Pharm

Question 1

Antibiotic used for mastitis

Answer 1

Dicloxacillin

(mastitis usually due to Staph aureus)

Question 2

Oral progesterone - used for what?

Answer 2

may help decrease hot flashes

won’t help dyspareunia or vaginal atrophy

Question 3

use for estrogen cream?

Answer 3

pain with sex, vaginal atrophy

Question 4

treatment for HSV?

Answer 4

acyclovir

Question 5

Treatment for bacterial vaginosis?

Answer 5

Metronidazole

Question 6

treatment for trich?

Answer 6

metronidazole

Question 7

treatment for vag candida?

Answer 7

azole cream (Uwise)

Question 8

tx for tension headaches in preg?

Answer 8

acetaminophen

(not an NSAID: little anti-inflammatory effect)

Question 9

NSAID use during preg?

Answer 9

generally avoided

Question 10

anti-seiz medication with highest risk of fetal malformation?

Answer 10

All roughly double risk to fetus (ie, phenytoin, carbamazepine, phenobarbital)

Valproate has worst risk: neural tube defects

Question 11

Tx for bipolar? concerns?

Answer 11

Sodium valproate, carbamazepine

concerns for teratogenicity

Question 12

Most common side effect of fluoxetine?

what category of med is it?

Answer 12

Most common = sleep disturbance

(also: irritability, fatigue, headache, agitation, sexual effects - decr libido)

SSRI

Question 13

treatment for atrophic vaginitis?

Answer 13

water-based local moisturizer

topical or oral estrogen

Question 14

Tx for Desquamative inflammatory vaginitis

Answer 14

topical clindamycin cream daily x14d

(clindamycin binds to 50s rRNA; decr protein synthesis)

Question 15

when taking metronidazole, pt needs to do what?

Answer 15

not drink alcohol

disulfiram-like reaction (antabuse)

Question 16

Treatment for lichen simplex chronicus?

Answer 16

(the one with the rugae)

short course of high-potency steroid cream + antihistamines for itchiness

Question 17

magnesium sulfate - use?

Answer 17

tocolytic agent used in preterm labor

thought to have neuroprotective effect on fetus (less cerebral palsy)

Question 18

drug treatment for ectopic preg?

Answer 18

methotrexate

(remember this is a folate antagonist, prevents DNA creation)

Question 19

Atenolol: class?

SEs?

Answer 19

beta blocker - anti-anginal, anti-HTN, anti-migraine, anti-arrythmic

chest pain, dizziness

Question 20

amlodipine: class

SEs

Answer 20

Ca channel blocker (relaxes arterial SMs)

edema, fatigue

Question 21

zaleplon class?

SEs?

Answer 21

non-benzo sedative

(insomnia)

next-day sedation/cognitive effects

Question 22

Risperidone

class?

SEs?

Answer 22

atypical antipsychotic - dopamine antagonist

wt gain, metabolic sx, tardive dyskinesia

Question 23

mirtazapine

class?

SEs?

Answer 23

noradrenergic and serotonergic antidepressant

constip, dry mouth, wt gain, somnolence

Question 24

sumatriptan

class? SEs?

Answer 24

triptan (anti-migraine, acute)

cardiac events (vasospasm, v-tach, afib)

Question 25

tylenol

Answer 25

acetominophen/paracetamol

NOT anti-inflammatory

good for headache, pain w mild arthritis

Question 26

aleve

Question 27

allopurinol

Answer 27

xanthine oxidase inhibitor (gout/stones - hyperuricemia)

CAN be used in pts with poor kidney fxn

potentially fatal derm effects (stevens johnson/TEN)

Question 28

carbidopa