NR 566 FINAL EXAM QUESTION &
VERIFIED CORRECT ANSWERS
LATEST VERSION
Dysfunctional uterine bleeding - correct answer ✔✔10-14 day course of progestin
Amenorrhea treatment - correct answer ✔✔progestin helps induce menstrual flow
Amenorrhea estrogen levels are low - correct answer ✔✔give progestin for 5-10 days
Long term progestin therapy - correct answer ✔✔protection against endometrial cancer
Estradiol - correct answer ✔✔most active estrogenic compound. oral estrogen option
Advantages of estrogen transdermal patch - correct answer ✔✔lower total estrogen dose. less
n/v. less fluctuation of estrogen blood levels. lower r/f DVT, PE and stroke
Femring - correct answer ✔✔intravaginal ring controls hot flashes and night sweats. Treats
vulval and vaginal atrophy
No gap method of changing from one OC to another - correct answer ✔✔go straight from one
type of OC to the other without taking a gap.
initiating OC treatment - correct answer ✔✔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 - correct answer ✔✔delayed sexual maturation causing a
boy significant distress. Limited course of Fluoxymesterone and methyltestosterone are
approved.
androgen therapy long term - correct answer ✔✔if delayed puberty is the result of true
hypogonadism
Alprostadil preferred administration - correct answer ✔✔direct injection into the corpus
cavernosum. Rapid response
Finasteride - correct answer ✔✔BPH tx 5a reductase inhibitor. Causes prostate to shrink.
benefits take months
Tamsulosin - correct answer ✔✔BPH tx alpha adrenergic antagonist. relaxes smooth muscle.
benefits are rapid
Adverse effects of silodosin and tamsulosin - correct answer ✔✔r/f floppy iris syndrome during
cataract surgery.
Chlamydia tx - correct answer ✔✔azithromycin 1g PO x single dose. doxycycline 100mg PO BID
7 days
Gonococcal urethritis tx - correct answer ✔✔ceftriaxone IM single dose 250mg-1g based on
weight
Bacterial vaginosis tx - correct answer ✔✔metronidazole 500mg PO 2x day for 7 days.
Herpes (HSV) tx - correct answer ✔✔acyclovir 400mg TID 7-10 days, valacyclovir or famciclovir
VERIFIED CORRECT ANSWERS
LATEST VERSION
Dysfunctional uterine bleeding - correct answer ✔✔10-14 day course of progestin
Amenorrhea treatment - correct answer ✔✔progestin helps induce menstrual flow
Amenorrhea estrogen levels are low - correct answer ✔✔give progestin for 5-10 days
Long term progestin therapy - correct answer ✔✔protection against endometrial cancer
Estradiol - correct answer ✔✔most active estrogenic compound. oral estrogen option
Advantages of estrogen transdermal patch - correct answer ✔✔lower total estrogen dose. less
n/v. less fluctuation of estrogen blood levels. lower r/f DVT, PE and stroke
Femring - correct answer ✔✔intravaginal ring controls hot flashes and night sweats. Treats
vulval and vaginal atrophy
No gap method of changing from one OC to another - correct answer ✔✔go straight from one
type of OC to the other without taking a gap.
initiating OC treatment - correct answer ✔✔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 - correct answer ✔✔delayed sexual maturation causing a
boy significant distress. Limited course of Fluoxymesterone and methyltestosterone are
approved.
androgen therapy long term - correct answer ✔✔if delayed puberty is the result of true
hypogonadism
Alprostadil preferred administration - correct answer ✔✔direct injection into the corpus
cavernosum. Rapid response
Finasteride - correct answer ✔✔BPH tx 5a reductase inhibitor. Causes prostate to shrink.
benefits take months
Tamsulosin - correct answer ✔✔BPH tx alpha adrenergic antagonist. relaxes smooth muscle.
benefits are rapid
Adverse effects of silodosin and tamsulosin - correct answer ✔✔r/f floppy iris syndrome during
cataract surgery.
Chlamydia tx - correct answer ✔✔azithromycin 1g PO x single dose. doxycycline 100mg PO BID
7 days
Gonococcal urethritis tx - correct answer ✔✔ceftriaxone IM single dose 250mg-1g based on
weight
Bacterial vaginosis tx - correct answer ✔✔metronidazole 500mg PO 2x day for 7 days.
Herpes (HSV) tx - correct answer ✔✔acyclovir 400mg TID 7-10 days, valacyclovir or famciclovir
