Pharm Blessings :) Flashcards
2
Q
What are the repro-related side effects of metoprolol?
A
ED
loss of sex drive
3
Q
How many weeks pregnant does a woman have to be to have pregnancy hypertension?
A
20 weeks
4
Q
If a pregnant woman has HTN, what should you also test?
A
urine protein
5
Q
What defines preeclampsia?
A
A pregnant woman with HTN 140/90 and proteinuria
6
Q
what kind of a urine test do you give to test for preeclampsia?
A
24 hour urine
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
8
Q
is methyl dopa ever going to be an answer?
A
like probably not
only ob/gyn prescribes this
9
Q
what type of drug is labetolol?
A
nonselective beta blocker
(caution in lung d/o)
10
Q
methyldopa has lots of side effects… why?
A
they cross the blood brain barrier
11
Q
what do you need to make sure is in your pregnant patient’s multivitamins?
A
Fe abd FOLIC ACID
12
Q
What does folic acid prevent as far as birth defects?
A
neural tube defects
e.g. spina bifida and ancephale
13
Q
what is a tocolytic agent?
A
agents that we give to suppress premature labor or contractions
14
Q
what is the #1 tocolytic agent?
A
magnesium sulfate
15
Q
DVT, breast cancer, CVA, CAD
are these absolute or relative C/I of oral contraceptives?
A
absolute
16
Q
is liver disease an absolute or relative c/i of oral contraceptives?
A
absolute
17
Q
is tobacco use an absolute or relative c/i of oral contraceptives?
A
relative
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
19
Q
is obesity a relative contraindication?
A
yes
20
Q
why shouldn’t you eat your girlfriend’s peas?
A
because they are herpes
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)
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
23
Q
which IUD stays in for 10 years?
A
copper IUD
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
25
your patient gets migraines with auras. if you put them on a COC, what are they at an increased risk for?
CVA (5-7x higher risk!!!)
26
What do you prescribe for a patient who wants oral contraceptives and does **not** get an aura with her migraines?
Tell her that she **can** hop on the COC train
27
What is the DOC in a patient who wants oral contraceptives but has a ton of C/I?
progestin-only
like Ovrette
28
what happens if you start a patient on COC and she gets migraines with auras?
discontinue durrrrr
29
which COC has less breakthrough bleeding?
a) monophasic
b) biphasic
c) triphasic
monophasic!
30
As you increase the generations of estrogen pills, do you **increase** or **decrease** the amount of estrogen in the pill?
decrease
31
Some estrogen pills have extended cycles like 168 days rather than 28... do these have **increased** or **decreased** risk of menses HAs?
decreased
32
what % of people who get pregnant have unintended pregnancies?
what % of these were on birth control when they got pregnant?
50%
50%
**the issue is compliance**
33
what side effects does estrogen increase?
HA, N/V
34
what side effects does progesterone increase?
breakthrough bleeding
35
which is more irritating to the GI tract: progesterone or estrogen?
estrogen
36
what's it called when you spread the clap?
applause
37
what contraceptive method should you not use in a patient with acne?
progestin-only
38
what is the issue with oral contraceptives in an obese person?
it takes up to 2x as long to reach steady hormone levels
39
obesity changes the oral contraceptive's:
a) absorption
b) distribution
c) metabolism
d) excretion
e) all of the above
errythang
40
what do you give for a woman with dysparunia?
estrogen cream like
[premarin]
[estrace]
41
what else can estrogen creams treat?
stress urinary incontinence
42
what is another insertive treatment for stress urinary incontinence?
a pessary
43
a young male is complaining of fatigue. does he qualify for testosterone treatment?
no tell him to suck it up
we're all tired
44
to test testosterone levels, how many separate times do you have to test the levels?
3 different occasions
45
what HTN is Cialis C/I for?
170/110
46
does Cialis correct libido?
no!
unless it's prescribed by a really hot doc
47
aside from testosterone, what other factors can contribute to low libido?
vascular problems
medications
alcohol use
life
48
Cialis vs Viagra:
a) which is once a day
b) which is PRN
a) Cialis
b) Viagra
49
what's the deal with taking Cialis or Viagra prior to intercourse?
you can take them both 1h prior to intercourse
50
what's the difference between niagara and viagra?
niagara falls
51
which drug is Plan B
Levonorgestrel
52
which other drug is an emergency contraceptive?
Ulipistral [Ella]
53
who should you get a pregnancy test on?
literally everyone 7-70
even if they say they're monogamous
or abstinent
trust no one
cover your ass
54
does emergency contraception abort an existing egg?
no way jose this ain't no OTC abortion
55
within how many hours do you have to take emergency contraceptives?
ASAP but take within 120 hours!
56
what's a good treatment for menopause?
combo oral contraceptives
57
weight gain is a common side effect of which medication?
depo-provera
58
what are the 2 more common side effects of depo-provera?
hirsituism or whatever that word is
loss of bone density (while on the med)
59
does progesterone cause hirsutism?
yes
60
after bariatric surgery, what is the best option for contraceptives?
