Family Med SG6

Question 1

Iatrogenic causes of abnormal uterine bleeding

Answer 1

anticoagulants, SSRIs, antipsychotics, steroids, hormones

Question 2

Further workup is required if the endometrium is how thick on transvaginal u/s

Answer 2

Over 5 mm

Question 3

How much vit D should people over 50 yo consume?

Answer 3

IU 800 of vit D

Question 4

Dietary sources of vit D

Answer 4

Dairy, egg yolks, salt water fish, and liver

Question 5

Osteoporosis meds (4)

Answer 5

Bisphosphonates, parathyroid hormone, estrogen replacement therapy, calcitonin

Question 6

How do bisphosphonates work? And what are some examples?

Answer 6

Inhibit bone resoprtion and bone turnover. Generic are alendronate and risedronate. Zoledronic acid is an IV prep that can be given anually

Question 7

Efficacy of PTH for osteoporosis?

Answer 7

No demonstrated efficacy over 2 years

Question 8

Efficacy of calcitonin?

Answer 8

Shown to reduce vertebral fracture but not hip or other

Question 9

Women’s health initiative found greater risk in what diseases with increased use of estrogen?

Answer 9

Breast cancer (P and E), Endometrial (E), CAD, and stroke

Question 10

The following are possibly effective for the treatment of hot flashes

Answer 10

soy black cohosh, flaxseed, St. John’s Wort, exercise

Question 11

Most common cause of dyspepsia

Answer 11

Functional (50%), with PUD (15-25%), GERD (5-15%), then gastric or esoph cancer (less than 2%)