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Est/progest drug drill

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
        Help!  

Question
Answer
what are routes of admin?   po, transd, vag, parenteral  
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name 2 SERMs   *tamoxifen *raloxifene  
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why is tamoxifen given?   tx breast ca, osteoporosis, +lipid effects (other drugs better)  
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what are ADRs for tamoxifen   *hot flashes *VTE *endometrial ca  
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why is raloxifine given?   *breast ca *osteoporosis *+ lipid effets (other drugs better)  
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what are ADRs for raloxifine   *Hot flashes *VTE  
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What is one benefit of raloxifine   it does not produce endometrial proliferation  
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Name 2 drugs given for HRT   premarin, pempro  
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What HRT given for in tact uterus   pempro given for this uterine status  
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what is HRT class of pempro   EPT is this drug's class  
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What HRT given for s/p hysterectomy   premarin given for this uterine status  
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What is HRT class of premarin   ET is this drug's class  
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Ulipristal (ellaOne) is what type of drug   coming soon ECP, acts as an ovulation antagonist  
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Yuzpe Method is a COC containing   ethinyl estradiol & levonorgesterol in this ECP  
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What are the brand names of 3 POC ECP's   Plan B, Next Choice, Plan B One Choice  
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Ingredient/dosage of Plan B/Next Choice   levonorgestrel 0.75 mg po q 12 x 2 doses  
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Ingredient/dosage Plan B One Step   levonorgestrel 1.5mg po 1 DOSE ASAP  
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Yuzpe method is what?   ECP - COC  
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what is the main s/e difference betw Yuzpe & Plan B/Next Choice/Plan B One Step   there is far less n/v with POCs due to lack of estrogen  
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type of estrogen used in COCs   Ethinyl estradiol used in this class  
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type of estrogen used in COCs   estradiol valerate used in this class  
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type of estrogen used in COCs   mestranol (which metabolizes to ethinyl estradiol)  
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First generation progestins in POC   northindrone, northindrone acetate  
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First generation progestins in POC   *norgesterol, levo-norgesterol *ethynodiol diacetate  
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Second generation progestins in POC   *desogestrel *norgestimate  
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Third generation progestins in POC   drospirenone  
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4th phase Natazia POC   dienogest  
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What characteristic decreases with each generation of POC?   there is a decreasing adrogenic and anabolic activity  
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OrthoEvra route & MOA   transdermal & COC MOA  
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What is in OrthoEvra transdermal?   ethinyl estradiol and norelgestromin (a norgestimate metabolite)  
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OrthoEvra fun facts   wear for 3 weeks, one week off for withdrawal bleeding. Dec. effectiveness > 90 kg  
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Nuvaring COC ingredients   ethinyl estradiol, etonogestrel (desogestrel metabolite)  
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Implants Norgestrel, Norplant 2, Implanon MOA   these are progestin only, effective for 3 years  
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what's in subdermal implants   etonogestrel (metabolite of desogestrel) is in this long-term effective product  
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What is DMPA   depot medroxyprogesterone acetate  
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DMPA's MOA / dosage   IM: 150 mg q 3 months Newer version is SQ 104 mg q 3 months  
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What is drawback to DMPA   irregular menstruation, bleeding, BTB. But will be amenorrhagic within 6-12 mo.  
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Three types of IUD and duration of action   *copper paragaurd - 10 yrs *Mirena - levonorgesterol - 5 years *porgestogen - 1 year - no longer on market  
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Spermicide active ingredient   *octoxynol *nonoxynol 9  
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Today sponge in this class   spermicide  
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fun fact about spermicides   use within 1 h of intercourse, repeat if you are so fortunate as to have subsequent episodes  
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barrier examples and fun facts   male, female condoms, diaphragms, cervical caps. Latters must be fitted by HCP  
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