Cancer and Contraception

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Questions and Answers

What is a common clinical use of Ketoconazole?

  • Management of androgenic alopecia
  • Treatment of benign prostatic hyperplasia (BPH)
  • Treatment of prostate cancer (correct)
  • Reduction of sexual dysfunction

Which side effect is associated with Spironolactone?

  • Increased blood pressure
  • Severe headaches
  • Weight gain
  • Amenorrhea (correct)

What is the primary mechanism of action for Tamsulosin?

  • Aromatase inhibitor
  • Beta-agonist
  • Alpha-adrenergic antagonist (correct)
  • Calcium channel blocker

Which condition is Minoxidil primarily indicated for?

<p>Severe refractory hypertension (C)</p> Signup and view all the answers

What side effect is commonly linked to the use of Ketoconazole?

<p>Gynecomastia (D)</p> Signup and view all the answers

Which of the following is NOT a side effect of Minoxidil?

<p>Weight loss (A)</p> Signup and view all the answers

Which treatment is primarily used for benign prostatic hyperplasia (BPH)?

<p>Tamsulosin (B)</p> Signup and view all the answers

What is a common indication for the use of Spironolactone?

<p>Androgenic alopecia (D)</p> Signup and view all the answers

Which condition is treated with both Ketoconazole and Spironolactone?

<p>Gynecomastia (B)</p> Signup and view all the answers

Which is a clinical use of Spironolactone?

<p>Treatment of polycystic ovarian syndrome (PCOS) (D)</p> Signup and view all the answers

What is a common side effect of Gonadotropin-Releasing Hormone (GnRH) Antagonists?

<p>Hot flushes (B)</p> Signup and view all the answers

Which of the following is an indication for the use of synthetic estrogens like ethinyl estradiol?

<p>Hormone Replacement Therapy (A), Endometriosis treatment (D)</p> Signup and view all the answers

Which condition is NOT typically associated with the use of Indomethacin?

<p>Osteoporosis (A), Hot flushes (D)</p> Signup and view all the answers

What type of cancer has been associated with increased risk due to hormone replacement therapy?

<p>Clear cell adenocarcinoma of the vagina (C)</p> Signup and view all the answers

What is a contraindication for the use of estrogens in women?

<p>Over 35 years old and tobacco use (C)</p> Signup and view all the answers

Which of the following hormonal therapies is indicated for the treatment of endometriosis?

<p>GnRH Antagonists (A), Synthetic Estrogens (B)</p> Signup and view all the answers

What is the primary mechanism of action of GnRH antagonists?

<p>Inhibiting hormone secretion (B)</p> Signup and view all the answers

Which of the following is NOT a side effect of synthetic estrogens?

<p>Respiratory depression (B)</p> Signup and view all the answers

In which patient population is hormone replacement therapy primarily indicated?

<p>Postmenopausal women (D)</p> Signup and view all the answers

What potential side effect could result from the use of synthetic estrogens?

<p>Bone density loss (C)</p> Signup and view all the answers

Which medication is indicated for the treatment of endometriosis?

<p>Danazol (C)</p> Signup and view all the answers

What is a common side effect of Indomethacin?

<p>Gastrointestinal bleeding (A)</p> Signup and view all the answers

Which of the following is a side effect of full androgen receptor agonists?

<p>Premature closure of epiphyseal plate (C)</p> Signup and view all the answers

What is the mechanism of action of tocolytics such as Nifedipine?

<p>Calcium channel blocker (B)</p> Signup and view all the answers

Which of the following is NOT a side effect associated with Partial Androgen Receptor Agonists?

<p>Idiopathic weight loss (C)</p> Signup and view all the answers

Which indication is associated with the use of copper intrauterine devices?

<p>Emergency contraception (D)</p> Signup and view all the answers

Which of the following can be a contraindication for combined contraception?

<p>History of liver disease (D)</p> Signup and view all the answers

Which side effect is associated with hormone replacement therapy?

<p>Endometrial cancer risk (C)</p> Signup and view all the answers

What is a potential consequence of long-term use of androgen receptor antagonists like Finasteride?

<p>Increased LDL levels (D)</p> Signup and view all the answers

What is the primary indication for using tocolytics?

<p>Maintaining pregnancy by preventing premature labor (D)</p> Signup and view all the answers

Which condition might a combined hormonal contraceptive be contraindicated for?

<p>A history of migraines with aura (A)</p> Signup and view all the answers

What is a side effect of emergency contraception like Ulipristal?

<p>Menstrual cycle disruption (D)</p> Signup and view all the answers

Which androgen receptor antagonist is known for treating prostate cancer?

