NR 566 Final Exam With Verified Questions and Answers
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Course
NR566
Institution
NR566
NR 566 Final Exam With Verified Questions
and Answers
Raloxifene (Evista) and bisphosphonates (alendronate, calcitonin) - answeralternatives for
hormone replacement therapy
Selective Estrogen Receptor Modulators (SERMs) - answerTamoxifen, toremifene,
raloxifene -- provide estrogen benefits whi...
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
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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