EXAM 5

Question 1

alopecia treatment options

Answer 1

minoxidil and finasteride

Question 2

finasteride

Answer 2

1 mg PO qd, continuously
SE: decreased libido, ED, decreased volume ejaculate
AVOID WITH WOMEN

Question 3

minoxidil

Answer 3

apply 2 times a day every day, continuously
may take 4 months to see effects
apply to DRY scalp

Question 4

testicular cancer treatment

Answer 4

surgery (orchiectomy)
radiation
chemotherapy

Question 5

testosterone capsules

Answer 5

Jatenzo
158 to 396mg BID with food
measure serum levels 6 hours after AM dose

Question 6

contraindications to testosterone therapy

Answer 6

prostate cancer, breast cancer, hematocrit > 50%, baseline PSA > 4 ng/dl or > 3 ng/ml in men at high-risk prostate cancer, recent or poorly controlled CVD

Question 7

sildenafil brand name

Answer 7

Viagra

Question 8

sildenafil starting dose and max dose

Answer 8

starting 50mg, max 100mg
starting dose 25mg if older than 65, hepatic impairment, CrCl less than 30

Question 9

sildenafil duration

Answer 9

4 hours

Question 10

tadalafil brand name

Answer 10

Cialis

Question 11

tadalafil starting dose and max dose

Answer 11

starting 10mg but 2.5-5 mg if daily, max 200mg

Question 12

tadalafil is also indicated for

Answer 12

BPH

Question 13

tadalafil duration

Answer 13

36 hours

Question 14

PDE 5 inhibitors precautions

Answer 14

oral or transdermal nitrates, alpha blockers, severe CAD, report erections lasting longer than 4 hours

Question 15

pulmonary hypertension dose of tadalafil

Answer 15

40 mg daily

Question 16

pulmonary hypertension dose of sildenafil

Answer 16

20 mg TID

Question 17

alprostadil injection starting dose and max

Answer 17

2.5-10 mcg, max 60 mcg

Question 18

tadalafil dose for BPH

Answer 18

5 mg daily

Question 19

tadalafil dose CrCl less than 30

Answer 19

DONT USE!

Question 20

tadalafil dose CrCL 30-50

Answer 20

2.5mg daily

Question 21

finasteride dose for BPH

Answer 21

5mg daily

Question 22

dutasteride dose for BPH

Answer 22

0.5mg daily

Question 23

HPV vaccine ages and dosing

Answer 23

ages 9-14, 0, 6-12 months
ages 15+ 0, 1-2 months, 6 months

Question 24

etonogestrel implant side effect

Answer 24

irregular bleeding first 6-12 months

Question 25

hormonal IUD side effect

Answer 25

lighter and less frequent periods

Question 26

copper IUD side effect

Answer 26

periods heavier or stay same

Question 27

medroxyprogesterone shot fertility

Answer 27

delayed return

Question 28

very low dose estrogen

Answer 28

20 mcg EE + progestin

Question 29

low dose estrogen

Answer 29

30-35mcg EE + progestin

Question 30

high dose estrogen

Answer 30

50 mcg EE + progestin

Question 31

mini pill - norethindrone pill administration

Answer 31

within 3 hours of same time, no placebo pills, if late for dose use backup for 2 days

Question 32

disposable vaginal ring estrogen component

Answer 32

15mcg EE

Question 33

reusable vaginal ring estrogen component

Answer 33

13mcg EE

Question 34

norelgestromin patch efficacy

Answer 34

caution with BMI greater than 30, less effective if more than 198 lbs

Question 35

drugs causing amenorrhea

Answer 35

prochlorperazine, chlorpromazine, haloperidol, risperidone, verapamil, metoclopramide

Question 36

tranexamic acid dose

Answer 36

1,300mg PO TID x 5 days

Question 37

tranexamic acid CI

Answer 37

DVT, PE, seizure

Question 38

PMS diagnosis

Answer 38

at least 1 symptom for 3 menstrual cycles

Question 39

PMDD diagnosis

Answer 39

at least 5 symptoms, at least one in 2 different criteria for 2 months

Question 40

first line PMDD/PMS

Answer 40

SSRIs, NSAIDs, spironolactone

Question 41

SSRIs for PMDD/PMS

Answer 41

fluoxetine 20mg, sertraline 50-150mg, paroxetine 12.5-25mg

Question 42

spironolactone dosing for PMS

Answer 42

100mg days 15-28

Question 43

second line PMS/PMDD

Answer 43

SNRIs, COCs, clomipramine, alprazolam

Question 44

SNRIs PMDD/PMS

Answer 44

duloxetine 60, venlafaxine 75-112mg luteal or 50-200 daily

Question 45

mechanisms of PCOS

Answer 45

inapropriate gonadotropin secretion, insulin resistance, excessive androgen production

Question 46

criteria for PCOS (need two of three)

Answer 46

hyperandrogenism, polycystic ovaries, chronic anovulation

Question 47

cycle irregularity PCOS treatment

Answer 47

COC, cyclic progestin therapy

Question 48

hirsutism and hyperandrogenism in PCOS therapy

Answer 48

COC, spironolactone, finasteride, topical Vaniqa

Question 49

induction of ovulation PCOS

Answer 49

letrozole, GnRH therapy

Question 50

letrozole dosing

Answer 50

start at 2.5 then increase by 2.5 every cycle, max 5 cycles