COMPLETE SOLUTIONS.
1 of 179
Term
ACEI-induced angioedema is more common in what group?
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12.5 mg day ARB
HTN Med PPT HTN Med PPT
5 - 10 mg PO daily Black women
, HTN Med PPT HTN Med PPT
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2 of 179
Definition
65 yrs for women w/o hx of fractures or secondary osteoporosis
< 65 yrs for women whose 10 year fracture risk is ≥ the risk of a 65
year old woman without additional factors (i.e. FRAX score of 9.3%)
McPhee p 11 + USPSTF
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What interventions should
be provided to offset risk of Alternatives to hormone therapy for
osteoporosis due to long term tx of vasomotor symptoms in
corticosteroid tx? post- menopausal women?
When should screening for
osteoporosis based on ↓ Causes of secondary
bone mineral density begin "hypothalamic" amenorrhea
for women?
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, 3 of 179
Term
Things to monitor in women receiving testosterone therapy
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+ Hot flashes
+ Loss of sexual hair
+ Muscle atrophy
+ Osteoporosis
+ ↓ libido
+ Fatigue
+ ↓ sense of well-being
+ Dulled enthusiasm for life
McPhee p 1217
+ Appearance of acne or hirsuitism
+ Serum testosterone levels
+ Cholesterol levels (triglycerides and HDL are usually reduced)
+ Potentiation of warfarin anti-coag tx
McPhee p 1218
+ Vaginal ring with 2 mg of estradiol can be left in place for 3 months and is ok
for long term use. (Use with caution)
+ Vaginal estrogen cream - Short term use only, and absorption is variable.
+ Estradiol tablet (10 mcg) inserted in vagina daily for 2 weeks and then twice a
week for long term use.
+ Testosterone propionate cream (1-2%, 0.5 - 1 g) can be used if estrogen is
contraindicated.
McPhee p 803
, + Smoking
+ Hysterectomy
+ Oophorectomy
+ Fragile X carrier
+ Autoimmune disorders
+ Living at high altitude
+ History of receiving certain chemotherapy medications or undergoing
radiotherapy
Medscape article - Menopause: Practice Essentials, Overview, Physiology
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4 of 179
Definition
+ Bone fractures (especially spine and hip) occur in 40% of pts
receiving long term corticosteroid therapy.
+ Most at risk = Patients > 60 years of age, who have a low BMI,
pretreatment osteoporosis, family hx of osteoporosis, or concurrent
disease that limits mobility
McPhee p 1221
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Factor that can lower the age Effect of corticosteroids on
of physiologic menopause bone