Women’s health Flashcards
When taking hormone replacement therapy, estrogen therapy is appropriate for what population
Only women who have had hysterectomies because progesterone is required. If the patient still has a uterus, unopposed estrogen administration in patients with a uterus increases the risk of endometrial cancer.
Do your false smoking is a contraindication to hormone replacement therapy
False smoking is not advise were taking hormone therapy but it’s not a contraindication
What are the symptoms of epididymitis?
Unilateral, scrotal pain
Swelling
Tenderness of the epididymis
Relief of pain when the testicle is elevated 
What are the most common causes of epididymitis (epididymo orchitis)
Sexually active males less than 35 years old: chlamydia, gonorrhea.
Males greater than 35 years old typically E. coli 
What provocative sign would indicate as opposed to testicular torsion?
Positive PREHN’ S sign. Relief of pain with Scrotal elevation.
What is the treatment for epididymitis (epididymo orchitis)
<35 sexually active: call treatment with Ceftriaxone 500 mg I am once plus a course of doxycycline to cover both gonorrhea and chlamydia
Greater than 35 years old :
A fluoroquinolone, such as Cipro, ofloxacin, levofloxacin
How long should Naprosyn be stopped before surgery?
Four days
What dose a Folic acid supplementation is recommended for all patients of childbearing age
400 to 800mcg daily
What does Folick acid supplementation is recommended for a patient of childbearing age who have had a child with spina bifida
I does prophylaxis with 1000 to 4000 MCG daily. This should be initiated 1 to 3 months prior to attempted conception.
How long after starting a bisphosphonate for osteoporosis should a DEXA scan be repeated
Three years if T score is greater than -2.5 the bisphosphonate  can be discontinued.
Bisphosphonates have a half-life of 10 years
What are the first line antibiotics for uncomplicated UTI’s?
Nitrofurantoin (macrobid)
Trimethoprim-sulfamethoxazole (bactrim)
Fosfamycin (monurol)
What is considered a complicated UTI?
UTI in the following populations:
Males
Uncontrolled diabetes
Pregnant women
Children
Older adults
Immuno compromised
Anatomic abnormalities of the urinary tract
Recurrent UTIs or reinfections
What is the treatment regimen for complicated UTI’s?
CiproFloxin or Levaquin
If high risk of multi-drug-resistant organisms: macrobid
What medication frequently used to treat, UTIs interferes with the action of warfarin
Bactrim
What test results completed in the second trimester of pregnancy would indicate that a woman might be carrying a fetus with trisomy 18 or 21
Decreased alpha-fetoprotein levels
