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TOP 200 II > Week 14 Women's health > Flashcards

Week 14 Women's health Flashcards

1
Q

Conjugated Estrogens

A

Premarin

Hormonal

Female Sex Hormones

Estrogen Supplementation

Menopause (vasomotor symptoms, vaginal atrophy); primary ovarian failure

Weight gain, Headache, menstruation, breast pain, blood clots

Levothyroxine

Boxed Warning: risk of endometrial and breast cancer, do not use to prevent CV disease/dementia, lowest dose for shortest time; precauction: smokers

PATIENT COUNSELINGS

  • take at bedtime to minimize side effects
  • discuss long term risks with patients
  • sould attempt to taper every 3-6months
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2
Q

Ethinyl estradiol/Drospirenone

A

Giavani
Yasmin
Yaz

Hormonal

Contraceptive

Estrogen/Progestin Contraceptive

Contraception; acne; premenstrual dysmorphic disorder

breakthrough bleeding, nausea, breat enderness, changes in menstrual flow, bloating/edema/weight gain

Antibiotics, Anticonvulsants

Boxed Warning: risk of breast cancer, CV risk, cigarette smoking, shortest duration at lowest dose; Pre: women>35, estrogen cancers, may adversely affect lipid levels; CI: history of clots, breastfeeding, pregnancy

Clinical Pearls

  • good option for patient with severe acne
  • affects mood stability significantly
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3
Q

Ethinyl estradiol/Norethindrone

A

Loestrin
Junel
Microgestin

Hormonal

Contraceptive

Estrogen/Progestin Contraceptive

Contraception; acne

breakthrough bleeding, nausea, breat enderness, changes in menstrual flow, bloating/edema/weight gain

Antibiotics, Anticonvulsants

Boxed Warning: risk of breast cancer, CV risk, cigarette smoking, shortest duration at lowest dose; Pre: women>35, estrogen cancers, may adversely affect lipid levels; CI: history of clots, breastfeeding, pregnancy

Clinical Pearls

  • decrease estrogen dose
  • prevent ovulation
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4
Q

Ethinyl estradiol/Norgestrel

A

Ogestrel

Hormonal

Contraceptive

Estrogen/Progestin Contraceptive

Contraception

breakthrough bleeding, nausea, breat enderness, changes in menstrual flow, bloating/edema/weight gain

Antibiotics, Anticonvulsants

Boxed Warning: risk of breast cancer, CV risk, cigarette smoking, shortest duration at lowest dose; Pre: women>35, estrogen cancers, may adversely affect lipid levels; CI: history of clots, breastfeeding, pregnancy

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5
Q

Etonogestrel/Ethinyl Estradiol

A

Nuvaring

Topical/Local

Hormonal

Contraceptive

Estrogen/Progestin Contraceptive

Contraception

Antibiotics, Anticonvulsants

Boxed Warning: risk of breast cancer, CV risk, cigarette smoking, shortest duration at lowest dose; Pre: women>35, estrogen cancers, may adversely affect lipid levels; CI: history of clots, breastfeeding, pregnancy

PATIENT COUNSELINGS

  • insert the ring once every 3 consective weeks
  • pay remove for up to 4th week
  • remove for one week to stimulate menses
  • press sides of the ring together between fingers
  • insert folded into the vagina
  • does not require specific placement
  • do not reuse
  • do not flush
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6
Q

oxybutynin

A

Oxytrol (patch), Gelnique (gel)
Ditropan, Ditropan XL

PO, Topical, Patch

Urinary

Overactive Bladder

decrease urine leakage by preventing of urinary tract muscles

Anticholinergic that decreases activity of the detrusor muscle in the bladder

Overactive bladder

Dry mouth, sedation/confusion/memory impairment, blurred vision, urinary retention, constipation

Anticholinergics (diphenhydramine, muscarinic antagonist inhalers), medicatons that prolong the Qtc

