1. Preventative therapy for cluster headaches includes:
Massage or relaxation therapy
Ergotamine nightly before bed
Intranasal lidocaine four times a day during “clusters” of headaches
Propranolol (Inderal) daily
2. ACE inhibitors are contraindicated in pregnancy. While treatment of heart failure during
pregnancy is best done by a specialist, which of the following drug classes is considered to
be safe, at least in the later parts of pregnancy?
Diuretics
ARBs
Beta blockers
Nitrates
3. To improve actual effectiveness of oral contraceptives women should be educated regarding:
Use of a back-up method if they have vomiting or diarrhea during a pill packet
Doubling pills if they have diarrhea during the middle of a pill pack
The fact that they will have a normal menstrual cycle if they miss two pills
The fact that mid-cycle spotting is not normal and the provider should be contacted
immediately
4. Absolute contraindications that clinicians must consider when initiating estrogen therapy
include:
Undiagnosed dysfunctional uterine bleeding
Deep vein or arterial thromboemboli within the prior year
Endometriosis
Both a. and b.
All of the above
5. Sophie presents to the clinic with a malodorous vaginal discharge and is confirmed to have
Trichomonas infection. Treatment for her would include:
Metronidazole 2 grams PO x 1 dose
Topical intravaginal metronidazole daily x 7 days
Massage or relaxation therapy
Ergotamine nightly before bed
Intranasal lidocaine four times a day during “clusters” of headaches
Propranolol (Inderal) daily
2. ACE inhibitors are contraindicated in pregnancy. While treatment of heart failure during
pregnancy is best done by a specialist, which of the following drug classes is considered to
be safe, at least in the later parts of pregnancy?
Diuretics
ARBs
Beta blockers
Nitrates
3. To improve actual effectiveness of oral contraceptives women should be educated regarding:
Use of a back-up method if they have vomiting or diarrhea during a pill packet
Doubling pills if they have diarrhea during the middle of a pill pack
The fact that they will have a normal menstrual cycle if they miss two pills
The fact that mid-cycle spotting is not normal and the provider should be contacted
immediately
4. Absolute contraindications that clinicians must consider when initiating estrogen therapy
include:
Undiagnosed dysfunctional uterine bleeding
Deep vein or arterial thromboemboli within the prior year
Endometriosis
Both a. and b.
All of the above
5. Sophie presents to the clinic with a malodorous vaginal discharge and is confirmed to have
Trichomonas infection. Treatment for her would include:
Metronidazole 2 grams PO x 1 dose
Topical intravaginal metronidazole daily x 7 days