<p>Flutamide (C)</p> Signup and view all the answers

What is the primary action of copper intrauterine devices?

<p>Creating a cytotoxic environment for sperm (D)</p> Signup and view all the answers

Which condition is primarily indicated for Gonadotropin-Releasing Hormone (GnRH) Antagonists?

<p>Prostate cancer (D)</p> Signup and view all the answers

What is a common side effect associated with Synthetic Estrogens like Ethinyl Estradiol?

<p>Hot flushes (C)</p> Signup and view all the answers

Which of the following is a contraindication for hormone replacement therapy?

<p>Exposure to diethylbestrol in utero (B)</p> Signup and view all the answers

What increased risk is associated with hormone replacement therapy in females?

<p>Clear cell adenocarcinoma of vagina (D)</p> Signup and view all the answers

Which side effect is linked to the use of Gonadotropin-Releasing Hormone (GnRH) Antagonist?

<p>Hot flushes (A)</p> Signup and view all the answers

In which patient population are Synthetic Estrogens most commonly indicated?

<p>Menopausal women for HRT (B)</p> Signup and view all the answers

Which of the following conditions is NOT commonly treated with hormone-related therapies?

<p>Acne (D)</p> Signup and view all the answers

What potential side effect could occur from hormone replacement therapy?

<p>Clear cell adenocarcinoma (A)</p> Signup and view all the answers

What is a side effect that is commonly associated with hormone replacement therapy in postmenopausal women?

<p>Increased risk of clear cell adenocarcinoma (D)</p> Signup and view all the answers

Which indication is associated with the use of Synthetic Estrogens?

<p>Hormone Replacement Therapy (D)</p> Signup and view all the answers

Which of the following medications is primarily indicated for Benign Prostatic Hyperplasia (BPH)?

<p>Tamsulosin (D)</p> Signup and view all the answers

What side effect is commonly associated with the use of Ketoconazole?

<p>Gynecomastia (D)</p> Signup and view all the answers

Which medication can cause sexual dysfunction as a side effect?

<p>Spironolactone (B)</p> Signup and view all the answers

What is a common clinical use for Spironolactone?

<p>Androgenic alopecia (A)</p> Signup and view all the answers

Minoxidil is primarily used for which of the following conditions?

<p>Severe refractory hypertension (B)</p> Signup and view all the answers

Which of the following best describes a side effect of Minoxidil?

<p>Hypotension (C)</p> Signup and view all the answers

What uncommon side effect may occur with prolonged use of Tamsulosin?

<p>Ejaculation failure (A)</p> Signup and view all the answers

In which condition is Spironolactone NOT typically used?

<p>Hypokalemia (B)</p> Signup and view all the answers

What is a major clinical use of Ketoconazole?

<p>Fungal infections (D)</p> Signup and view all the answers

Which side effect may be associated with increased use of Tamsulosin?

<p>Orthostatic hypotension (B)</p> Signup and view all the answers

Which side effect is commonly associated with the use of combined contraception?

<p>Endometrial cancer risk (D)</p> Signup and view all the answers

Which of the following is an indication for the use of anti-progestins?

<p>Emergency contraception (C)</p> Signup and view all the answers

What side effect is associated with the use of copper intrauterine devices?

<p>Increased risk of pelvic inflammatory disease (C)</p> Signup and view all the answers

Which condition could be a contraindication for using hormone replacement therapy?

<p>Breast cancer history (D)</p> Signup and view all the answers

Which of the following side effects is linked to androgen receptor antagonists like Abiraterone?

<p>Weight gain (C)</p> Signup and view all the answers

What is a common indication for the use of tocolytics?

<p>Preterm labor (C)</p> Signup and view all the answers

Which side effect is associated with the use of partial androgen receptor agonists?

<p>Premature epiphyseal closure (C)</p> Signup and view all the answers

Which of the following medications is indicated for the treatment of endometriosis?

<p>Danazol (D)</p> Signup and view all the answers

Which side effect is commonly experienced by individuals taking full androgen receptor agonists?

<p>Hirsutism (C)</p> Signup and view all the answers

Which of the following is a side effect of hormone replacement therapy?

<p>Increased risk of cardiovascular disease (C)</p> Signup and view all the answers

Which of the following conditions are treated with tocolytics such as Terbutaline?

<p>Preterm labor (C)</p> Signup and view all the answers

Which of the following conditions indicates the need for copper intrauterine devices?

<p>Long-term contraception (C)</p> Signup and view all the answers

What is the primary side effect associated with the use of tocolytics?

<p>Hypokalemia (D)</p> Signup and view all the answers

What is a common indication for the use of Bicalutamide?

