UTI

Prep for USMLE Forum

» Log in | Register

Forum

Step 1

Match

Prep4USMLE Forum » USMLE Step 2 CK Forum » Ob-Gyn Forum

UTI

Author

8 Posts

Kamsi
Forum Guru

Topics: 103
Posts: 347

10/18/07 - 10:50 AM

21) A 67-year-old woman comes to the physician because of pain with urination and frequent urination. She has hypertension for which she takes a beta-blocker, but no other medical problems. She states that she is not sexually active. She does not smoke and drinks cranberry juice daily. Examination shows mild suprapubic tenderness and genital atrophy but is otherwise unremarkable. Urinalysis shows 50 to 100 leukocytes/high powered field (hpf) and 5 to 10 erythrocytes/hpf. Which of the following is the most likely cause of the infection?
A. Cardiac disease
B. Cranberry juice ingestion
C. Hypoestrogenism
D. Nephrolithiasis
E. Sexual intercourse

38) A 55-year-old woman comes to the physician because of hot flashes. She first noted them about 9 months ago, and since then they have been worsening. She states that the flashes come on at various times throughout the day, but that they are especially intense at night. She had her last menstrual period approximately 5 months ago. Her medical history is significant for a pulmonary embolus at the age of 36 and severe depression. She takes fluoxetine for depression and has no allergies to medications but smokes one pack of cigarettes per day. Physical examination is unremarkable, including a normal pelvic examination. Which of the following is the most appropriate pharmacotherapy for this patient?
A. Clonidine
B. Estrogen and progesterone
C. Estrogen only
D. Glucophage
E. Tamoxifen

Doc750
transfer:step 3 prison
avatar

Topics: 52
Posts: 634

10/18/07 - 11:18 AM

C B

___________________
Experience is a hard teacher because she gives the test first, and the lesson afterwards.

MAGY17
Forum Elite
avatar

Topics: 30
Posts: 234

10/18/07 - 02:12 PM

C
B

hanialkhadher
Forum Elite
avatar

Topics: 18
Posts: 259

10/19/07 - 02:05 AM

C. Hypoestrogenism

A. Clonidine ,I Know That
grin

___________________
"أقرأ بأسم ربك الذي خلق,خلق الأنسان من علق,أقرأ و ربك الأكرم, الذي علم بالقلم,علم الأنسان ما لم يعلم"

MAGY17
Forum Elite
avatar

Topics: 30
Posts: 234

10/19/07 - 06:19 AM

hanialkhadher, can you explain the ans please, (clonidine).

Kamsi
Forum Guru

Topics: 103
Posts: 347

10/19/07 - 09:17 AM

C
A Clonidine has been used with some success by many women for relief from hot flashes. It is a blood pressure medication, but it has been shown to be effective against hot flashes when used in low doses, Estrogen is contraindicated b/c of the hx of PE

MAGY17
Forum Elite
avatar

Topics: 30
Posts: 234

10/20/07 - 12:31 PM

thakns kansi l apreciated you information nod

mjl1717
Forum Hero
avatar

Topics: 958
Posts: 5,463

10/25/07 - 06:46 PM

Kamsi wrote:
o
A Clonidine has been used with some success by many women for relief from hot flashes. It is a blood pressure medication, but it has been shown to be effective against hot flashes when used in low doses, Estrogen is contraindicated b/c of the hx of PE

Yes clonidine a dinosaur is somewhat of a magic drug: Used in opiate, tobacco, and nicotine withdrawl, diabetic diarrhea, Tourettes syndrome, Attention deficit disorder, post herpetic disorder, Ulcerative Colitis , to Dx pho, AIDS.

___________________
Smell the coffee! "Is That an Osler move??"

You don't have permission to post.