Womens Health Drugs Flashcards

1
Q

What is the first phase of the ovarian cycle?

A

Follicular phase

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2
Q

What are the first 2 phases of the uterine cycle?

A

Menses

Proliferation phase

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3
Q

What is the 2nd phase of the ovarian cycle?

A

Luteal phase

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4
Q

What is the 3rd phase of the uterine cycle?

A

Secretory phase

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5
Q

What phase contains the highest levels of progesterone levels?

A

Luteal/secretory phase

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6
Q

What phase is estrogen increasing?

A

Follicular/Proliferation phase

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7
Q

What causes LH and FSH to increase at the beginning of follicular phase?

A

Slow rise in estrogen

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8
Q

What is the MOA of BC how does it effect ovulation?

A

Large dose of estrogen and progesterone cause a negative feedback to LH and FSH…causing no ovulation

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9
Q

What are the 6 major effects of estrogen on the body?

A
Increase risk for VTE
Increase bone retention
Increase in female body contours
Cervical mucus thinning
Increase risk for endometrial cancer
Increase risk for breast cancer
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10
Q

What are the 5 major effects of progesterone on the body?

A
Increase risk for VTE
Increase bone retention
Thickening of cervical mucus
Increase in alveolar growth
Inhibition of uterine contractions
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11
Q

What is RU 486? what is it used for?

A

Progesterone agonist

Used to abort fetus

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12
Q

What is the major estrogen that comes from the body?

A

Estradiol

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13
Q

What does the body use to make estrogen and progesterone? What is the basically chemical structure of the sex hormones considered? How does it cross the cell membrane?

A

Cholesterol

Steroid

Simple diffusion

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14
Q

What are the good factors from taking exogenous estrogen? Bad factors?

A

Decreases hot flashes
Increases bone retention

Increases cancer risk
Increases VTE risk

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15
Q

What are the indications for Estrogen(7)?

A
Atrophic vaginitis
Hypogonadism
BC
uterine bleeding
Hot flashes
Osteoporosis
Ovary removal
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16
Q

What is dyspareunia?

A

Pain during intercourse

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17
Q

What is atrophic vaginitis?

A

Shrinkage of vagina

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18
Q

What is hypogonadism?

A

Decrease in the production of estrogen

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19
Q

What are the contraindications for estrogen(5)?

A
Allergy
Estrogen dependent cancer
Abnormal vaginal bleed
Pregnant
VTE risk
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20
Q

What are ADR of estrogens?

A
VTE
N/V
chloasma 
Amenorrhea 
HA
Fluid retention
Tender breasts
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21
Q

Which pts are not recommended for estrogen HRT?

A

Pts with endometrial cancer or breast cancer

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22
Q

What must be assessed in pts who have had several years use of estrogen HRT?

A

Bone mineral density

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23
Q

What do progestin drugs have in their name?

A

-gest- or nor-

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24
Q

What are the indications for progestins?

A
Uterine bleeding
Amenorrhea
Uterine cancer
BC
prevention of threatened miscarriage
PMS Sx
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25
Q

What can uterine bleeds be caused by?

A

Hormone imbalance
Fibroids
Uterine cancer

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26
Q

What are fibroids?

A

Non cancerous growth in uterus

27
Q

What are the ADRs of Progestins?

A
Cholesterol jaundice 
VTE
N/V
Amenorrhea
Edema
28
Q

What is cholestatic jaundice? What Sx does it cause?

A

Bile duct gets blocked which increases bilirubin deposited in skin

Causes severe itching

29
Q

What effect does hypocalcemia cause on nerves?

A

Increases the frequency of AP

30
Q

How does Calcitonin effect Ca2+ in the blood?

A

Decreases Ca2+ in the blood

31
Q

How does PTH effect Ca2+ in the blood?

A

Increases Ca2+ in the blood

32
Q

What effect do osteoclasts have on Ca2+ in the blood?

