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NR566 FINAL EXAM STUDY GUIDE
UPDATED ACTUAL EXAM WITH CORRECT
SOLUTIONS.
First line drug, dose, route, frequency: Chlamydia
(Among Adolescents and Adults) - correct answer- Doxycycline 100 mg PO BID x 7 days
ALTERNATIVE:
Azithromycin 1000 mg po once Or Levofloxacin 500mg PO daily for 7 days
First line drug, dose, route, frequency: Uncomplicated
gonococcal urethritis - correct answer- ceftriaxone 500 mg IM single dose
First line drug, dose, route, frequency: Bacterial Vaginosis -
correct answer- metronidazole 500 mg BID for 7 days OR Metronidazole gel 0.75%one full applicator (5 g) intravaginally, once a day for 5 days OR Clindamycin vaginal cream 2%one full applicator (5 g) intravaginally at bedtime for 7 days
First line drug, dose, route, frequency: Herpes Simplex Virus 1 / 3
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(First Clinical Episode) - correct answer- 1st Clinical episode:
Acyclovir 400 mg 3x days for 7-10 days OR Famciclovir 250 mg orally three times a day for 7-10 days OR Valacyclovir1 g orally twice a day for 7-10 days
First line drug, dose, route, frequency: Pelvic Inflammatory
Disease (PID) (IM or Oral Regimens) - correct answer- Ceftriaxone 500mg IM in single dose + Doxycycline 100 mg PO BID x 14 days + Metronidazole 500 mg PO BID x 14 days.
First line drug, dose, route, frequency: Syphilis
(Primary and Secondary) - correct answer- Benzathine penicillin G 2.4 million units IM in a single dose
Doxazosin Side Effects - correct answer- hypotension, dizziness, nasal congestions
Dutasteride Patient teaching.response to delayed onset of therapeutic effect - correct answer- benefits take months to develop, must continue taking med even if improvement not readily seen may lower ejaculatory volume and libido 2 / 3
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Terazosin.How to know it's working - correct answer- improve symptoms of dysuria, urgency, UTI, hesitancy
Various routes of administration of estrogen therapy and when each would be used - correct answer-
· When is it safe and not safe to prescribe progesterone (AKA:
progestin) - correct answer- Not safe: if women has had a
hysterectomy/pregnant
Safe:
Side effects of progestin-only oral contraceptives - correct answer- it can cause irregular/ inconsistent bleeding, must be taken at same time every day to be effective
Benefits of prescribing medroxyprogesterone acetate (DepoProvera) - correct answer- doesn't cause thromboembolic disorder, headache, nausea or most of the other adverse effects associated with combo OCs.
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