VERSIONS 2024-2025) / NR566 FINAL
EXAM 200+ QUESTIONS & ANSWERS /
ADVANCED PHARMACOLOGY FOR
CARE OF FAMILY|AGRADE
ANSWER//Doxycycline 100mg BID
Treatment for bacterial vaginosis in a non pregnant patient. -
ANSWER//Metronidazole 500mg BID for 7 days
What are two treatments for bacterial vaginosis in a pregnant patient. -
ANSWER//Vaginal metronidazole 2% for 7 days.
Clindamycin 1% for 7 days.
First line treatment for HSV. - ANSWER//Acyclovir 400mg three times a day for 7-
10 days.
Second line treatment for HSV. - ANSWER//Acyclovir 800mg BID for 5 days.
Trichomoniasis treatment for women. - ANSWER//Metronidazole 500mg BID for 7
days.
Tinidazole 2grams single dose.
Trichomoniasis treatment for men. - ANSWER//Metronidazole 2grams single dose.
Tinidazole 2grams single dose.
What are doxazosin side effects? - ANSWER//hypotension, dizziness, nasal
congestion
What is doxazosin used to treat? - ANSWER//BPH
,Dutasteride (Avodart) is used to treat what? - ANSWER//BPH
How long does it take to see effects of Dutasteride (Avodart)? - ANSWER//May
take months. Patient should continue to take it even if improvement is not seen
right away.
What are side effects of Dutasteride (Avodart)? - ANSWER//May lower ejaculatory
volume.
May lower libido.
How do you know that Terazosin (Hytrin) is working? - ANSWER//Symptoms of
dysuria, urgency, UTI, and hesitancy improve.
When is it not safe to prescribe progesterone? - ANSWER//If a patient is pregnant
or has had a hysterectomy.
Breast cancer. Arterial disease. Previous diagnosis of depression.
What are side effects of progestin oral contraceptives? - ANSWER//irregular
bleeding
Patient teaching about progestin oral contraceptives. - ANSWER//Must take at the
same time every day to be effective. May cause inconsistent bleeding.
Benefits of using medroxyprogesterone acetate? (Depo-Provera) -
ANSWER//Does not cause thrombolytic disorders, headache, nausea, or other
adverse effects associated with combo OC's.
Testosterone replacement therapy routes. - ANSWER//Pill, injection, patch.
What are teaching points about testosterone patch? - ANSWER//Wash hands after
applying
Cover site after dried
Wash application site before skin to skin contact
May cause rash at application site
When is androgen therapy appropriate for short term use? - ANSWER//Pressure
of delayed sexual maturation causes significant distress.
When is androgen therapy appropriate for long term use? - ANSWER//Delayed
puberty related to hypogonadism.
Side effects of testosterone replacement therapy. - ANSWER//hot flashes, bone
fractures, decreased libido, insulin resistance, erectile dysfunction, acne,
hypertension, sterility, aggression, mood swings.
, What is alprostadil used for? - ANSWER//erectile dysfunction
Routes of administration for alprostadil. - ANSWER//Intracavernosal (Immediate
erection)
Intraurethral pellet (Erection 5-10 mintutes)
How does carbamazepine impact OC's? - ANSWER//Accelerate the metabolism
reducing the effect.
How would an OC be prescribed with carbamazepine? - ANSWER//Increase the
estrogen dose, combine with a second form of birth control, or switch to an
alternate birth control.
What is carbamazepine used to treat? - ANSWER//Seizure disorders
What are the benefits of the etonogestrel sub-dermal implant (Nexplanon)? -
ANSWER//Very effective
Long-term option- 5 years
Reversible after removed
Women with a history of thrombosis can use this
What is papaverine/phentolamine used to treat - ANSWER//erectile dysfunction
What are patient education points for papaverine/phentolamine? - ANSWER//Do
not inject more than once in 24 hours.
Notify of duration and efficacy of erection.
Consult physician before taking new medications.
Seek medical attention if erection lasts more than 3 hours.
What is the first line treatment for syphilis? - ANSWER//Penicillin G IV
What is Pramipexole (Mirapex)? When is it best prescribed? -
ANSWER//Dopamine receptor agonist
Best when used in the early stages of PD
What are adverse effects of pramipexole (mirapex)? - ANSWER//nausea,
dizziness, daytime sleep attacks(extreme/irresistible urge), insomnia,
constipation, weakness, hallucinations, impulse control
When to prescribe COMT inhibitors - ANSWER//When levodopa is not working
long enough and starts to wear off between doses. This medication extends the
half-life of levodopa.
What seizure medications reduce oral contraceptive efficacy? -
ANSWER//Carbamazepine
Eslicarbazephine