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