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Combined Hormonal Methods

Frage 1 von 17

1

The main hormones in CHCs are:

Wähle eine oder mehr der folgenden:

  • Progestin

  • Progesterone

  • Ethinyl Estradiol

  • Oxytocin

  • Prolactin

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Frage 2 von 17

1

The mechanism of action for progestin is to:

Wähle eine der folgenden:

  • Thicken cervical mucous blocking sperm from entering the cervix and block LH surge to suppress ovulation

  • Cycle control

  • Thins endometrium

  • Alters FSH production

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Frage 3 von 17

1

This CHC has very different drug-drug interactions than other CHCs.

Wähle eine der folgenden:

  • Norgestimate (the patch)

  • desogestrel (the ring)

  • levonorgestrel (Mirena)

  • Drospirenone (Yasmine, Yaz)

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Frage 4 von 17

1

Match the generation of progestin with it's unique qualities:
1) First (Norethindrone/Micronor, Norethindrone acetate, Ethydiol diacetate) ______
2) Second (Levonorgestrel/Mirena) ____
3) Third (Desogestrel/OCs & the Ring, Norgestimate/Patch)
4) Fourth (Drospirenone/Yaz) ____________

Klicke und ziehe, um den Text zu vervollständigen.

    generic & low dose; less potent
    more potent; more androgenic
    more potent than 1st gen; less SE
    diff drug interactions; K sparing diuret

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Frage 5 von 17

1

Synthetic estrogen was originally added for:

Wähle eine der folgenden:

  • cycle control

  • to prevent menstruation

  • to reduce androgenicity effects

  • acne control

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Frage 6 von 17

1

The mechanism of action for Ethinyl Estradiol include

Wähle eine oder mehr der folgenden:

  • thickening the cervical mucous

  • suppression of FSH from the pituitary which in turn suppresses ovulation

  • slows egg transport and endometrial thinning

  • cycle control

  • blocks sperm from entering the cervix

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Frage 7 von 17

1

A client tells you that she will be conducting research in an isolated area in the rain forest for 3 months and would prefer not to get her period in that time. You tell her that her best options include:

Wähle eine oder mehr der folgenden:

  • a biphasic CHC

  • a Triphasic CHC

  • Seasonique

  • Continuing her normal monophasic CHC, but that she can skip her placebo pills up to 3 times

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Frage 8 von 17

1

A woman should have at least 4 periods a year or her risk of breast cancer increases.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 9 von 17

1

The reason most women stop using their CHC is because of

Wähle eine der folgenden:

  • breakthrough bleeding

  • increased risk of DVTs

  • to get pregnant

  • increased blood pressure

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Frage 10 von 17

1

All smokers should be discouraged from using CHCs due to increased risk of MI

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 11 von 17

1

When starting CHCs women should use back up contraception for how long?

Wähle eine der folgenden:

  • a month

  • a week

  • a day

  • 2 weeks

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Frage 12 von 17

1

A woman is requesting assistance choosing a contraception. She says that she has headaches accompanied by blurry vision. The following are appropriate options for her.

Wähle eine oder mehr der folgenden:

  • The patch

  • Copper IUD

  • Implanon

  • Combined Oral Contraceptives

  • Progesterin Only Pills

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Frage 13 von 17

1

The following are contraindications for choosing combined hormonal contraceptives.

Wähle eine oder mehr der folgenden:

  • Severe acne in teenager

  • Cigarette smoking (2 packs a day) in 30 year old woman

  • A woman 6 months post partum who is breastfeeding

  • history of CV disease

  • history of breast cancer

  • headaches with aura

  • Takes St John's Wort regularly for depression

  • Has an acute liver infection

  • Has a broken leg

  • Has Poly Ovarian Cystic Syndrome

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Frage 14 von 17

1

Advantages of using CHCs include

Wähle eine oder mehr der folgenden:

  • Prevents mittelschmerz

  • decreased ovarian cysts

  • Can help with acne

  • Can prevent, control and treat endometriosis

  • Reduced risk of DVTs

  • Reduced risk of ovarian and endometrial cancer

  • Increased libido

  • Slight weight loss

  • prevents ectopic pregnancy

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Frage 15 von 17

1

A woman calls concerned that she took her nuvaring out for sex and did not remember to put it back in before she went to sleep for the night. Advise her to:

Wähle eine der folgenden:

  • Use a back up for 7 days

  • reinsert it without major concern as long as it was out for 10 hours or less

  • insert a new ring immediately and dispose of the old one

  • get emergency contraception immediately

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Frage 16 von 17

1

The transdermal patch available in the us:

Wähle eine der folgenden:

  • results is higher estrogen exposure which results in increased risk of VTEs

  • will likely be replaced with a lower dose patch to reduce the unpleasant side effect of weight gain

  • is less effective for women over 178lbs

  • is being replaced due to significant problems with spotting for women

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Frage 17 von 17

1

Fülle die Lücken, um den Text zu vervollständigen.

It is important to educate women about ACHES when they are taking combined hormonal methods. This stands for
A -
C -
H -
E -
S -

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