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Paige: Repro > Pharm Blessings :) > Flashcards

Pharm Blessings :) Flashcards

1
Q

GET READY FOR SOME SEX THERAPY

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2
Q

What are the repro-related side effects of metoprolol?

A

ED

loss of sex drive

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3
Q

How many weeks pregnant does a woman have to be to have pregnancy hypertension?

A

20 weeks

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4
Q

If a pregnant woman has HTN, what should you also test?

A

urine protein

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5
Q

What defines preeclampsia?

A

A pregnant woman with HTN 140/90 and proteinuria

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6
Q

what kind of a urine test do you give to test for preeclampsia?

A

24 hour urine

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7
Q

What drug should you think to give as a preclampsia anti-HTN? or just pregnancy anti-HTN in general?

A

crack

but if your pt is concerned about having a crack baby, prescribe Labetolol

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8
Q

is methyl dopa ever going to be an answer?

A

like probably not

only ob/gyn prescribes this

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9
Q

what type of drug is labetolol?

A

nonselective beta blocker

(caution in lung d/o)

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10
Q

methyldopa has lots of side effects… why?

A

they cross the blood brain barrier

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11
Q

what do you need to make sure is in your pregnant patient’s multivitamins?

A

Fe abd FOLIC ACID

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12
Q

What does folic acid prevent as far as birth defects?

A

neural tube defects

e.g. spina bifida and ancephale

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13
Q

what is a tocolytic agent?

A

agents that we give to suppress premature labor or contractions

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14
Q

what is the #1 tocolytic agent?

A

magnesium sulfate

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15
Q

DVT, breast cancer, CVA, CAD

are these absolute or relative C/I of oral contraceptives?

A

absolute

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16
Q

is liver disease an absolute or relative c/i of oral contraceptives?

A

absolute

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17
Q

is tobacco use an absolute or relative c/i of oral contraceptives?

A

relative

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18
Q

what factor increases your risk of a) having your OCPs not work as well and b) having bad things happen during oral contraceptive use?

A

being a bad person

and obesity

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19
Q

is obesity a relative contraindication?

A

yes

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20
Q

why shouldn’t you eat your girlfriend’s peas?

A

because they are herpes

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21
Q

when you discontinue an IUD, up to how long can it take to regain the ability to get pregnant?

A

up to 6 months (says Steve)

12-18 months (says Tom)

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22
Q

when you discontinue the depo-provera shot, how long might it take for your menses to be normal/to get pregnant again?

A

12-18 months

they both agree on this one

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23
Q

which IUD stays in for 10 years?

A

copper IUD

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24
Q

what do IUDs do to prevent pregnancy?

A

thicken the endometrial wall and cervical mucosa so nothing can implant and it’s uninhabitable to sperm

aka you become a thick zygotic hell

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25
Q

your patient gets migraines with auras. if you put them on a COC, what are they at an increased risk for?

A

CVA (5-7x higher risk!!!)

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26
Q

What do you prescribe for a patient who wants oral contraceptives and does not get an aura with her migraines?

A

Tell her that she can hop on the COC train

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27
Q

What is the DOC in a patient who wants oral contraceptives but has a ton of C/I?

A

progestin-only

like Ovrette

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28
Q

what happens if you start a patient on COC and she gets migraines with auras?

A

discontinue durrrrr

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29
Q

which COC has less breakthrough bleeding?

a) monophasic
b) biphasic
c) triphasic

A

monophasic!

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30
Q

As you increase the generations of estrogen pills, do you increase or decrease the amount of estrogen in the pill?

A

decrease

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31
Q

Some estrogen pills have extended cycles like 168 days rather than 28… do these have increased or decreased risk of menses HAs?

A

decreased

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32
Q

what % of people who get pregnant have unintended pregnancies?

what % of these were on birth control when they got pregnant?

A

50%

50%

the issue is compliance

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33
Q

what side effects does estrogen increase?

A

HA, N/V

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34
Q

what side effects does progesterone increase?

A

breakthrough bleeding

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35
Q

which is more irritating to the GI tract: progesterone or estrogen?

A

estrogen

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36
Q

what’s it called when you spread the clap?

A

applause

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37
Q

what contraceptive method should you not use in a patient with acne?

