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AM is a 28 year old female patient who is seen in the office. She has tested positive for chlamydia, a sexually transmitted infection. Azithromycin 250mg tablets, take 4 tablets by mouth is ordered as a single dose is ordered by the clinic nurse practitioner for the treatment of chlamydia. You are reviewing the treatment with AM as well as discussing her other medications. AM takes Yaz 28 for contraception and uses clindamycin 1% topical gel for acne. She states she often misses tablets and has not had a period in about six months. She smokes a 1/2 pack of cigarettes per day. Answer the following questions related to AM’s medications. a. What is the chemical classification of azithromycin? (1 Mark) b. Is the dose ordered by the nurse practitioner appropriate for the treatment of chlamydia? (1 Mark) c. You discuss with AM that she has not had a period in six months. What test should be done before administering the azithromycin ordered? (1 Mark) d. What are the two drugs found in Yaz 28? (2 Marks) e. What is the black box warning for all hormonal contraceptives? (1 Mark) f. List 2 important teaching points that you want to discuss with AM based on the information above and her current use of Yaz 28.

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