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25 Cards in this Set
- Front
- Back
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Which px is bupropion contraindicated in
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seizure disorder
w/draw from benzo or alcohol eating disorder MAOI in last 2 weeks |
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Rx for serotonin syndrome
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sedation/intubation
benzos |
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Rx
middle aged man with knee pain, x-ray shows calcification of the articular cartilage |
NSAIDs
colchicine |
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absolute CI for OCP |
pregnancy estrogen-dependent tumor
history of thromboembolisms
smoker > 35 y/o HTN
vascular disease
hepatic disease
unknown vaginal bleeding
migraine with aura |
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what cancer risk is reduced by OCP
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endometrial
ovarian |
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what are the estrogen SE
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bloating
weight gain breast tenderness nausea headaches |
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what are the progesterone SE
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depression
acne hypertension |
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liver pathologies a/w OCP
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cholestasis
hepatic adenoma and HCC budd chiari cirrhosis |
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what can reduce the effectiveness of OCP
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rifampin
griseofulvin antiepileptics st johns wart |
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CI for IUD placement |
current infection
uterine distortion
uterine bleeding
copper allergy or wilsons
breasts cancer |
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4 options for emergency contraception
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combination OCP
progesterone only copper IUD ulipristol - selective progesterone receptor modulators |
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MOA of OCP
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inhibit follicle development and ovulation
change in endometrial quality increased cervical mucous |
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first step in a patient with primary amenorrhea and signs of hyperandrogenism
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serum testosterone and DHEAS
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first step in a patient with primary amenorrhea and galactorrhea
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serum prolactin and thyrotropin
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first step in a patient with primary amenorrhea and uterus is absent
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karyotype
serum testosterone |
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first step in a patient with primary amenorrhea and uterus is present
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BhCG
serum FSH |
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first step in a patient with primary amenorrhea and BhCG is high
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pregnancy
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first step in a patient with primary amenorrhea and FSH is high
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karyotype for turners
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first step in a patient with primary amenorrhea and FSH is low
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MRI for hypothalamic or pituitary disease
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first step in a patient with primary amenorrhea and FSH is normal
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serum prolactin and thyrotropin
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Dx
px with primary amenorrhea PE shows bluish bulge where vaginal orifice should be |
imperforate hymen
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Dx
px with primary amenorrhea, absent sexual characteristics and anosmia |
kallman
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definition of premature ovarian failure
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menopause < 40 yo
(absent menses for 6 months) |
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MCC of secondary amenorrhea
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pregnancy
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initial step in a woman presenting with secondary amenorrhea and new galactorrhea when the BhCG is negative
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check TSH and prolactin levels
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