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NR 566 FINAL EXAM REVIEW QUESTIONS WITH VERIFIED ANSWERS
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NR 566 FINAL EXAM REVIEW QUESTIONS WITH VERIFIED ANSWERS
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NR 566 FINAL EXAM REVIEWQUESTIONS WITH VERIFIED ANSWERS
Raloxifene (evista) and bisphosphonates (alendronate, calcitonin) - answer-alternatives
for hormone replacement therapy
Selective estrogen receptor modulators (serms) - answer-tamoxifen, toremifene,
raloxifene -- provide estrogen benefits while avoiding its drawbacks
Dysfunctional uterine bleeding - answer-10-14 day course of progestin
Amenorrhea treatment - answer-progestin helps induce menstrual flow
Amenorrhea estrogen levels are low - answer-give progestin for 5-10 days
Long term progestin therapy - answer-protection against endometrial cancer
Estradiol - answer-most active estrogenic compound. Oral estrogen option
Advantages of estrogen transdermal patch - answer-lower total estrogen dose. Less
n/v. Less fluctuation of estrogen blood levels. Lower r/f dvt, pe and stroke
Femring - answer-intravaginal ring controls hot flashes and night sweats. Treats vulval
and vaginal atrophy
No gap method of changing from one oc to another - answer-go straight from one type
of oc to the other without taking a gap.
Initiating oc treatment - 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 - answer-delayed sexual maturation causing a
boy significant distress. Limited course of fluoxymesterone and methyltestosterone are
approved.
Androgen therapy long term - answer-if delayed puberty is the result of true
hypogonadism
Role of androgens in anemia - answer-promote synthesis of erythropoietin the renal
hormone that stimulates production of rbcs
Alprostadil preferred administration - answer-direct injection into the corpus
cavernosum. Rapid response
, Finasteride - answer-bph tx 5a reductase inhibitor. Causes prostate to shrink. Benefits
take months
Tamsulosin - answer-bph tx alpha adrenergic antagonist. Relaxes smooth muscle.
Benefits are rapid
Adverse effects of silodosin and tamsulosin - answer-r/f floppy iris syndrome during
cataract surgery.
Chlamydia tx - answer-azithromycin 1g po x single dose. Doxycycline 100mg po bid 7
days
Gonococcal urethritis tx - answer-ceftriaxone im single dose 250mg-1g based on weight
Bacterial vaginosis tx - answer-metronidazole 500mg po 2x day for 7 days.
Herpes (hsv) tx - answer-acyclovir 400mg tid 7-10 days, valacyclovir or famciclovir
Trichomoniasis tx - answer-metronidazole 2g po x1 dose or tinidazole
Syphilis - answer-benzathine penicillin 2.4mil units im
Mild symptoms pd tx - answer-mao-b inhibitor like rasagiline or selegiline
Severe symptoms pd tx - answer-levodopa + carbodopa or dopamine agonist
Pd tx for improving motor function - answer-levodopa
Pd tx for drug induced dyskinesias - answer-dopamine agonist
Comt inhibitor - answer-entacapone (comtan). Added to levo/carbidopa to increase levo
concentrations & extend half life & decrease wearing off time
Pramipexole side effects - answer-impulse control disorders, combined with levodopa
causes orthostatic hypotension and dyskinesias
Pregabalin - answer-safest medication for seizure patients on oc
Phenytoin - answer-can decrease effects of ocs, warfarin and glucocorticoids
Migraine tx 1st line - answer-serotonin 1b/1d receptor agonists (triptans)
First line migraine prevention - answer-propanolol
Divalproex - answer-antiepileptic med reduce migraine attacks. Contraindicated in
pregnancy
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