Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PR 3152 Finals > Women's Health > Flashcards

Women's Health Flashcards

1
Q

preeclampsia htn

A

new htn after >20w of gestation with proteinuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

gestational htn

A

new htn after >20w of gestation without proteinuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

chronic htn with superimposed preeclampsia

A

new htn <20w of gestation with proteinuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

chronic htn

A

new htn <20w of gestation without proteinuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

treatment options for htn in pregnancy

A

nifedipine
labetalol
methyldopa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

progestin moa

A
  • induces endometrial atrophy
  • blocks LH surge, prevents FSH release, prevents ovulation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

progestin SE

A

androgenic (except 4th gen - drospirenone)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

benefits of drospirenone

A

less water retention
less acne

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

disadvantage of drospirenone

A

hyperk
thromboembolism
bone loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

benefit of cyproterone

A

excessive androgen conditions (only use when pt also has androgen issues)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

disadvantage of cyproterone

A

thromboembolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

estrogen moa

A

stabilised endometrial lining, provides cycle control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

when initiating coc on first day of menstrual cycle, need backup?

A

no

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

when initiating coc on first sunday of menstrual cycle, need backup?

A

backup for 7d

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

when initiating coc now, need backup?

A

at least 7d, safer until next cycle start

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

risks of COC

A
  • breast cancer
  • VTE
  • ischemic stroke/MI
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

COC c/i in?

A

> 40 yo
fam hx/pmh of breast cancer
migraine with aura
<21 days postpartum
uncontrolled HTN
smoking at least15 sticks a day and older than 35yo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

low dose ee? who should take

A

20-25mcg. for adolescents, underweight, >35 yrs, peri-menopausal

19
Q

reducing progestational activity reduces

A

dysmenorrhoea, late cycle breakthrough bleeding

20
Q

benefits of multiphasic coc

A

less progestin, less side effects

21
Q

how to handle breast tenderness/weight gain

A

keep both hormone conc as low as possible

22
Q

how to deal with bloating/NV SE of COC

A

decrease estrogen amount

23
Q

how to deal with menstrual cramps for COC

A

increase progestin / switch to continuous

24
Q

how to deal with headache (usually during pill free week)

A

change to extended / continuous

25
Q

ddi with rifampin what to do

A

backup until rifampin discontinued for at least 7 days

26
Q

ddi with anticonvulsants result

A

reduces free serum conc of both estrogen and progesterone

27
Q

what to do if miss one dose

A

eat immediately, can take 2 pills on same days, no backup needed

28
Q

what to do if miss two doses during first 2 weeks of hormone period

A

take the immediate missed dose, throw the rest away. continue as per normal with 7day backup

29
Q

what to do if miss two doses during third week of cycle (last hormone week)

A

eat as per normal, skip hormone free period and straight away continue with new pack.

30
Q

minipill ci

A

current or recent hx of breast cancer

31
Q

minipill start within 5d of bleed, need backup?

A

no backup

32
Q

minipill start outside of 5d bleed, need backup?

A

2d

33
Q

if you miss minipill by 3hrs, need backup?

A

2d

34
Q

how to apply transdermal

A

once weekly for 3 weeks, followed by 1 patch free week

35
Q

how to apply vaginal rings

A

used for 3 weeks then discarded

36
Q

risks of transdermal and vaginal rings

A

VTE!! (higher exposure to estrogen)

37
Q

how to administer progestin injection

A

IM every 12 weeks

38
Q

progestin injection concerns

A

return to fertility delayed
breakthrough bleeding in first 9 months
amenorrhoea after 1.5-2y

39
Q

progestin injection SE

A

weight gain, short term bone loss

40
Q

progestin injection avoid in

A

older women, osteroporosis risk factors, stop after 2 years

41
Q

IUD/implants benefits

A

highly effective, effects reverisble upon removal

42
Q

IUD moa

A

inhibition of sperm migration, damage ovum, damage/disrupt transport of fertilized ovum. If with progestin -> endometrial suppression, thicken mucus

43
Q

IUD ci

A

pregnant, current STI, undiagnosed vaginal bleed, uterine issues

44
Q

levonorgestrel IUD (5y)

A

decreased menstrual flow / amenorrhea

good for dysmen

PR 3152 Finals (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions