OB/GYN tx

Question 1

tx for breast abscess

Answer 1

I&D

Nafcillin/oxacillin IV or cefazolin + metronidazole

Question 2

tx for mastitis

Answer 2

continue to breast feed + warm heat QID

dicloxacillin, cephalexin or erythromycin

Question 3

tx for fibroadenoma

Answer 3

biopsy (Fine needle or excision bx)

Question 4

tx for fibrocystric breast

Answer 4

• usu. no tx
• Supportive bra, NSAIDs, heat/ice
• low dose OCP (w/ low estrogenic activity and potent progestational agent- Loestin) or medroxyprogesterone acetate days 15-25
• Severe= danazole (only FDA approved med)

Question 5

Tx for breast cancer- ER+ vs HER2+

Answer 5

ER+: Tamoxifen

postmenopausal ER+: aromatase inhibitors

HER2: Monoclonal AB

Question 6

4 alternative treatments for vasomotor sxs in menopause (not HRT)

Answer 6

SSRIs (Paroxetine)

SNRIs

Clonidine

gabapentin

Question 7

T/F elevated triglycerides are a contraindication for HRT

Answer 7

True