<p>Prostate cancer (D)</p> Signup and view all the answers

Which side effect is frequently associated with Ketoconazole?

<p>Gynecomastia (B)</p> Signup and view all the answers

What condition is Tamsulosin primarily used to treat?

<p>Benign Prostatic Hyperplasia (D)</p> Signup and view all the answers

What common clinical use does Spironolactone have?

<p>Treatment of Poly Cystic Ovarian Syndrome (A)</p> Signup and view all the answers

Which of the following is a well-known side effect of Minoxidil?

<p>Severe refractory hypertension (B)</p> Signup and view all the answers

Which condition might result from the use of Tamsulosin?

<p>Sexual dysfunction (A)</p> Signup and view all the answers

What is a clinical use of Minoxidil?

<p>Androgenic alopecia (A)</p> Signup and view all the answers

Which of the following medications can cause gynecomastia as a side effect?

<p>Spironolactone (A), Ketoconazole (B)</p> Signup and view all the answers

Which side effect is most likely associated with Spironolactone?

<p>Amenorrhea (B)</p> Signup and view all the answers

What is a common application of Ketoconazole in a clinical setting?

<p>Therapy for gynecomastia (A)</p> Signup and view all the answers

What condition is an indication for the use of Gonadotropin-Releasing Hormone (GnRH) Antagonists?

<p>Endometriosis (B)</p> Signup and view all the answers

Which side effect is commonly associated with synthetic estrogens like ethinyl estradiol?

<p>Liver toxicity (C)</p> Signup and view all the answers

Which of the following is a contraindication for hormone replacement therapy?

<p>Previous breast cancer (D)</p> Signup and view all the answers

What is a common side effect of hormone replacement therapy in postmenopausal women?

<p>Hot flushes (B)</p> Signup and view all the answers

What increased risk is associated with hormone replacement therapy for women?

<p>Clear cell adenocarcinoma of the vagina (C)</p> Signup and view all the answers

Which condition is commonly treated with synthetic estrogens?

<p>Hormone Replacement Therapy (HRT) (C)</p> Signup and view all the answers

Which of the following is a side effect of the use of Gonadotropin-Releasing Hormone (GnRH) Antagonists?

<p>Flushing (C)</p> Signup and view all the answers

What condition could be a contraindication for synthetic estrogens?

<p>History of thromboembolic disorders (B)</p> Signup and view all the answers

In which patient population are synthetic estrogens most commonly indicated?

<p>Postmenopausal women (B)</p> Signup and view all the answers

What is a potential side effect of hormone replacement therapy?

<p>Mood swings (D)</p> Signup and view all the answers

What is a common indication for the use of anti-progestins?

<p>Emergency contraception (D)</p> Signup and view all the answers

Which side effect is commonly associated with combined contraception?

<p>Breakthrough menstrual bleeding (D)</p> Signup and view all the answers

What is a contraindication for the use of hormone replacement therapy?

<p>Liver disease (A)</p> Signup and view all the answers

Which side effect can occur with the use of tocolytics like Terbutaline?

<p>Palpitations (B)</p> Signup and view all the answers

What is a common indication for copper intrauterine devices?

<p>Long lasting reversible contraception (A)</p> Signup and view all the answers

Which condition is treated with tocolytics?

<p>Labor complications (D)</p> Signup and view all the answers

Which side effect is notably linked to oral contraceptives?

<p>Venous thromboembolism (D)</p> Signup and view all the answers

What is a common indication for partial androgen receptor agonists?

<p>Hereditary angioedema (B)</p> Signup and view all the answers

Which condition is NOT associated with hormone replacement therapy?

<p>Infertility management (C)</p> Signup and view all the answers

What side effect is common in patients taking full androgen receptor agonists?

<p>Premature epiphyseal closure (D)</p> Signup and view all the answers

Which medication is indicated for the treatment of endometriosis?

<p>Danazol (D)</p> Signup and view all the answers

What is a side effect associated with the use of mifepristone?

<p>Nausea and vomiting (B)</p> Signup and view all the answers

Which side effect is commonly linked to the use of Nifedipine as a tocolytic?

<p>Facial flushing (D)</p> Signup and view all the answers

What is a significant contraindication for using hormone replacement therapy in women?

<p>Previous blood clot history (A)</p> Signup and view all the answers

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Study Notes

Contraceptive Methods

  • Anti-progestins: Used for termination of pregnancy and emergency contraception.
  • Examples: Ulipristal and Mifepristone.

