Meds- GYN

Question 1

mife/miso for TOP/EPL

Answer 1

mife 200 mg
miso 800 mcg PV/SL
blocks progesterone at uterine receptors
PGE1 analogue
cramping, bleeding

Question 2

laminaria
Indication
Dose
MOA
Side effects/CI

Answer 2

cervical prep
2-10 mm (6 mm long) japonica
sterilized dry seaweed stems. Absorbs fluid and expands slowly
expands to 2.5x width

Question 3

dilapan S
Indication
Dose
MOA
Side effects/CI

Answer 3

cervical prep
osmotic dilator that is usually preferred
hydrophilic polymers
dilates more quickly and more consistent that laminaria
can dumbbell
expands to 3.5x its dry diameter

Question 4

miso dose for cervical prep

Answer 4

400 mcg SL/PV

Question 5

abx for uterine perforation

Answer 5

ceftriaxone 250 mg IM x1

Question 6

D&C ppx

Answer 6

doxycycline 200 mg PO pre op

Question 7

post op endometritis abx

Answer 7

ceftriaxone/doxycycline
250 mg IM
100 mg BID x14d

Question 8

Methylene blue for chromopertubation

Answer 8

10 mg diluted in 1L NS
allergy to dye

Question 9

Lupron

Answer 9

pelvic pain/AUB
3.75 mg IM monthly
11.25 mg q 3 months
GnRH agonist, decreases LH/FSH(after initial surge)
vasomotor sx; osteoporosis

Question 10

vasopressin

Answer 10

myomectomy
20u in 100 cc (use 20-30 cc total)
constricts smooth muscles of blood vessels
HTN, bradycardia

Question 11

Sodum Fluorescein

Answer 11

cystoscopy
1/4 cc of 10% solution
dye

Question 12

tampon test

Answer 12

phenazopyridine
200 mg PO x1
dye

Question 13

methotrexate

Answer 13

ectopic preg
50 mg/m2 IM
folic acid antagonist; inhibits DNA synthesis

Question 14

TXA for AUB

Answer 14

1300 PO TID x5d

Question 15

antibiotic regimen for pelvic abscess (after surgery, not TOA)

Answer 15

zosyn or ceftriaxone plus clinda or flagyl
complete 14 day course of flagyl BID + bactrim or monotherapy with augmentin