk of stroke
Correct Answer: B) Potential for significant bone mineral density loss
Explanation: The Black Box Warning for medroxyprogesterone (Depo Provera) highlights the
risk of significant bone mineral density loss with long-term use, particularly in adolescents and
young women, which may not be fully reversible.
Premenstrual dysphoric disorder (PMDD) occurs in a fairly small number of patients. Theories
of the pathology behind PMDD that are supported in research include:
A) Increased testosterone levels
B) Serotonin dysregulation
C) Elevated thyroid hormone levels
D) Chronic progesterone deficiency
Correct Answer: B) Serotonin dysregulation
Explanation: Research supports that PMDD is associated with serotonin dysregulation,
contributing to mood symptoms. This is why selective serotonin reuptake inhibitors (SSRIs) are
effective treatments.
, Factors common in women that can affect adherence to a treatment regimen include all of the
following EXCEPT:
A) Caregiving responsibilities
B) Socioeconomic barriers
C) Health literacy challenges
D) Higher pain tolerance
Correct Answer: D) Higher pain tolerance
Explanation: Caregiving responsibilities, socioeconomic barriers, and health literacy challenges
can impact adherence in women. Higher pain tolerance is not a recognized factor affecting
adherence.
Long-term use of androgens requires specific laboratory monitoring of:
A) Thyroid function tests
B) Liver function tests and lipid profile
C) Blood glucose levels
D) Serum potassium levels
Correct Answer: B) Liver function tests and lipid profile
Explanation: Long-term androgen use can cause hepatotoxicity and dyslipidemia, necessitating
regular monitoring of liver function tests (e.g., AST, ALT) and lipid profiles to ensure patient
safety.
Which of the following holds true for the pharmacokinetics of women?
A) Women have faster drug metabolism than men
B) Women have a higher percentage of body fat, affecting drug distribution
C) Women have lower renal clearance than men
D) Women have identical pharmacokinetics to men
Correct Answer: B) Women have a higher percentage of body fat, affecting drug distribution
Explanation: Women generally have a higher percentage of body fat compared to men, which
can increase the volume of distribution for lipophilic drugs, affecting their pharmacokinetics.
Besides prescribing antimicrobial therapy, patients with bacterial vaginosis require education
regarding the fact that:
A) They should avoid sexual activity permanently
B) Recurrence is common and may require retreatment
C) They need to take the medication for 14 days
D) The condition is caused by a viral infection
Actual Exam Questions and Answers
A patient presents with a complaint of vaginal discharge that meets the criteria for bacterial
vaginosis. Treatment of bacterial vaginosis in non-pregnant symptomatic women would be:
A) Azithromycin 1 g orally as a single dose
B) Metronidazole 500 mg orally twice daily for 7 days
C) Fluconazole 150 mg orally as a single dose
D) Ceftriaxone 250 mg intramuscularly as a single dose
Correct Answer: B) Metronidazole 500 mg orally twice daily for 7 days
Explanation: Metronidazole is the first-line treatment for bacterial vaginosis in non-pregnant
women, effectively targeting the anaerobic bacteria responsible for the condition. A 7-day course
is standard to ensure resolution.
The medroxyprogesterone (Depo Provera) injection has a Black Box Warning due to:
A) Increased risk of breast cancer
B) Potential for significant bone mineral density loss
C) Risk of severe allergic reactions
D) Increased risk of stroke
Correct Answer: B) Potential for significant bone mineral density loss
Explanation: The Black Box Warning for medroxyprogesterone (Depo Provera) highlights the
risk of significant bone mineral density loss with long-term use, particularly in adolescents and
young women, which may not be fully reversible.
Premenstrual dysphoric disorder (PMDD) occurs in a fairly small number of patients. Theories
of the pathology behind PMDD that are supported in research include:
A) Increased testosterone levels
B) Serotonin dysregulation
C) Elevated thyroid hormone levels
D) Chronic progesterone deficiency
Correct Answer: B) Serotonin dysregulation
Explanation: Research supports that PMDD is associated with serotonin dysregulation,
contributing to mood symptoms. This is why selective serotonin reuptake inhibitors (SSRIs) are
effective treatments.
, Factors common in women that can affect adherence to a treatment regimen include all of the
following EXCEPT:
A) Caregiving responsibilities
B) Socioeconomic barriers
C) Health literacy challenges
D) Higher pain tolerance
Correct Answer: D) Higher pain tolerance
Explanation: Caregiving responsibilities, socioeconomic barriers, and health literacy challenges
can impact adherence in women. Higher pain tolerance is not a recognized factor affecting
adherence.
Long-term use of androgens requires specific laboratory monitoring of:
A) Thyroid function tests
B) Liver function tests and lipid profile
C) Blood glucose levels
D) Serum potassium levels
Correct Answer: B) Liver function tests and lipid profile
Explanation: Long-term androgen use can cause hepatotoxicity and dyslipidemia, necessitating
regular monitoring of liver function tests (e.g., AST, ALT) and lipid profiles to ensure patient
safety.
Which of the following holds true for the pharmacokinetics of women?
A) Women have faster drug metabolism than men
B) Women have a higher percentage of body fat, affecting drug distribution
C) Women have lower renal clearance than men
D) Women have identical pharmacokinetics to men
Correct Answer: B) Women have a higher percentage of body fat, affecting drug distribution
Explanation: Women generally have a higher percentage of body fat compared to men, which
can increase the volume of distribution for lipophilic drugs, affecting their pharmacokinetics.
Besides prescribing antimicrobial therapy, patients with bacterial vaginosis require education
regarding the fact that:
A) They should avoid sexual activity permanently
B) Recurrence is common and may require retreatment
C) They need to take the medication for 14 days
D) The condition is caused by a viral infection