Combined Contraception

  • Components: Ethinyl Estradiol and Progestin.
  • Indications: Hormone Replacement Therapy (HRT) for postmenopausal women, menstrual abnormalities, hypogonadism, and ovarian failure.
  • Side Effects: Increased endometrial cancer risk, breakthrough bleeding, venous thromboembolism, hepatic adenoma.
  • Contraindications: Cardiovascular disease history, breast cancer history, liver disease, migraines, age above 35, and smoking.

Copper Intrauterine Device

  • Action: Long-lasting reversible contraception, most effective for emergency use.
  • Indications: Heavy menstrual bleeding and dysmenorrhea.
  • Contraindications: Pelvic inflammatory disease (PID).

Tocolytics

  • Purpose: Used to delay preterm labor.
  • Examples:
    • Terbutaline - β2 agonist.
    • Nifedipine - Ca2+ channel blocker.
    • Indomethacin - NSAID.

Partial Androgen Receptor Agonists

  • Indications: Treat hereditary angioedema and endometriosis.
  • Side Effects: Idiopathic intracranial hypertension, decreased HDL levels, masculinization, hepatotoxicity, weight gain, hirsutism, edema, and acne.
  • Example: Danazol.

Full Androgen Receptor Agonists

  • Indications: Promote development of secondary sexual characteristics and treat hypogonadism.
  • Side Effects: Increased LDL and decreased HDL levels, testicular hypertrophy, and virilization in females.

Androgen Receptor Antagonists

  • Clinical Use: Treat prostate cancer and benign prostatic hyperplasia (BPH).
  • Examples:
    • Abiraterone - used for prostate cancer.
    • Finasteride - used for BPH, can cause hypertension, and sexual dysfunction.
    • Flutamide and Bicalutamide - used for various cancers, with potential side effects like nausea and vomiting.

Gonadotropin-Releasing Hormone (GnRH) Antagonist

  • Usage: Primarily for prostate cancer treatment.
  • Side Effects: Hot flushes and potential liver toxicity.
  • Example: Degarelix.

Synthetic Estrogens

  • Indications: Hormone Replacement Therapy (HRT) for postmenopausal women.
  • Side Effects: Increased risk of clear cell adenocarcinoma of the vagina, particularly in women exposed to diethylstilbestrol (DES) in utero.
  • Contraindications: Tobacco use in females over 35 years old.### Bicalutamide
  • Indicated for prostate cancer treatment.
  • Associated side effect: gynecomastia.

Ketoconazole

  • Used in the management of prostate cancer.
  • Known side effects include sexual dysfunction.

Spironolactone

  • Utilized for conditions such as polycystic ovarian syndrome (PCOS).
  • Side effects include gynecomastia and amenorrhea.

Tamsulosin

  • Mechanism of action primarily targets benign prostatic hyperplasia (BPH).
  • Facilitates urination by relaxing prostate and bladder neck muscles.

Minoxidil

  • Primarily treats androgenic alopecia to promote hair growth.
  • Used for severe refractory hypertension, acting as a potent vasodilator.

Contraceptive Methods

  • Anti-progestins: Used for termination of pregnancy and emergency contraception.
  • Examples: Ulipristal and Mifepristone.

Combined Contraception

  • Components: Ethinyl Estradiol and Progestin.
  • Indications: Hormone Replacement Therapy (HRT) for postmenopausal women, menstrual abnormalities, hypogonadism, and ovarian failure.
  • Side Effects: Increased endometrial cancer risk, breakthrough bleeding, venous thromboembolism, hepatic adenoma.
  • Contraindications: Cardiovascular disease history, breast cancer history, liver disease, migraines, age above 35, and smoking.

Copper Intrauterine Device

  • Action: Long-lasting reversible contraception, most effective for emergency use.
  • Indications: Heavy menstrual bleeding and dysmenorrhea.
  • Contraindications: Pelvic inflammatory disease (PID).

Tocolytics

  • Purpose: Used to delay preterm labor.
  • Examples:
    • Terbutaline - β2 agonist.
    • Nifedipine - Ca2+ channel blocker.
    • Indomethacin - NSAID.

Partial Androgen Receptor Agonists

  • Indications: Treat hereditary angioedema and endometriosis.
  • Side Effects: Idiopathic intracranial hypertension, decreased HDL levels, masculinization, hepatotoxicity, weight gain, hirsutism, edema, and acne.
  • Example: Danazol.

Full Androgen Receptor Agonists

  • Indications: Promote development of secondary sexual characteristics and treat hypogonadism.
  • Side Effects: Increased LDL and decreased HDL levels, testicular hypertrophy, and virilization in females.

