NR566 Week 4: Midterm Exam

What is the primary treatment recommendation for adults with onychomycosis?

Answers: A – D

A Topical ciclopirox
B Oral fluconazole
C Oral terbinafine ✅
D Topical miconazole

A 60-year-old man with hypertension is prescribed ivermectin for strongyloidiasis. What side effects should the patient be aware of?

Answers: A – D

A Hypotension ✅
B Tachycardia
C Hypoglycemia
D Hyperkalemia

In women who are not candidates for hormone therapy, which of the following is considered an evidence-based non-hormonal option for vasomotor symptoms?

Answers: A – D

A Selective serotonin reuptake inhibitors (SSRIs) ✅
B Calcium alone
C Herbal supplements
D Vitamin D supplementation

A 30-year-old transgender woman seeks gender-affirmation therapy. Which statement regarding the use of estrogen in this context is accurate?

Answers: A – D

A Estrogens are primarily used to induce male secondary sexual characteristics
B Estrogens are not recommended for gender-affirmation therapy
C Estrogens are prescribed off-label for gender-affirmation therapy ✅
D Estrogens are FDA-approved for gender-affirmation therapy in transgender individuals

Which key prescribing consideration is relevant for patients receiving 5-Alpha-1-reductase inhibitors?

Answers: A – D

A Repeating prostate-specific antigen (PSA) levels periodically ✅
B Assessing liver function tests
C Evaluating renal function
D Monitoring serum electrolyte levels

How do calcimimetics help reduce the risk of nephrolithiasis in patients with chronic kidney disease (CKD)?

Answers: A – D

A By stimulating vitamin D production
B By reducing PTH secretion and improving calcium balance ✅
C By binding phosphate in the gut
D By increasing calcium absorption from the GI tract

Which contraceptive method is contraindicated in a patient with a current pelvic inflammatory disease (PID)?

Answers: A – D

A Progestin-only pill
B Transdermal patch
C Intrauterine device (IUD) ✅
D Injectable depot medroxyprogesterone acetate

Which of the following patients is at GREATEST risk for developing systemic fungal infections?

Answers: A – D

A A 30-year-old woman taking oral contraceptives
B A 50-year-old with type 2 diabetes on insulin therapy
C A 70-year-old on high-dose glucocorticoids for autoimmune disease ✅
D A healthy 25-year-old athlete with tinea pedis……………………………………………………….$60