Precaution: Prostate issues, parkinsons, dementia; CI: urinary retention, decreases GI motility, narrow angle glaucoma

PATIENT COUNSELINGS

  • caregivers of elderly patients should be instructed to water for changes in cognitive function
  • discuss signs and symptoms of anthicholiergic side effects such as decrease urination, sweating and constipation
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7
Q

Solifenacin

A

Vesicare

Urinary

Overactive Bladder

decrease urine leakage by preventing of urinary tract muscles

Anticholinergic that decreases activity of the detrusor muscle in the bladder

Dry mouth, sedation/confusion/memory impairment, blurred vision, urinary retention, constipation

Anticholinergics (diphenhydramine, muscarinic antagonist inhalers), medicatons that prolong the Qtc

Precaution: Prostate issues, parkinsons, dementia; CI: urinary retention, decreases GI motility, narrow angle glaucoma

PATIENT COUNSELINGS

  • caregivers of elderly patients should be instructed to water for changes in cognitive function
  • discuss signs and symptoms of anthicholiergic side effects such as decrease urination, sweating and constipation
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8
Q

Tolterodine

A

Detrol
Detrol LA

Urinary

Overactive Bladder

decrease urine leakage by preventing of urinary tract muscles

Anticholinergic that decreases activity of the detrusor muscle in the bladder

Overactive bladder

Dry mouth, sedation/confusion/memory impairment, blurred vision, urinary retention, constipation

Anticholinergics (diphenhydramine, muscarinic antagonist inhalers), medicatons that prolong the Qtc

Precaution: Prostate issues, parkinsons, dementia; CI: urinary retention, decreases GI motility, narrow angle glaucoma

PATIENT COUNSELINGS

  • caregivers of elderly patients should be instructed to water for changes in cognitive function
  • discuss signs and symptoms of anthicholiergic side effects such as decrease urination, sweating and constipation

Clinical Pearls
- side effects are less likely with long acting products

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9
Q 
Which hormone in hormone replacement
medications do you think is responsible for side
effects of these medications?
A. Estrogen
B. Progesterone
C. Testosterone
A

A. Estrogen

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10
Q 
Which birth control is not available in an oral
(tablet) dosage form?
A. ethinyl estradiol/norgestrel
B. ethinyl estradiol/etonogestrel
C. ethinyl estradiol/drospirenone
D. ethinyl estradiol/norethindrone
A

B. ethinyl estradiol/etonogestrel

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11
Q 
Do you think that antibiotics affect the
effectiveness of birth control?
A. Yes
B. No
C. Data is pretty mixed
A 
C. Data is pretty mixed—I
personally caution on the
safe side that it’s mixed so 2
forms of contraception are
best while taking abx
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12
Q 
Which patient would be least at risk for blood clots
from hormonal contraceptives?
A. 37 year old healthy female
B. 21 year old smoker female
C. 26 year old female with history of
blood clots
D. 29 year old female with asthma
A

D. 29 year old female with asthma

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13
Q 
Which hormonal contraceptive is indicated for use
in PMD?
A. Ogestrel®
B. Nuvaring®
C. Loestrin®
D. Yaz®
A

D. Yaz®

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14
Q 
Which hormone significantly declines in
menopause?
A. Testosterone
B. Progesterone
C. Estrogen
A

C. Estrogen

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15
Q 
Which incontinence medication is available as a
patch?
A. oxybutynin
B. solifenacin
C. tolteridone
A

A. oxybutynin

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16
Q 
Which of the incontinence products would be
most likely to cause side effects?
A. Detrol LA®
B. oxybutynin IR
C. Oxytrol® Patch
A

B. oxybutynin IR

17
Q

Estrogen responsible for ____________

A

most side effects

ex) ethinyl estradiol

18
Q

Progestins

A

prevent implementation into the lining

ONLY breast feeding and history of blood clots

TOP 200 II (14 decks)

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