What are the three stages of adolescence?
Suicide
Name one medication in the TCA class
Amitriptyline, nortiptyline, or imipramine
What is the average age of menopause?
51 years old
Which gender is more likely to get PMR or GCA?
Women > Men
Grade D
Cognitive behavioral therapy
Citalopram
What is the gold standard for treatment of vasomotor symptoms associated with menopause?
Hormone replacement therapy (HRT)
Name 3 out of 5 screening tools used in adolescent health?
HEADSS, GAD, PHQ, SBIRT, and CRAFFT
Which SSRI is known to be a little more "activating"?
Fluoxetine (Prozac)
Which anxiety medication used PRN can also help with itching?
Hydroxyzine
What is the first line treatment for a post-menopausal woman with genitourinary symptoms?
Low dose vaginal estrogen
What two labs are helpful in the diagnosis of PMR/GCA?
ESR and CRP
If your patient is 10+ years old with a BMI > 85%tile, what 4 labs would you consider ordering?
A1C, TSH, LFTs, and lipids
Name two SNRIs
Venlafaxine and duloxetine
Name 3 medications used for anxiety PRN
Someone without a uterus only needs estrogen therapy (ET). Someone with a uterus needs estrogen-progestogen therapy (EPT) to prevent endometrial cancer.
What medication and dose are part of the treatment for PMR?
Prednisone 15-20mg once daily
Name 3 out of 4 reasons you would do an EKG as part of a pre-participation or sports physical?
1. Family hx CVD < 50yo
2. Family hx of sudden cardiac death < 50yo
3. Family hx of prolonged QT, Marfan's, or cardiomyopathies
4. Hx of congenital heart disease or defect
SIG-E-CAPS is an acronym for symptoms of depression, list them all:
Sleep changes
Interest (lack of)
Guilt
Energy (lack of)
Cognition/concentration
Appetite
Psychomotor
Suicide/death thoughts
What is the first line medication to treat bipolar disorder?
Lithium
Name 3 non-hormonal treatments for vasomotor symptoms in a menopausal woman.
Oxybutynin, SNRI or SSRI, gabapentin or pregabalin, clonidine, Fezolinetant
Name 3 side effects of long-term prednisone use?
Loss of bone density, weight gain, immunosuppression, eye issues (glaucoma, cataracts), and bowel perforation