MarcoPolo5

       Complete blood count and C-reactive protein level        Lipid levels and liver function tests        Serum potassium and magnesium levels        Urine protein and potassium levels

       Separate the oral ingestion of the rifampin and oral contraceptive by at least an hour.        Both medications are best tolerated if taken on an empty stomach.        She should use a back-up method of birth control such as condoms for the rest of the current pill pack.        If she gets nauseated with the medications she should call the office for an antiemetic prescription.

       Development of significant hypertension        Increased risk of strokes when on Depo        Decreased bone density while on Depo        Risk of life-threatening rash such as Stevens-Johnson

       Estrogen prevents the LH surge necessary for ovulation        Progestins thicken cervical mucous and slow tubal motility        Estrogen thins the endometrium making implantation difficult        Progestin suppresses FSH release

       Combined oral contraceptives        Progestin-only oral contraceptive pill        Injectable progestin        Combined topical patch

       Recommend she return to the clinic at the start of her next menses to get a Depo Provera shot        Prescribe oral combined contraceptives and recommend she start them at the beginning of her next period and use a back-up method for the first 7 days        Prescribe oral contraceptives and have her start them the same day with a back-up method used for the first 7 days        Discuss the advantages of using the topical birth control patch and recommend she consider using the patch

       Increased risk for endometrial cancer if estrogen alone is used        Combination therapy provides the best relief of menopausal vasomotor symptoms        Reduced risk for colon cancer with combined therapy        Lower risk of developing blood clots with combined therapy

       She is correct, black women do not have much risk of developing osteoporosis due to their dark skin        Black women are at risk of developing osteoporosis due to their lower calcium intake as a group        If she does not drink alcohol, her risk of developing osteoporosis is low        If she has not lost more than 10% of her weight lately, her risk is low

       DEXA scan        Vitamin D level        Renal function evaluation        Serum electrolytes        All of the above

       IM ceftriaxone        IM benzathine penicillin G        Oral azithromycin        Any of the above

       Syphilis and HIV testing at 3-month intervals        Chancroid-specific antigen test every 3 months        Urine testing for Haemophilus ducreyi in 3 to 6 months for test of cure        Annual HIV testing if engaging in high-risk sexual behavior

       Metronidazole 500 mg PO BID x 7 days        Doxycycline 100 mg PO BID x 7 days        Intravaginal tinidazole daily x 5 days        Metronidazole 2 grams PO x 1 dose

       Beta blockers        Antibiotics        Serotonin reuptake inhibitors        ACE inhibitors

       Number of drug taken: Women tend to take less drugs but over longer periods of time        Fear that medications can cause disease: Information obtained from social networks may be inaccurate for a specific woman        Nutritional status: Worries about possible weight gain from a given drug may result in non-adherence        Religious differences: A patient's belief system that is not congruent with the treatment regimen presents high risk for nonadherence

       Pregnancy        Risk for silent bacterial or viral infections of the genitalia        High risk for developmental disorders in their infants        Decreased risk for abuse during this time

       Altered sensitivity in the serontonergic system        Inhibition of the cyclooxygenase system        Fluctuations in the adrenal hormones        All of these are theories supported by research

       Metronidazole 2 grams PO x 1 dose        Topical intravaginal metronidazole daily x 7 days        Intravaginal clindamycin daily x 7 days        Azithromycin 2 grams PO x 1 dose

       Includes a pediatric exclusivity rule which extends the patent on drugs studied in children        Establishes a committee that writes guidelines for pediatric prescribing        Provides funding for new drug development aimed at children        Allows for safe off-label prescribing for children

       None, Phase I enzymes are stable throughout childhood.        Children should always be prescribed lower than adult doses per weight due to low enzyme activity until puberty.        Children should always be prescribed higher than adult doses per weight due to high enzyme activity.        Prescribing dosages will vary based on the developmental activity of each enzyme, at times requiring lower than adult doses and other times higher than adult doses based on the age of the child.

       Cardio-selective beta blockers such as atenolol        Antiepileptic drugs such as carbamazepine        Antineoplastic drugs such as methotrexate        All of the above