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Pharmacology > Chapters 34 and 35: Reproductive Health > Flashcards

Chapters 34 and 35: Reproductive Health Flashcards

1
Q

pregnancy must be ruled out before administering to woman who is 1 day late

A

depot medroxyprogesterone acetate injection

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2
Q

cardiovascular adverse effects of contraceptive drugs include ________, _____________, _________, and _________

A

hypertension, edema, myocardial infarction, embolisms

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3
Q

should not be used more than 24 months due to limited safety data

A

teriparatide

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4
Q

increases the risk for twins

A

clomiphene citrate

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5
Q

adverse effects include thromboembolic events, increased risk for endometrial cancer, cardiovascular disorders, breast cancer, dementia

A

estrogen

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6
Q

GU adverse effects of contraceptive drugs include ___________, ___________, _____________, and ___________

A

amenorrhea, breakthrough bleeding, breast changes, dysmenorrhea

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7
Q

induces menstruation when fertilization does not occur

A

progesterone

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8
Q

slower return to fertility when compared with other hormonal methods of contraception

A

depot medroxyprogesterone acetate

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9
Q

in comparison to pills, CHC patches have ________ menstrual flow, acne, vaginal dryness, and PMS

A

decreased

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10
Q

prone to first pass effect

A

testosterone

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11
Q

BRAIDED method

A

Benefits, Risks, Alternatives, Inquiries, Decision, Explanation, Documentation

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12
Q

hormone free pills

A

counter pills

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13
Q

physical symptoms include backaches, headache, fatigue, acne, alterations in sleep, bloating, breast soreness, constipation, or diarrhea

A

premenstrual syndrome (PMS)

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14
Q

medication that stimulates ovulation

A

clomiphene citrate

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15
Q

drugs that prevent pregnancy (not STDs)

A

contraceptive drugs

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16
Q

give 1 hour before sexual activity

A

sildenafil

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17
Q

infertility is inability to conceive a child after _________ of unprotected sexual intercourse

A

12 months

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18
Q

side effects include decreased ejaculate/libido, impotence

A

finasteride

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19
Q

PMS is an increase in symptoms __________ before menstruation subsiding __________

A

2 weeks, when menstruation begins

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20
Q

finasteride in its higher strength is used for _______

A

benign prostatic hyperplasia

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21
Q

principal male sex hormone

A

testosterone

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22
Q

significantly reduces bone mineral density; FDA recommends discontinuing after 2 years

A

depot medroxyprogesterone acetate

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23
Q

do not place CHC patches on the _______

A

breast

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24
Q

indicated in treatment of uterine bleeding, contraception, ovarian failure, menopause (hot flashes), hypogonadism, atrophic vaginitis, breast or prostate cancers

A

estrogen

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25
creates thicker cervical mucus
hormonal contraceptives
26
usually started after age 15
androgen therapy
27
male sex hormones responsible for development and maintenance of male sex characteristics
androgens
28
efficacy is reduced by antibiotics
combined hormonal contraceptives (CHC)
29
take with full glass of water on empty stomach
alendronate
30
IM depot medroxyprogesterone acetate injections are given in the ________ or ____________ muscle
ventral gluteus, deltoid
31
failure to produce testosterone, sperm, or both
hypogonadism
32
condition that results in infertility and lack of secondary sex characteristics in young males
hypogonadism
33
thin plastic CHC patches are changed ________ for __ weeks, and ___ week is patch free
weekly, 3, 4th
34
emotional symptoms include trouble concentrating, anxiety, depression, mood swings, decreased sexual desire, appetite changes
premenstrual syndrome (PMS)
35
Pharmacologic treatment for PMS includes _____________ and _____________
SSRIs, hormonal therapy
36
can accelerate bone maturation leading to premature closing of bone epiphyses
androgen therapy
37
indicated for primary and secondary amenorrhea, oral contraception, functional uterine bleeding due to hormone imbalances, fibroids, uterine cancer
progestins
38
indicated for hypogonadism, replacement therapy for testicular failure in adult males, inoperable breast cancer in women to counteract estrogen
androgen therapy
39
pregnant or women of childbearing age should not handle
finasteride
40
do not lie down within 30 minutes of taking medication
alendronate
41
CHC patches can be placed on the _________, ________, ________, or ___________
buttocks, stomach, upper outer arm, upper torso
42
inhibits osteoclastic bone resorption
calcitonin
43
GI adverse effects of contraceptive drugs include ________, _________, _________, _________, _________, __________, and _________
nausea, vomiting, diarrhea, anorexia, cramps, increased weight gain, constipation
44
black box warning for development of blood clots, stroke, or heart attack
androgen therapy
45
pseudo-menstruation is also known as
withdrawal bleeding
46
Nonpharmacologic treatment for PMS includes __________ exercise; limiting ________, ________, and _______; and __________ family and friends
aerobic, salty foods, alcohol, caffeine, supportive
47
X-rays of wrist and hands every 6 months
androgen therapy
48
treatment of erectile dysfunction resulting from inadequate blood flow to penis
sildenafil
49
indications include pregnancy prevention, endometriosis, dysmenorrhea, emergency contraception, PMS
hormonal contraceptives
50
should not be combined with nitrates
sildenafil
51
finasteride in its lower strength is used for _______
alopecia
52
effectiveness is reduced in women who weigh more than 198 lbs
CHC patch
53
sildenafil treats ________________ under name Revatio
pulmonary atrial hypertension
54
condition that results in decreased bone density and muscle mass, decreased libido, gynecomastia, fatigue, hair loss, and impotence in adult males
hypogonadism
55
side effects include headache, nasal congestion, priapism, and orthostatic hypotension
sildenafil
56
CNS adverse effects of contraceptive drugs include ___________, ___________, _____________, __________, and _______
dizziness, headache, migraines, depression, stroke
57
routes of hormonal contraception include ___________, __________, _________, __________, and _________
oral, transvaginal, transdermal, injection, implants
58
IM or SubQ injection scheduled every 11-13 weeks
depot medroxyprogesterone acetate
59
side effects include priapism, gynecomastia, halted sperm production (in normal males)
androgen therapy
60
can cause orthostatic hypotension with first few doses
teriparatide
61
rotate sites, do not massage after injection
depot medroxyprogesterone acetate
62
results in pseudo-menstruation
hormone-free period (from CHCs)
63
obtain baseline assessment of urinary function
finasteride
64
adverse effects include liver dysfunction, thromboembolic disorders
progestins
65
contraindicated for those with salmon allergy
calcitonin
66
disadvantages include skin reactions, vision changes, higher risk for venous thromboembolism
CHC patch
67
couple who has never conceived or carried a pregnancy to term
primary infertility
68
used for prevention of osteoporosis in postmenopausal women because it can result in increased hot flashes
raloxifene
69
contraceptive with efficacy rate between 97-99%
depot medroxyprogesterone acetate
70
couple who has conceived and carried to term but is unable to conceive afterwards
secondary infertility
71
anabolic steroid
testosterone
72
produced by the corpus luteum to prepare uterus for implantation
progesterone
73
most common used method of reversible contraception
combined hormonal contraceptives (CHC)
74
steroid hormone in females that stimulates secondary sex characteristics
estrogen
75
indicated for prevention and treatment of osteoporosis in men and women
alendronate
76
inhibits release of gonadotropins
hormonal contraceptives
77
two ways SSRI medications can be used for PMS
continuously at certain points in cycle (start on day 14, decrease with menses)
78
nondrug methods of pregnancy prevention
contraceptive devices

Pharmacology (19 decks)

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