MN 566 FULL STUDY SHEET QUESTIONS
AND CORRECT ANSWERS COLLECTION
●● Selective Estrogen Receptor Modulators (SERMs)
Answer: Tamoxifen, toremifene, raloxifene -- provide estrogen benefits
while avoiding its drawbacks
●● Dysfunctional uterine bleeding
Answer: 10-14 day course of progestin
●● Amenorrhea treatment
Answer: progestin helps induce menstrual flow
●● 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)
●● 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
●● 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
●● Tamsulosin
Answer: BPH tx alpha adrenergic antagonist. relaxes smooth muscle.
benefits are rapid
●● 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
AND CORRECT ANSWERS COLLECTION
●● Selective Estrogen Receptor Modulators (SERMs)
Answer: Tamoxifen, toremifene, raloxifene -- provide estrogen benefits
while avoiding its drawbacks
●● Dysfunctional uterine bleeding
Answer: 10-14 day course of progestin
●● Amenorrhea treatment
Answer: progestin helps induce menstrual flow
●● 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)
●● 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
●● 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
●● Tamsulosin
Answer: BPH tx alpha adrenergic antagonist. relaxes smooth muscle.
benefits are rapid
●● 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
