Mary L
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Mary L
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Combined Hormonal Methods

Question 1 of 17

1

The main hormones in CHCs are:

Select one or more of the following:

  • Progestin

  • Progesterone

  • Ethinyl Estradiol

  • Oxytocin

  • Prolactin

Explanation

Question 2 of 17

1

The mechanism of action for progestin is to:

Select one of the following:

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

  • Cycle control

  • Thins endometrium

  • Alters FSH production

Explanation

Question 3 of 17

1

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

Select one of the following:

  • Norgestimate (the patch)

  • desogestrel (the ring)

  • levonorgestrel (Mirena)

  • Drospirenone (Yasmine, Yaz)

Explanation

Question 4 of 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) ____________

Drag and drop to complete the text.

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

Explanation

Question 5 of 17

1

Synthetic estrogen was originally added for:

Select one of the following:

  • cycle control

  • to prevent menstruation

  • to reduce androgenicity effects

  • acne control

Explanation

Question 6 of 17

1

The mechanism of action for Ethinyl Estradiol include

Select one or more of the following:

  • 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

Explanation

Question 7 of 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:

Select one or more of the following:

  • a biphasic CHC

  • a Triphasic CHC

  • Seasonique

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

Explanation

Question 8 of 17

1

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

Select one of the following:

  • True
  • False

Explanation

Question 9 of 17

1

The reason most women stop using their CHC is because of

Select one of the following:

  • breakthrough bleeding

  • increased risk of DVTs

  • to get pregnant

  • increased blood pressure

Explanation

Question 10 of 17

1

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

Select one of the following:

  • True
  • False

Explanation

Question 11 of 17

1

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

Select one of the following:

  • a month

  • a week

  • a day

  • 2 weeks

Explanation

Question 12 of 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.

Select one or more of the following:

  • The patch

  • Copper IUD

  • Implanon

  • Combined Oral Contraceptives

  • Progesterin Only Pills

Explanation

Question 13 of 17

1

The following are contraindications for choosing combined hormonal contraceptives.

Select one or more of the following:

  • 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

Explanation

Question 14 of 17

1

Advantages of using CHCs include

Select one or more of the following:

  • 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

Explanation

Question 15 of 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:

Select one of the following:

  • 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

Explanation

Question 16 of 17

1

The transdermal patch available in the us:

Select one of the following:

  • 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

Explanation

Question 17 of 17

1

Fill the blank spaces to complete the text.

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

Explanation

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