PreEclampsia
Gyn and Breast Ca
Contraception
100
Severe systolic hypertension may be the most important predictor of this.
What is cerebral hemorrhage and infarction.
100
This class of drugs are safe and can reduce severity of hot flushes in patients with breast cancer.
What are SSRIs, SNRIs. Caution must be used in conjunction with tamoxifen. Gabapentin and clonidine are other options. Level A
100
Emergency contraception should be made available to patient who request it up to this many days after unprotected intercourse.
What is 5
200
These are the first line drugs for the management of acute, severe hypertension in a pt with preeclampsia in a hypertensive emergency (name two).
What are labetalol and hydralazine (IV).
200
True or false: Pregnancy after breast cancer is thought to increase breast cancer recurrence
What is False. Level B
200
Combined oral contraceptives can reduce the risk of ovarian cancer by this percentage.
What is about 20% for every 5 years. 50% reduction in the risk of endometrial cancer
300
This is the target blood pressure in a pregnant or postpartum woman with acute-onset severe hypertension.
What is 140-160/90-100. Not to normalize BP
300
ACOG recommends screening mammograms start at this age and be done at this frequency.
What is age 40 and annually.
300
True or False: COCs are safe for women with mild lupus who do not have antiphospholipid antibodies
What is True
400
This is the incidence of preeclampsia
What is 5-8%
400
Enhanced screening should be recommended for women at high risk of developing breast cancer. This involves....
What are twice-yearly clinical breast exams, annual mmg, annual breast MRI, and self-breast exams.
400
It is ok to use OCPs in women with migraines if these things are not present.
What is migraine with aura, smokers, 35 or older. CVA is rare, but the impact is so devastating, that we should consider using progestin only, IUDs, or barrier.
500
This is the criteria for severe preeclampsia. Name 5.
What are

* SBP >= 160, or DBP >=110, x2 >= 6 hours apart while on bed rest.

* Proteinuria >= 5g; OR drip >= 3+ x2 >= 4 hours apart

* Oliguria (<500 mL in 24hrs)

* Cerebral or visual disturbances

* Pulmonary edema or cyanosis

* Epigastric or RUQ pain

* Impaired liver function

* Thrombocytopenia

* IUGR
500
Women with BRCA1 or 2 mutations should be offered risk-reducing BSO by what time?
What is age 40 or when child-bearing is complete
500
This is the only anti-infective agent that decreases steroid levels in women taking COCs.
What is Rifampin. Amp, doxy, fluconazole, metronidazole, miconazole, quinolones, tetracycline, do not decrease steroid levels.