Ocp

Front 1

1st Gen, 2nd Gen or 3rd Gen Progestin
1) desogestrel
2) Noregestimate
3) Norgestrel
4) Levonorgestrel
5) Norethindrone
6) Ethynodiol

Back 1

1) desogestreil --> 3rd Gen
2) Noregestimate -->3rd Gen
3) Norgestrel --> 2nd
4) Levonorgestrel --> 2nd
5) Norethindrone -->1st
6) Ethynodiol --> 1st

Front 2

Yasmin v.s. Yaz
1) EE
2) Progestin
3) Placebo

Back 2

1) yasmin (EE 30 mcg) Yaz (EE 20 mcg)
2) drospirenone 3 mg
3) Yaz has a few placebo --> shorter period

Front 3

What is biphasic oral contraceptive regimens?

Back 3

1) same estrogen for the 1st 21 days
2) Porgestin increased in the late cycle

Front 4

Seaonale v.s. Seasonique
1) EE
2) Progestin
3) Placebo

Back 4

1) EE=30 mcg
2) Levonorgestrel = 0.15 mg
3) Seasonale--> 7 days placebo
Seaonique --> 7 estrogen tabs to prevent menstrual migraines

Front 5

Lybrel
1) EE 20 mcg, Levonorgestrel 90 mcg
2) Placebo?

Back 5

2) No placebo, active pills QD for 365 days
--> no period (Alesse is very similar to Lybre, just skip the placebo)

Front 6

Progestins effects (1st, 2nd, 3rd Gen)
can have androgenic effects:
1.
2.
3.

Back 6

1. PMS effects
2. Mood swings
3. Depression
4. acne

Front 7

Estrogen can cause thicken blood. For women > 35 years, smokers, what should you recommend?

Back 7

Mini-pills
Micro-nor (Northindrone 0.35 mg)
Nor-QD (Northindrone 0.35 mg)
Ove-rette (Norgestrel 0.075 mg)

Front 8

Who should not receive Depo-Provera shots?

Back 8

1. Hx of depression
2. Hx of HA

Front 9

Who should receive mini-pills?
1.
2.
3.

Back 9

1. women can not take estrogen (hx with clots, DVT, PE)
2. lactation (estrogen decrease milk production)
3. Postpartum women (inhyper-coagulable state)

Front 10

Depo-Provera (Progestin only)
1. progestin?
2. frequency?
3. Route?
4. delayed fertility 9 months -1 year

Back 10

1. Medroxyprogesterone
2. every 3 months
3. IM
4. No estrogen effects (NO blood clots)

Front 11

Progestin only form
Norplant
1) route
2) frequency
3) fertility return?

Back 11

1) Subdermal implant
2) every 5 years
3) in 24 hours after removed

Front 12

Ortho-EVRA
1. form
2. Combined OC or mini-pills?
3. Frequency?

Back 12

1. patch
2. EE + norgestimate
3. Q week

Front 13

NuVaring
1. form?
2. frequency?
3. stability

Back 13

1. vaginal ring
2. Used for 21 days/28 days
3. keep in the fridge, but ok to keep at room temperature for 120 days

Front 14

Diaphragms
1. All sizes.types
2. how long to keep inside?

Back 14

2. Never in > 24 hours

Front 15

Ovulation kit-->

Pregnancy test -->

Back 15

Ovulation kit --> LH
Pregnancy test --> beta-hCG

Front 16

Thyroid medications
Pregnancy category
1. A
2. B
3. C
4. D
5. X

Back 16

1.A

Front 17

Thyrolar
1. Generic name
2. Synthetic ?

Back 17

1. Liotrex
2. T4:T3 = 4:1 ratio
Very expensive

Front 18

Thyroid + Tube feeding--> Yes or NO

Back 18

Need to hold tube feeding for 30 mins before and 30 minutes after administration

Front 19

DMARDs
1) Non-biological
2) Biological

Back 19

1) Non-Biological: Hydroxychloroquine, sulfasalazine, MTX, Leflunomode, gold, azathioprine, or D-penicillamine

2) Biological DMARDs: Enbrel, Humira, or Remicade; Orencia, or Rituxan

Front 20

TNF Blockers, always check:
1)
2)

Back 20

1) PPD test
2) CHF (can worsen heart failure)

Front 21

Monitoring gold therapy:
1.
2.

Back 21

1. Urinalysis for proteinuria every 3 months
2. CBC every 3 months

Front 22

Most common MTX side effects:
1.
2.
3.
4.

Back 22

1. Nausea
2. Oral ulcer
3. stomatitis
4. diarrhea

Front 23

Monitoring MTX:
1.
2.
3.
4.

