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Advanced Pharmacology Final Exam (Genitourinary, Endocrine, Alternative Medicine And Study Guide) – Questions With Correct Solutions $17.99
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Advanced Pharmacology Final Exam (Genitourinary,
Endocrine, Alternative Medicine And Study Guide) –
Questions With Correct Solutions
3 antibiotics for Uncomplicated Cystitis (premenopausal, sexually active,
nonpregnant) Right Ans - Bactrim (TMP-SMZ) 3 days
Macrobid 5 days
Fosfomycin 3g x 1
2nd line antibiotics for uncomplicated cystitis if refractory to 1st line: Right
Ans - Ciprofloxacin
Levaquin
for 3 days
Antibiotics for complicated cystitis (symptoms > 7 days) Right Ans -
Ciprofloxacin
Levaquin
for 7 days
Timeframe to begin antibiotic therapy for UTI Right Ans - within 72 hours
of symptoms
medications for UTI symptom relief of spasms Right Ans - Pyridium 200mg
TID
Flavoxate 100-200mg TID-QID
genitourinary infection requiring 4-12 weeks of fluoroquinolones (broad
spectrum) Right Ans - prostatitis (usually gram negative)
E.coli & Pseudomonas are gram ( ) organisms Right Ans - gram negative
Staph & Strep are gram ( ) organisms Right Ans - gram positive
prostatitis with STI treated with Right Ans - Rocephin or
Cefixime + Doxycycline
prostatitis without presence of STI is treated with Right Ans - Ciprofloxacin
or Levaquin x 10-14 days (same as uncomplicated pyelonephritis)
,1st line treatment for BPH (drug class) Right Ans - a-adrenergic blockers
(relax smooth prostate muscle)
a-adrenergic blockers may have this systemic effect Right Ans -
hypotension
Two 1st generation a-adrenergic blockers Right Ans - Terazosin &
Doxazosin
Two 2nd generation a-adrenergic blockers Right Ans - Flomax & Rapaflo
What is the main difference between 1st and 2nd generation a-adrenergic
blockers that treat benign prostatic hyperplasia Right Ans - 1st generation
has increased risk of hypotension
Intraoperative Floppy Iris Syndrome (IFIS) during cataract surgery is an
adverse reaction of which medication Right Ans - 1st & 2nd generation a-
adrenergic blockers for BPH
2nd line treatment of BPH (drug class) Right Ans - 5A reductase inhibitors -
block testosterone conversion
Two 5a reductase inhibitors (slow/months to take affect): Right Ans -
Proscar, Avodart
which medications are recommendation are recommended if prostate > 40g?
Right Ans - Proscar, Avodart
which is an inflammatory marker of the prostate? Right Ans - PSA
Possible side effects of Proscar, Avodart: Right Ans - PSA level suppression
(reduces up to 50% after 6 months), risk of prostate CA
Score card for BPH treatment guidelines Right Ans - AUA/IPSS (American
Urological Association /International Prostate Symptom Score)
number ranges for mild, moderate, severe BPH (7 questions with 0-5 points
each) Right Ans - 0-7 mild (may not require tx)
, 8-19 moderate
20-35 severe
3rd line treatment for BPH Right Ans - combo of 1st and 2nd (most
effective) such as dutasteride (avodart) / tamsulosin OR
may treat with a PD5 inhibitor
1st line treatment for ED (drug class): PD5 inhibitors Right Ans - ED is
usually multi-factorial and patients should be counseled on life-style changes
in addition to Rx.
names of first line meds for ED Right Ans - viagra
levitra
cialis (longer half-life)
stendra (15-min onset)
Adverse reaction of PD5 inhibitors Right Ans - dyspepsia,
headache & flushing
due to the vasodilation
PD5 inhibitors are contraindicated with:
Men having MI should be asked if he has taken a PD5 inhibitor. If yes, hold
_________ for 12-24 hours. Right Ans - Nitrates / Nitroglycerine
The bladder is lined with striated muscle that is sensitive to Right Ans -
acetylcholine and musculorinic over stimulation causing spasms
What must be ruled out with overactive bladder? Right Ans - neurological
issues, infectious component
1st line treatment of Overactive Bladder (drug class):
anticholinergics & antimuscularinics Right Ans - First consider behavioral
modification & bladder muscle training with biofeedback and pelvic floor
exercises.
name of anticholinergic for overactive bladder Right Ans - oxybutynin
(least side effect of all in class)
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