Androgen Receptor Antagonists

  • Clinical Use: Treat prostate cancer and benign prostatic hyperplasia (BPH).
  • Examples:
    • Abiraterone - used for prostate cancer.
    • Finasteride - used for BPH, can cause hypertension, and sexual dysfunction.
    • Flutamide and Bicalutamide - used for various cancers, with potential side effects like nausea and vomiting.

Gonadotropin-Releasing Hormone (GnRH) Antagonist

  • Usage: Primarily for prostate cancer treatment.
  • Side Effects: Hot flushes and potential liver toxicity.
  • Example: Degarelix.

Synthetic Estrogens

  • Indications: Hormone Replacement Therapy (HRT) for postmenopausal women.
  • Side Effects: Increased risk of clear cell adenocarcinoma of the vagina, particularly in women exposed to diethylstilbestrol (DES) in utero.
  • Contraindications: Tobacco use in females over 35 years old.### Bicalutamide
  • Indicated for prostate cancer treatment.
  • Associated side effect: gynecomastia.

Ketoconazole

  • Used in the management of prostate cancer.
  • Known side effects include sexual dysfunction.

Spironolactone

  • Utilized for conditions such as polycystic ovarian syndrome (PCOS).
  • Side effects include gynecomastia and amenorrhea.

Tamsulosin

  • Mechanism of action primarily targets benign prostatic hyperplasia (BPH).
  • Facilitates urination by relaxing prostate and bladder neck muscles.

Minoxidil

  • Primarily treats androgenic alopecia to promote hair growth.
  • Used for severe refractory hypertension, acting as a potent vasodilator.

Contraceptive Methods

  • Anti-progestins: Used for termination of pregnancy and emergency contraception.
  • Examples: Ulipristal and Mifepristone.

Combined Contraception

  • Components: Ethinyl Estradiol and Progestin.
  • Indications: Hormone Replacement Therapy (HRT) for postmenopausal women, menstrual abnormalities, hypogonadism, and ovarian failure.
  • Side Effects: Increased endometrial cancer risk, breakthrough bleeding, venous thromboembolism, hepatic adenoma.
  • Contraindications: Cardiovascular disease history, breast cancer history, liver disease, migraines, age above 35, and smoking.

Copper Intrauterine Device

  • Action: Long-lasting reversible contraception, most effective for emergency use.
  • Indications: Heavy menstrual bleeding and dysmenorrhea.
  • Contraindications: Pelvic inflammatory disease (PID).

Tocolytics

  • Purpose: Used to delay preterm labor.
  • Examples:
    • Terbutaline - β2 agonist.
    • Nifedipine - Ca2+ channel blocker.
    • Indomethacin - NSAID.

Partial Androgen Receptor Agonists

  • Indications: Treat hereditary angioedema and endometriosis.
  • Side Effects: Idiopathic intracranial hypertension, decreased HDL levels, masculinization, hepatotoxicity, weight gain, hirsutism, edema, and acne.
  • Example: Danazol.

Full Androgen Receptor Agonists

  • Indications: Promote development of secondary sexual characteristics and treat hypogonadism.
  • Side Effects: Increased LDL and decreased HDL levels, testicular hypertrophy, and virilization in females.

Androgen Receptor Antagonists

  • Clinical Use: Treat prostate cancer and benign prostatic hyperplasia (BPH).
  • Examples:
    • Abiraterone - used for prostate cancer.
    • Finasteride - used for BPH, can cause hypertension, and sexual dysfunction.
    • Flutamide and Bicalutamide - used for various cancers, with potential side effects like nausea and vomiting.

Gonadotropin-Releasing Hormone (GnRH) Antagonist

  • Usage: Primarily for prostate cancer treatment.
  • Side Effects: Hot flushes and potential liver toxicity.
  • Example: Degarelix.

Synthetic Estrogens

  • Indications: Hormone Replacement Therapy (HRT) for postmenopausal women.
  • Side Effects: Increased risk of clear cell adenocarcinoma of the vagina, particularly in women exposed to diethylstilbestrol (DES) in utero.
  • Contraindications: Tobacco use in females over 35 years old.### Bicalutamide
  • Indicated for prostate cancer treatment.
  • Associated side effect: gynecomastia.

Ketoconazole

  • Used in the management of prostate cancer.
  • Known side effects include sexual dysfunction.

Spironolactone

  • Utilized for conditions such as polycystic ovarian syndrome (PCOS).
  • Side effects include gynecomastia and amenorrhea.

Tamsulosin

  • Mechanism of action primarily targets benign prostatic hyperplasia (BPH).
  • Facilitates urination by relaxing prostate and bladder neck muscles.

Minoxidil

  • Primarily treats androgenic alopecia to promote hair growth.
  • Used for severe refractory hypertension, acting as a potent vasodilator.

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