EXAM 200+ QUESTIONS & ANSWERS / ADVANCED
PHARMACOLOGY FOR CARE OF FAMILY|AGRADE
Advantages of estrogen transdermal patch - CORRECT ANSWERS-lower total estrogen dose.
less n/v. less fluctuation of estrogen blood levels. lower r/f DVT, PE and stroke
Femring - CORRECT ANSWERS-intravaginal ring controls hot flashes and night sweats. Treats
vulval and vaginal atrophy
No gap method of changing from one OC to another - CORRECT ANSWERS-go straight from
one type of OC to the other without taking a gap.
initiating OC treatment - CORRECT ANSWERS-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 ANSWERS-delayed sexual maturation
causing a boy significant distress. Limited course of Fluoxymesterone and methyltestosterone are
approved.
androgen therapy long term - CORRECT ANSWERS-if delayed puberty is the result of true
hypogonadism
role of androgens in anemia - CORRECT ANSWERS-promote synthesis of erythropoietin the
renal hormone that stimulates production of RBCs
Alprostadil preferred administration - CORRECT ANSWERS-direct injection into the corpus
cavernosum. Rapid response
Finasteride - CORRECT ANSWERS-BPH tx 5a reductase inhibitor. Causes prostate to shrink.
benefits take months
, Tamsulosin - CORRECT ANSWERS-BPH tx alpha adrenergic antagonist. relaxes smooth muscle.
benefits are rapid
Adverse effects of silodosin and tamsulosin - CORRECT ANSWERS-r/f floppy iris syndrome
during cataract surgery.
Chlamydia tx - CORRECT ANSWERS-azithromycin 1g PO x single dose. doxycycline 100mg PO
BID 7 days
Gonococcal urethritis tx - CORRECT ANSWERS-ceftriaxone IM single dose 250mg-1g based on
weight
Bacterial vaginosis tx - CORRECT ANSWERS-metronidazole 500mg PO 2x day for 7 days.
Herpes (HSV) tx - CORRECT ANSWERS-acyclovir 400mg TID 7-10 days, valacyclovir or
famciclovir
Trichomoniasis tx - CORRECT ANSWERS-metronidazole 2g PO x1 dose or tinidazole
Syphilis - CORRECT ANSWERS-benzathine penicillin 2.4mil units IM
Mild symptoms PD tx - CORRECT ANSWERS-MAO-B inhibitor like rasagiline or selegiline
Severe symptoms PD tx - CORRECT ANSWERS-levodopa + carbodopa or dopamine agonist
PD tx for improving motor function - CORRECT ANSWERS-levodopa
PD tx for drug induced dyskinesias - CORRECT ANSWERS-dopamine agonist