Meds

Question 1

BV (bacterial vaginosis)

Answer 1

Metronidazole 500 mg BID x 7d

Question 2

2nd line tx for BV

Answer 2

Clinda 300 mg BID x7d
Clinda 2% cream 1 applicator full bedtime x 7d
Metronidazole gel 0.75% 1 applicator full bedtime x 3d

Question 3

two meds for BV

Answer 3

Metronidazole

Clindamycin

Question 4

Chlamydia

Answer 4

Azithro 1g once

Question 5

Gonorrhea tx

Answer 5

Rocephin 150 mg injection

Azithro 1 g once (co-treat for Chlam)

Question 6

Trichomanias

Answer 6

Metronidazole 2g once (4 pills at once)

Question 7

UTI

Answer 7

Macrobid (Nitrofurantoin) 100 mg BID x5 d
OR
Keflex 500 mg BID x 7d

Question 8

two options for UTI

Answer 8

Nitro or Keflex

Question 9

Vaginal probiotics

Answer 9

Garden of life raw probiotic vaginal care

Jarrow formulas fem-dophilus probiotic

Question 10

Heartburn

Answer 10

Tums

Then: Famotidine

Question 11

Prenatal vitamins

Answer 11

27-1 mg daily

Question 12

Nausea

Answer 12

Zofran 4 mg q4hr
Reglan 5 mg qd
Unisom 25 mg qhs

all prn

Question 13

Which nausea med also helps w sleep?

Answer 13

Unisom

Question 14

Incomplete spontaneous abortion

Answer 14

Cytotec (Misopristol)
200 mg (4 pills at once)

if no bleed in 72 hrs, repeat dose

Question 15

Cytotec, aka

Answer 15

Misopristol

Question 16

Annual exam basic labs to order

Answer 16

CBC, BMP
TSH w reflex T4
Hemoglobin A1C

Question 17

Annual labs (again)

Answer 17

CBC, BMP, TSH, A1C%

Question 18

STD panel via blood

Answer 18

RPR (syphillis)
HIV
HSV antibodies
Hep B

Question 19

Vaginal cultures (tests for 5 things)

Answer 19

Gon, Chlam
Trich, BV
Yeast infection

Question 20

Tumor markers via blood

Answer 20

CA 125 (Ovarian)
CEA (pregnant, colon CA)
LDH and HCG (dysmenorrhea)
AFP (Neural tube defect, yolk sac tumor)
Inhibin A and B

Question 21

CA 125

Answer 21

Ovarian CA

Question 22

CEA

Answer 22

Pregnancy

Colon CA

Question 23

LDH and Hcg

Answer 23

Dysmenorrhea

Question 24

AFP

Answer 24

NTD (neural tube defects)

Yolk sac tumor

Question 25

Tx for HSV in pregnancy

Answer 25

Acyclovir 400 mg tablet TID for 10d

Question 26

Methergine

Answer 26

used after birth to stop bleeding

0.2 mg (1 tablet 4x/day for 7 days)

Question 27

RPC= retained products of conception

Tx for this is

Answer 27

Methergine