A

progestin-only

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38
Q

what is the issue with oral contraceptives in an obese person?

A

it takes up to 2x as long to reach steady hormone levels

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39
Q

obesity changes the oral contraceptive’s:

a) absorption
b) distribution
c) metabolism
d) excretion
e) all of the above

A

errythang

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40
Q

what do you give for a woman with dysparunia?

A

estrogen cream like

[premarin]

[estrace]

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41
Q

what else can estrogen creams treat?

A

stress urinary incontinence

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42
Q

what is another insertive treatment for stress urinary incontinence?

A

a pessary

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43
Q

a young male is complaining of fatigue. does he qualify for testosterone treatment?

A

no tell him to suck it up

we’re all tired

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44
Q

to test testosterone levels, how many separate times do you have to test the levels?

A

3 different occasions

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45
Q

what HTN is Cialis C/I for?

A

170/110

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46
Q

does Cialis correct libido?

A

no!

unless it’s prescribed by a really hot doc

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47
Q

aside from testosterone, what other factors can contribute to low libido?

A

vascular problems

medications

alcohol use

life

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48
Q

Cialis vs Viagra:

a) which is once a day
b) which is PRN

A

a) Cialis
b) Viagra

49
Q

what’s the deal with taking Cialis or Viagra prior to intercourse?

A

you can take them both 1h prior to intercourse

50
Q

what’s the difference between niagara and viagra?

A

niagara falls

51
Q

which drug is Plan B

A

Levonorgestrel

52
Q

which other drug is an emergency contraceptive?

A

Ulipistral [Ella]

53
Q

who should you get a pregnancy test on?

A

literally everyone 7-70

even if they say they’re monogamous

or abstinent

trust no one

cover your ass

54
Q

does emergency contraception abort an existing egg?

A

no way jose this ain’t no OTC abortion

55
Q

within how many hours do you have to take emergency contraceptives?

A

ASAP but take within 120 hours!

56
Q

what’s a good treatment for menopause?

A

combo oral contraceptives

57
Q

weight gain is a common side effect of which medication?

A

depo-provera

58
Q

what are the 2 more common side effects of depo-provera?

A

hirsituism or whatever that word is

loss of bone density (while on the med)

59
Q

does progesterone cause hirsutism?

A

yes

60
Q

after bariatric surgery, what is the best option for contraceptives?

A

IUD

because we don’t know how high the risks are for the other options

61
Q

after a bariatric surgery, how long should you wait to get pregnant?

A

1 year

62
Q

if a person is obese, what kind of OCP would you choose to give them and why?

A

monophasic for less breakthrough bleeding

63
Q

what do you prescribe for gonorrhea?

A

IM ceftriaxone + oral azithromycin

64
Q

what is the mg of the IM ceftriaxone injection?

A

250mg

65
Q

what should you tell men who are getting STDs?

A

to wrap that cap before getting in her trap to prevent getting the clap

66
Q

what do you tell a woman who is getting STDs?

A

if he don’t wrap give him a slap

you can even get the clap

where you yap and where you crap

67
Q

when do you follow-up with someone who has an STD to see if it has cleared?

A

3 months

68
Q

can untreated STDs be transmitted to wittle itty bitty babies?

A

yes those poor innocent things

damaged by the sins of their parents

69
Q

in the delivery room, why do they use ointment in baby’s eyes soon after a baby has been born?

A

to prevent conjunctivitis from chlamydia

70
Q

how do you treat nausea and vomiting during pregnancy?

A

pyridoxine (Vitamin B6)

or

doxylamine (an antihistamine)

71
Q

what do you give to a pregnant woman with a UTI?

A

nitrofurantoin [macrobid]

72
Q

what do you prescribe to treat gonorrhea and chlamydia?

A

IM ceftriaxone and oral azithromycin

73
Q

HEY DON’T FORGET what vitamin should pregnant women be on?

A

folic acid

74
Q

trich or treat: your patient has trichomonas. how do you treat her?

A

give her some flagyl for her vagyl

[metronidazole]

75
Q

what are the side effects of metronidazole [flagyl]

A

metallic taste

disulfram-like reaction with ETOH

76
Q

what’s the generic name for viagra?

A

mycoxadroppin

^^^that is not true.^^^

77
Q

what bacteria causes bacterial vaginosis?