IUD
because we don't know how high the risks are for the other options
61
after a bariatric surgery, how long should you wait to get pregnant?
1 year
62
if a person is obese, what kind of OCP would you choose to give them and why?
monophasic for less breakthrough bleeding
63
what do you prescribe for gonorrhea?
IM ceftriaxone + oral azithromycin
64
what is the mg of the IM ceftriaxone injection?
250mg
65
what should you tell men who are getting STDs?
to wrap that cap before getting in her trap to prevent getting the clap
66
what do you tell a woman who is getting STDs?
if he don't wrap give him a slap
you can even get the clap
where you yap and where you crap
67
when do you follow-up with someone who has an STD to see if it has cleared?
3 months
68
can untreated STDs be transmitted to wittle itty bitty babies?
yes those poor innocent things
damaged by the sins of their parents
69
in the delivery room, why do they use ointment in baby's eyes soon after a baby has been born?
to prevent conjunctivitis from chlamydia
70
how do you treat nausea and vomiting during pregnancy?
pyridoxine (Vitamin B6)
or
doxylamine (an antihistamine)
71
what do you give to a pregnant woman with a UTI?
nitrofurantoin [macrobid]
72
what do you prescribe to treat gonorrhea and chlamydia?
IM ceftriaxone and oral azithromycin
73
HEY DON'T FORGET what vitamin should pregnant women be on?
folic acid
74
**trich** **or treat:** your patient has **trich**omonas. how do you **treat** her?
give her some flagyl for her vagyl
[metronidazole]
75
what are the side effects of metronidazole [flagyl]
metallic taste
disulfram-like reaction with ETOH
76
what's the generic name for viagra?
mycoxadroppin
^^^that is not true.^^^
77
what bacteria causes bacterial vaginosis?
Gardnerella
78
how do you diagnose bacterial vaginosis?
"clue cells" on wet prep
79
is metronidazole [flagyl] safe in pregnancy?
yas
80
how do you treat syphillis?
Penicillin G
81
what are the 4 stages of syphillis?
primary
secondary
latent
tertiary
82
how many people's syphillis progresses to neurosyphillis?
1/3
83
what heart abnormality can neurosyphillis cause?
aorta enlargement
84
how does syphillis normally present?
ulcerative lesions on the genitalia that are **painless**
85
how do you treat genital herpes?
acyclovir
86
what lifestyle thing can cause a herpes outbreak?
stress
87
TRUE OR FALSE: herpes can only be transmitted during an outbreak
false
88
can a pregnant woman take acyclovir?
yes
89
what other sx might people with herpes present with?
fever, malaise, sickness
90
how do you dx herpes?
tzank smear
91
what is the name of the test for syphillis?
TPHA
92
what do you prescribe for syphillis if there is a penicillin allergy?
doxy
93
how do you test for most STDs in males?
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
when is the best time to take a urine catch?
in the morning
95
your girlfriend got pregnant (oops) while on an antibiotic like penicillin + while on her OCPs. What happened?
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
so what is the antibiotic that has been shown to interfere with OCPs?
rifampin
97
which IUD is smaller and has less hormones: Mirena or Skyla?
Skyla
98
what's the big deal with the progestin-only oral contraceptives?
you have to take it at the same time every single day in order for it to be effective
99
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?
progesterone
too low
3 cycles
100
which OCP is an extended-cycle pill?
Lybrel
Quartette
Ethinyl Estradiol alone
101
how long is an "extended cycle"?
128 days
102
what hormone(s) is/are in Ovrette?
progesterone only
103
what type of drug is viagra?
PDE-5 inhibitor
104
what drug can you NOT use with PDE-5 inhibitors?
NTG
105
how far apart can you take viagra and nitro?
you can take nitro **48 hours** after taking viagra
106
what happens when taking NTG and viagra together?
hypotensive state
107
what's the rule for taking cialis + nitro?
NEVER
108
what is tamulosin [flomax] for?
BPH
109
what is a s/e of tamulosin [flomax]?
hypotension
110
is tamulosin [flomax] a fast-acting drug?
yes
111
how long should you tell a patient it might take for tamulosin [flomax] to work?
2 weeks
112
how much tamulosin [flomax] should a person be on daily?
0.4mg
113
what OTC drug is used for BPH but doesn't actually do a damn thing to help it?
saw palmetto
114
what drug that we haven't mentioned is also given for BPH?
finasteride [proscar]
115
what's the difference between tamulosin [flomax] and finasteride [proscar]?
tamulosin [flomax] is fast-acting and finasteride [proscar] is slow-acting
116
how long can it take for finasteride [proscar] to work?
up to 6 months
117
MAN OH MAN DON'T YOU JUST WANT TO HAVE SEX AFTER ALL THIS
yes? you weirdo
118
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?
[https://www.youtube.com/watch?v=qqXi8WmQ\_WM](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
