FINAL Exam: NR566 NR 566 Advanced

FINAL Exam: NR566/ NR 566 Advanced

Pharmacology Care of the Family Exam | Questions and Verified Answers (2025/ 2026 Update)- Chamberlain Chlamydia (Among Adolescents and Adults) Treatment - ANSWER Doxycycline 100 mg Orally BID for 7 day

**Alternative therapy:

• Azithromycin 1g Orally in a single dose
• Levofloxacin 500 mg orally daily for 7 days

Uncomplicated gonococcal urethritis Treatment - ANSWER

Chlamydial infection is excluded:

Ceftriaxone 500 mg IM single dose

If Chlamydial infection has not been excluded:

• Ceftriaxone 500 mg IM single dose
• Doxycycline 100 mg Orally BID for 7 day

**Alternative therapy:

-Gentamicin 240 mg IM in a single dose + Azithromycin 2 g orally in a single dose

• Cefixime 800 mg orally in a single dose

Bacterial Vaginosis Treatment - ANSWER - Metronidazole 500 mg orally BID for 7 days

• Metronidazole gel 0.75% one full applicator intravaginal, once a day for 5 days 1 / 3

• Clindamycin vaginal cream 2% one full applicator intravaginal, at bedtime for 7

days Herpes Simplex Virus (First Clinical Episode) Treatment - ANSWER - Acyclovir 400 mg orally TID for 7-10 days

• Famciclovir 250 mg orally TID for 7-10 days
• Valacyclovir 1 g orally twice a day for 7-10 days

Pelvic Inflammatory Disease (PID) (IM or Oral Regimens) Treatment - ANSWER - Ceftriaxone 500 mg IM in a single dose + Doxycycline 100 mg orally BID for 14 days + Metronidazole 500 mg orally BID of 14 days

• Cefoxitin 2g IM in a single dose +

Probenecid 1g orally in a single dose + Doxycycline 100 mg orally BID for 14 days + Metronidazole 500 mg orally BID for 14 days

• Other parenteral third generation Cephalosporin (Ceftizoxime or Cefotaxime) +

Doxycycline 100 mg orally BID for 14 days + Metronidazole 500 mg orally BID for 14 days Syphilis Treatment - ANSWER Benzathine Penicillin G 2.4 million units IM in a single dose Doxazosin side effects (due to alpha 1 receptor being blocked) - ANSWER dizziness/syncope, headache, first-dose orthostatic hypotension, drowsiness, nasal congestion 2 / 3

Dutasteride (Avodart) patient teaching - ANSWER benefits take months to develop, must continue taking med even if improvement not rapidly seen may lower ejaculatory volume & libido Should not be handled by pregnant women as the medication is teratogenic How to know Terazosin is working? - ANSWER improved symptoms of dysuria, urgency, urinary tract infections, hesitancy etc.Improvement should occur rapidly Oral Estrogen - ANSWER Most convenient and used most often.Transdermal Estrogen - ANSWER Total dose of estrogen is greatly reduced. Less nausea and vomiting, blood levels of estrogen fluctuate less.Lower risk for DVT, PE, and stroke.Intravaginal Estrogen - ANSWER Used for local effects. Primarily treatment of vulval and vaginal atrophy associated with menopause.Femring (vaginal ring) - used for systemic effects (controlling hot flashes and night sweats), as well as local effects (vulval and vaginal atrophy) Parenteral Estrogen - ANSWER Limited to acute, emergency control of heavy uterine bleeding

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