hormonal Flashcards
:cOCPs has the highest risk of
venous thromboembolism as compared with
nonusers?
Drospirenone
A 30-year-old woman with polycystic ovary syndrome who
was already taking drospirenone (3 mg/EE 30 g for 6
months) presented to the dermatology department
because she is still unhappy with her facial acne and
hirsutism.
3. What is the next therapy you would add to her
regimen to help treat her acne and hirsutism?
Spironolactone
What are the most common side effects associated
with Spironolactone?
Menstrual irregularity, breast tenderness, and
headache
contraindication to
beginning combination oral contraceptive pills
A family history of thromboembolism
cyproterone acetate
and drospirenon
Antiandrogen progestin combined oral contraceptive pill
polycystic ovary
syndrome related acne
Lifestyle changes (IV) cOCP containing low- or antiandrogenic progestins (IA) Addition of spironolactone (IB) Other antiandrog
polycystic ovary
syndrome related Hirsutism
Lifestyle changes (III) Laser hair removal (IB) Minoxidil 1% or 5% (IB) Eflornithine hydrochloride 13.9% (IB) cOCPs containing low- or antiandrogenic progestins (IB) Addition of spironolactone (IA) Other antiandrogens: finasteride and flutamide (IA) Metformin (IB) Thiazolidinediones: pioglitazone and rosiglitazone (I
vitamin D and melanoma and wonders
whether vitamin D supplementation will reduce her
melanoma risk.
Vitamin D supplementation is most efficacious in
high-risk individuals
20-year-old woman presented to your office for
management of acne vulgaris. The physical examination
revealed multiple open and closed comedones and
several pustules and inflammatory papules scattered on
her bilateral cheeks, forehead, and jaw line. You
prescribed topical therapy, but before you left the room
she asked if she should modify her diet.
1. Which dietary modification is most appropriate for
this patient?
Low glycemic index diet
Which hormone initiates the signaling pathway that
links Low glycemic index diet and acne?
a. Insulin
A 7-year-old boy with a history of atopic dermatitis since
infancy presented to your office with a significant exacerbation
that was unresponsive to topical treatment. The
patient’s mother reported that the consumption of eggs
precipitated the flare. She eliminated all egg-containing
products from her son’s diet. She asked you for effective
treatment and if she should continue this egg-free diet.
3. How will you establish the presence of a food allergy
in this child?
Observed food challenge
If the patient has a positive skin prick test and
allergen-specific serum immunoglobulin E to egg,
but an observed food challenge does not elicit
symptoms, what is the most appropriate dietary
management for this patient?
a. Normal diet
chronic urticaria diet advise
interventional trials support the benefit of
pseudoallergen-free diets and vitamin D supplementation for patients with chronic urticaria.
what dietary modification may lower melanoma risk
in high-risk patients
Decreased alcohol intake and vitamin D
supplementation
Artichokes, peas, mushrooms, rhubarb, spinach, tomatoes
and tomato sauces, olives, and peppers are permitted in pseudoallergen free diet?
no
Spices Salt, sugar, chives, and onions are permitted in pseudoallergen free diet?
yes
any Fruits are permitted in pseudoallergen free diet?
None All fruits, including dried fruits and other fruit products
Garlic and all other spices and herbs are permitted in pseudoallergen free diet?
None
herbal teas and alcohol are permitted in pseudoallergen free diet?
no
Exclusive breastfeeding and supplementation with hydrolyzed formula is protective
against atopic dermatitis for
high-risk infants
For infants at normal risk, breastfeeding is
not protective for atopic dermatitis
Prenatal followed by postnatal probiotic
supplementation decreases the risk of
atopic
dermatitis
Elimination diets are only appropriate for
patients who have a food allergy that has
been proven by
oral food challenge
Maternal allergen avoidance diets
prevent atopic dermatitis
do not
d Selenium supplementation effect on
risk of squamous cell carcinoma and total
nonmelanoma skin cancer
may increase the
risk of squamous cell carcinoma and total
nonmelanoma skin cancer and should be
avoided
