Complete Questions And Correct Detailed Answers
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Raloxifene (Evista) and bisphosphonates (alendronate, calcitonin) - ans -
alternatives for hormone replacement therapy
Selective Estrogen Receptor Modulators (SERMs) - ans -Tamoxifen, toremifene,
raloxifene -- provide estrogen benefits while avoiding its drawbacks
Dysfunctional uterine bleeding - ans -10-14 day course of progestin
Amenorrhea treatment - ans -progestin helps induce menstrual flow
Amenorrhea estrogen levels are low - ans -give progestin for 5-10 days
Long term progestin therapy - ans -protection against endometrial cancer
Estradiol - ans -most active estrogenic compound. oral estrogen option
Advantages of estrogen transdermal patch - ans -lower total estrogen dose. less
n/v. less fluctuation of estrogen blood levels. lower r/f DVT, PE and stroke
Femring - ans -intravaginal ring controls hot flashes and night sweats. Treats
vulval and vaginal atrophy
No gap method of changing from one OC to another - ans -go straight from one
type of OC to the other without taking a gap.
initiating OC treatment - ans -first day of menstrual cycle (no backup BC needed)
OR first sunday after onset of menses (backup BC needed for 7 days)
Initiating androgen therapy short term - ans -delayed sexual maturation causing a
boy significant distress. Limited course of Fluoxymesterone and
methyltestosterone are approved.
, androgen therapy long term - ans -if delayed puberty is the result of true
hypogonadism
role of androgens in anemia - ans -promote synthesis of erythropoietin the renal
hormone that stimulates production of RBCs
Alprostadil preferred administration - ans -direct injection into the corpus
cavernosum. Rapid response
Finasteride - ans -BPH tx 5a reductase inhibitor. Causes prostate to shrink.
benefits take months
Tamsulosin - ans -BPH tx alpha adrenergic antagonist. relaxes smooth muscle.
benefits are rapid
Adverse effects of silodosin and tamsulosin - ans -r/f floppy iris syndrome during
cataract surgery.
Chlamydia tx - ans -azithromycin 1g PO x single dose. doxycycline 100mg PO BID 7
days
Gonococcal urethritis tx - ans -ceftriaxone IM single dose 250mg-1g based on
weight
Bacterial vaginosis tx - ans -metronidazole 500mg PO 2x day for 7 days.
Herpes (HSV) tx - ans -acyclovir 400mg TID 7-10 days, valacyclovir or famciclovir
Trichomoniasis tx - ans -metronidazole 2g PO x1 dose or tinidazole
Syphilis - ans -benzathine penicillin 2.4mil units IM
Mild symptoms PD tx - ans -MAO-B inhibitor like rasagiline or selegiline
Severe symptoms PD tx - ans -levodopa + carbodopa or dopamine agonist
PD tx for improving motor function - ans -levodopa