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)
, 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
role of androgens in anemia - ANSWER promote synthesis of erythropoietin the renal hormone that
stimulates production of RBCs
Adverse effects of silodosin and tamsulosin - ANSWER r/f floppy iris syndrome during cataract
surgery.
Chlamydia tx - ANSWER azithromycin 1g PO x single dose. doxycycline 100mg PO BID 7 days
Gonococcal urethritis tx - ANSWER ceftriaxone IM single dose 250mg-1g based on weight
Bacterial vaginosis tx - ANSWER metronidazole 500mg PO 2x day for 7 days.
Divalproex - ANSWER antiepileptic med reduce migraine attacks. Contraindicated in pregnancy
Amitriptyline - ANSWER tricyclic antidepressant. Can prevent migraine/tension type headache.
Orthostatic hypotension
Preventative migraine meds - ANSWER propanolol, divalproex and amitriptyline
Abortive migraine meds - ANSWER non specific NSAIDs, migraine specific analgesics, ergot alkaloids,
dihydroergotamine
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