Back 23

1. CBC with platelet count
2. Hepatic
3. Lung
4. renal

Front 24

Arava (Preg X)
1. generic name
2. AE
3. Washout procedures

Back 24

1. Leflunomide
2. Nausea, alopecia, increased liver transaminases
--> L->liver, F--> function test
3. Cholestyramine 8 gm TID for 11 days

Front 25

Anakinra (Kineret)
1. MOA:
2. Indication:
3. Route and dosing:
4. Storage
5. DO not use with TNF- blocking drugs

Back 25

1. IL-1 receptor blocker
2. RA
3. 100 mg SC QD
4. fridge

Front 26

S/Sx of agranulocytosis:

--> Azathioprine(Imuran) can cause agranulocytosis

Back 26

1. Persistent sore throat
2. unusual bleeding
3. bruising
4. fatigue

Front 27

Hydroxychloroquine (Plaquenil)
1) Indications:
2) > 400 mg
3) Neurological AE:
a) early (1st 2 weeks)
b) Late (after 2 weeks)

Back 27

1. RA and malaria
2. --> retinopathy
a) Early: Irritability, Insomnia, HA
Late: Tinnitus, decreased hearing acuity; exacerbation of psoriasis

Front 28

Sulfsalazine (Azulfidine)
1. MOA:
2. Indications:
3. AE:

Back 28

1. inhibition of folate synthesis
2. Ulcerative colitis (Sulfsalazine converts to Aspirin in the colon
3. Orange-yellow discoloration of skin, contact lenses and urine

Front 29

Enbrel
1) generic name
2) Route
3) storage
4) cautions:

Back 29

1) Etanercept
2) 50 mg SC once weekly
3) fridge
4) Never give with Kineret (IL-1) --> potentiate infection

Front 30

Remicade
1) Generic name?
2) Indications:
3) Dose (for RA)

Back 30

1. Infliximab
2. Refractory RA and Crohn's disease
3. Only IV. Initial: 3 mg/kg @ 0, 2, 6 weeks
Maintenace: 3 mg/kg every 8 weeks (6x/year)

Front 31

Orencia
1. Generic name?
2. Indication:?
3. Route:
4. WARNING:

Back 31

1. Anatacept
2. RA
3. IV only (based on weight)
4. a. DO NOT COMBINE WITH other TNF-blockers or IL-1
b. Do not receive live vaccine
c. Monitor for COPD and pulmonary infections

Front 32

Humira (adalimumab)
1. dosing?
2. Monitoring
3. storage

Back 32

1. 40 mg SC q 2 weeks
2. CBC
3. Fridge and protect from light

Front 33

5 TNF blockers for RA

Back 33

1. Enbrel
2. Humira
3. Simponi
4. Remicade
5.Orencia

Front 34

Only 2 IV TNF-blockers:
1.
2.

Back 34

1. Orencia Q 4 weeks
2. Remicade (Inlfiximan) I-->for IV; Q 8 weeks

Front 35

SImponi
dosing & route & freuency

Back 35

50 mg SC Q month

enbrel: 50 mg SC Q week
humira: 40 mg SC Q 2 weeks

Front 36

Rituxan (rituximab)
1. indications
2. Dosing
3. AE
4. Storage

Back 36

1. NHL and refractory RA
2. RA: 1 gm IV Q 2 weeks for 2 doses
3. severe infusion reactions
Tumor Lysis syndrome
4. Keep in the fridge, away from light

Front 37

3 PPI Are available in IV form

Back 37

1. Nexium
2. Prevacid
3. Protonix

Front 38

Zegerid

Back 38

Omeprazole powder for suspension; mix with water and consumed immediately

Front 39

Rapinex

Back 39

Omeprazole oral suspension

Front 40

Nexium

Back 40

Esomeprazole
take at least 1 hour before meals

Front 41

Can you give Prevacid suspension through NG tube?

Back 41

NO, caps & ODT -->Ok (but not suspension)

Front 42

What is Prevpac?

Back 42

Lansoprazole 30 mg
Amoxicillin 500 mg
Clarithromycin 500 mg

Front 43

Prevacid NepraPac

Back 43

Lansoprazole 15 mg
Naproxen 500 mg

Front 44

Kapidex

Back 44

Dex-lansoprazole (R-isomer of Prevacid)

Front 45

Can you give Protonix suspension through NG tube?

Back 45

Yes, (but not Prevacid suspension)

Front 46

If patients are taking MANY medications, which 2 PPI will be better choices for them?

Back 46

1. Protonix (Pantoprazole)
2. Aciphex (Rabeprazole)

Front 47

What is the indication
TOBI mg neb BID 28 days ON, and 28 days OFF

Back 47

Cystic fibrosis (Pseudomonas loves CF)

Front 48

3 prostaglandin analog for glaucoma
1.
2.
3.

Back 48

1. Travatan (Travoprost)
2. Lumigan (Bimatoprost)
3. Xalatan (Latanoprost)

Front 49

Emadine
1. generic name
2. Class?
3. Indication?

Back 49

1. Emedastine
2. antihistamine eye drop
3. allergic conjunctivitis

Front 50

AzaSite
1, direction
2. storage

Back 50

AzaSite--> Z-pak for the eyes
1. 1 drop Q12H for 2 Days and then 1 drop Q24h for 5 days
2. Fridge; ok to leave at room temperature up to 14 days

Front 51

If you are using 2 eyes drops, how long you have to wait between them?

Back 51

10-15 minutes