Pharm

Question 1

what type of contraception is best to used in a lactating women?

Answer 1

progestin only

Question 2

give a few contraindications to oral contraceptives

Answer 2

> 35 y/o smoker
CV risk
active liver dz
estrogen dependent tumor
high trigs 
migrain w/ aura
undx uterine bleeding

Question 3

is orthotricyclen low bi, multi or single phasic?

Answer 3

multiphasic

Question 4

what drug is best to used with girls that are having menstruation migraine? and how would you handle a skipped dose of the meds?

Answer 4

Alesse

handle the skipped dose the same as you would for orthotricyclin lo

Question 5

can you think of any pills on the drug list that are progestin only?

Answer 5

the mini-pill

remember good alternative to women who have contraindications to estrogen and those that are lactating

Question 6

what is the MOA of the mini-pill?

Answer 6

thickening of the cervical mucous

Question 7

how many hours late is considered missing a pill with the “mini-pill” ?

Answer 7

3 hours

Question 8

what is the MOA of oath micronor

Answer 8

inhibits sperm by thickening the cervical mucous and reduces mid cycle LH/FSH

Question 9

what is the name and advantage to the patch birth control?

Answer 9

ortho evra and its a consistent disbursement of medx over the week that the pt wears it ( higher risk of unintended pregnancy in women weighing over 198 lbs)

Question 10

when should you insert the mirena?

Answer 10

within 7 days of menstruation or immediately following the 1st trimester abortion

Question 11

how often should you replace the mirena?

Answer 11

q 5 years

Question 12

what birth control is not recommended for patients with systole, rectocele, and uterine prolapse? and this also has a higher incidence of vaginitis, vaginal discomfort and vaginal infections

Answer 12

the nuvaring
this is left in vagina for 3 weeks
use a back-up method if left out for > 3 hours

Question 13

when should the injectable birth control be administered and what is the name of it?

Answer 13

within the 1st 5 days of menstruation to ensure pt is not pregnant

Question 14

after injection when is depo begin to be effective?

Answer 14

24 hours post injection

Question 15

how often is deep-subq administered? and what is the MOA?

Answer 15

q 3 months

MOA = prevents ovulation and causes thinning of endometrium

Question 16

when is emergency contraception most effective?

Answer 16

if used within 5 days of unprotected sex

Question 17

what are some lab markers that signify menopause?

Answer 17

LH/FSH rise and estradiol levels fall representing ovarian failure

Question 18

what drug is used for menopause sx and post-menopausal osteoporosis, breast cancer, and prostate cancer?

Answer 18

climara

Question 19

what drug must you add to climara if pt has a uterus?

Answer 19

progesterone

Question 20

what is the 1st line agent for women w/ ovulatory dysfunction who are attempting to become pregnant?

Answer 20

clomiphene citrate

Question 21

what type of patients is clomiphene citrate best used in?

Answer 21

pts w/ normal FSH levels and adequate endogenous estrogen

Question 22

what types of patients is clomiphene citrate not recommended in?

Answer 22

pts/ w/ ovarian cysts, abnormal vaginal bleeding or abnormal liver function

Question 23

what is oxybutynin ( ditropan ) ?

Answer 23

its a drug used for incontinence that competitively inhibits muscarinic receptors, relaxes smooth muscle of the bladder

Question 24

whAT ARE THE 2 HPV Vaccines names and timing of when they should be given?

Answer 24

gardisil - ages 9-26

cervarix - females 10-25