A

Gardnerella

78
Q

how do you diagnose bacterial vaginosis?

A

“clue cells” on wet prep

79
Q

is metronidazole [flagyl] safe in pregnancy?

A

yas

80
Q

how do you treat syphillis?

A

Penicillin G

81
Q

what are the 4 stages of syphillis?

A

primary

secondary

latent

tertiary

82
Q

how many people’s syphillis progresses to neurosyphillis?

A

1/3

83
Q

what heart abnormality can neurosyphillis cause?

A

aorta enlargement

84
Q

how does syphillis normally present?

A

ulcerative lesions on the genitalia that are painless

85
Q

how do you treat genital herpes?

A

acyclovir

86
Q

what lifestyle thing can cause a herpes outbreak?

A

stress

87
Q

TRUE OR FALSE: herpes can only be transmitted during an outbreak

A

false

88
Q

can a pregnant woman take acyclovir?

A

yes

89
Q

what other sx might people with herpes present with?

A

fever, malaise, sickness

90
Q

how do you dx herpes?

A

tzank smear

91
Q

what is the name of the test for syphillis?

A

TPHA

92
Q

what do you prescribe for syphillis if there is a penicillin allergy?

A

doxy

93
Q

how do you test for most STDs in males?

A

dirty urine catch

(they used to stick a swab all the way down the urethra… which you can imagine was a reeeaaallll crowed pleaser… cringe)

94
Q

when is the best time to take a urine catch?

A

in the morning

95
Q

your girlfriend got pregnant (oops) while on an antibiotic like penicillin + while on her OCPs. What happened?

A

Well I hate to be the one to tell you but she definitely tricked you into a pregnancy because there is only 1 antibiotic that has been shown to interfere with OCPs.

96
Q

so what is the antibiotic that has been shown to interfere with OCPs?

A

rifampin

97
Q

which IUD is smaller and has less hormones: Mirena or Skyla?

A

Skyla

98
Q

what’s the big deal with the progestin-only oral contraceptives?

A

you have to take it at the same time every single day in order for it to be effective

99
Q

if a patient is on COCs and is having breakthrough bleeding, what hormone is causing that?

is this hormone too high or too low?

AND how many cycles should it take to clear this up?

A

progesterone

too low

3 cycles

100
Q

which OCP is an extended-cycle pill?

A

Lybrel

Quartette

Ethinyl Estradiol alone

101
Q

how long is an “extended cycle”?

A

128 days

102
Q

what hormone(s) is/are in Ovrette?

A

progesterone only

103
Q

what type of drug is viagra?

A

PDE-5 inhibitor

104
Q

what drug can you NOT use with PDE-5 inhibitors?

A

NTG

105
Q

how far apart can you take viagra and nitro?

A

you can take nitro 48 hours after taking viagra

106
Q

what happens when taking NTG and viagra together?

A

hypotensive state

107
Q

what’s the rule for taking cialis + nitro?

A

NEVER

108
Q

what is tamulosin [flomax] for?

A

BPH

109
Q

what is a s/e of tamulosin [flomax]?

A

hypotension

110
Q

is tamulosin [flomax] a fast-acting drug?

A

yes

111
Q

how long should you tell a patient it might take for tamulosin [flomax] to work?

A

2 weeks

112
Q

how much tamulosin [flomax] should a person be on daily?

A

0.4mg

113
Q

what OTC drug is used for BPH but doesn’t actually do a damn thing to help it?

A

saw palmetto

114
Q

what drug that we haven’t mentioned is also given for BPH?

A

finasteride [proscar]

115
Q

what’s the difference between tamulosin [flomax] and finasteride [proscar]?

A

tamulosin [flomax] is fast-acting and finasteride [proscar] is slow-acting

116
Q

how long can it take for finasteride [proscar] to work?

A

up to 6 months

117
Q

MAN OH MAN DON’T YOU JUST WANT TO HAVE SEX AFTER ALL THIS

A

yes? you weirdo

118
Q

Now these were a lot of cards so I only have one last question for you…

What are you going to tell your female patients just before you give them a pevic exam?

A

https://www.youtube.com/watch?v=qqXi8WmQ_WM

if you think that this video is not worth watching then we are on two very different maturity levels

Paige: Repro (9 decks)

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