A

Increase Ca2+ in blood

33
Q

What I needed for Ca2+ to be reabsorbed in the kidneys and be absorbed in the intestines?

A

Vitamin D

34
Q

What conditions can cause hypocalcemia(6)?

A
Vit D deficiency
Calcitonin secreting thyroid tumors
Dialysis
Diarrhea
Pregnancy
Hypoparathyroidism
35
Q

Why does dialysis and diarrhea cause hypocalcemia?

A

Because you poop and pee out Ca2+

36
Q

Why does pregnancy cause hypocalcemia?

A

Because creating a skeleton inside of you requires increased demand for Ca2+

37
Q

Why does hypoparathyroidism cause hypocalcemia?

A

Because of the decreased production of PTH which increases Ca2+ in the blood

38
Q

What are the 2 Tx options for hypocalcemia? What are their ADR?

A

Calcium supplements
Vit D

Lead to kidney stones

39
Q

What syndrome can be caused by hypocalcemia? How can you Tx this condition?

A

Carpopedal syndrome

Ca2+ IV

40
Q

What causes hypercalcemia?

A

Renal dysnfunction
Multiple myeloma
Parathyroid tumor

41
Q

How does renal dysfunction cause hypercalcemia?

A

Causes too much reabsorption of Ca2+

42
Q

How does multiple myeloma cause hypercalcemia?

A

Multi myeloma causes cytokines to be released to increase osteoclasts activity

43
Q

Why does parathyroid tumor cause hypercalcemia?

A

Because the tumor secretes increased amounts of PTH

44
Q

What does a RANKL and RANK interaction cause?

A

Increase in osteoclasts activity

45
Q

What holds RANKL? What holds RANK? What does it activate and turn it into?

A

Osteochondral progenitor/osteoblast

Osteoclasts precursor

RANKL and RANK interaction activate NFKB in precursor cell and turn it into a osteoclast

46
Q

What prevents RANKL and RANK interactions?

A

OPG binds to RANKL to prevent RANK from binding

47
Q

What increases OPG production? Decreases?

A

Increases

  • mechanical strain
  • sex hormones

Decreases

  • PTH
  • Glucocorticoids
48
Q

What increases RANKL expression? Decreases?

A

Increases

  • PTH
  • glucocorticoids

Decreases
-sex hormones

49
Q

What is osteoporosis? How many SD away <30yo? What comes before osteoporosis? How many SD away <30yo?

A

Decreased BMD
-1 SD

Osteopenia
-2.5 SD

50
Q

What is the female athlete triad?

A
  1. decreased food intake
  2. Increased number calories being burned
  3. decreased body weight which decreases Estrogen levels
51
Q

Pain in osteoporosis is associated with what?

A

Pain is associated with fractures

52
Q

What are common fractures for pt with osteoporosis(5)?

A
Hip
Vertebrae
Pelvis
Humerus
Distal radius
53
Q

What are personal characteristics that can lead to osteoporosis(5)?

A
Increased age
Female
White or Asian
Low body weight
Postmenopausal
54
Q

What are lifestyles that can increase risk for osteoporosis?

A

Sendentary

Ca2+/vit D deficiency

55
Q

What drugs/diseases can cause osteoporosis?

A

Corticosteroids/cushings disease
Celiac disease
Anorexia nervosa

56
Q

How does celiac disease cause osteoporosis?

A

Because it decreases the bodies ability to absorb Ca2+

57
Q

Before giving a uterine stimulant, what should be assessed? How can this effect the fetus

A

Mother and fetus vitals

Can increase fetal HR

58
Q

What are uterine stimulants called?

A

Oxytocics

59
Q

What are uterine relaxants called?

A

Tocolytics

60
Q

What are Sx of hypercalcemia?

A

N/V
constipation
Lethargy
Muscle weakness

61
Q

What is the #1 drug to Tx osteoporosis?

A

Bisphosphonate

62
Q

What is the synthetic version of oxytocin?

A

Pitocin

63
Q

What is a common ADR of OCPs?

A

N/V