Amenorrhea estrogen levels are low - ANSWER give progestin for 5-10 days
Long term progestin therapy - ANSWER protection against endometrial cancer
Estradiol - ANSWER most active estrogenic compound. oral estrogen option
Advantages of estrogen transdermal patch - ANSWER lower total estrogen dose. less n/v. less
fluctuation of estrogen blood levels. lower r/f DVT, PE and stroke
Femring - ANSWER intravaginal ring controls hot flashes and night sweats. Treats vulval and vaginal
atrophy
No gap method of changing from one OC to another - ANSWER go straight from one type of OC to
the other without taking a gap.
initiating OC treatment - ANSWER first day of menstrual cycle (no backup BC needed) OR first sunday
after onset of menses (backup BC needed for 7 days)
, Herpes (HSV) tx - ANSWER acyclovir 400mg TID 7-10 days, valacyclovir or famciclovir
Trichomoniasis tx - ANSWER metronidazole 2g PO x1 dose or tinidazole
Alprostadil preferred administration - ANSWER direct injection into the corpus cavernosum. Rapid
response
Finasteride - ANSWER BPH tx 5a reductase inhibitor. Causes prostate to shrink. benefits take months
Syphilis - ANSWER benzathine penicillin 2.4mil units IM
Mild symptoms PD tx - ANSWER MAO-B inhibitor like rasagiline or selegiline
Severe symptoms PD tx - ANSWER levodopa + carbodopa or dopamine agonist
PD tx for improving motor function - ANSWER levodopa
PD tx for drug induced dyskinesias - ANSWER dopamine agonist
COMT inhibitor - ANSWER Entacapone (Comtan). added to levo/carbidopa to increase levo
concentrations & extend half life & decrease wearing off time
Initiating androgen therapy short term - ANSWER delayed sexual maturation causing a boy
significant distress. Limited course of Fluoxymesterone and methyltestosterone are approved.
androgen therapy long term - ANSWER if delayed puberty is the result of true hypogonadism
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