3589853
Pregunta 1
Pregunta
The main hormones in CHCs are:
Respuesta
-
Progestin
-
Progesterone
-
Ethinyl Estradiol
-
Oxytocin
-
Prolactin
Pregunta 2
Pregunta
The mechanism of action for progestin is to:
Respuesta
-
Thicken cervical mucous blocking sperm from entering the cervix and block LH surge to suppress ovulation
-
Cycle control
-
Thins endometrium
-
Alters FSH production
Pregunta 3
Pregunta
This CHC has very different drug-drug interactions than other CHCs.
Respuesta
-
Norgestimate (the patch)
-
desogestrel (the ring)
-
levonorgestrel (Mirena)
-
Drospirenone (Yasmine, Yaz)
Pregunta 4
Pregunta
Match the generation of progestin with it's unique qualities:
1) First (Norethindrone/Micronor, Norethindrone acetate, Ethydiol diacetate) [blank_start]________________________________________[blank_end]______
2) Second (Levonorgestrel/Mirena) [blank_start]________________________________________[blank_end]____
3) Third (Desogestrel/OCs & the Ring, Norgestimate/Patch) [blank_start]________________________________________[blank_end]
4) Fourth (Drospirenone/Yaz) _[blank_start]________________________________________[blank_end]___________
Respuesta
-
generic & low dose; less potent
-
more potent; more androgenic
-
more potent than 1st gen; less SE
-
diff drug interactions; K sparing diuret
Pregunta 5
Pregunta
Synthetic estrogen was originally added for:
Respuesta
-
cycle control
-
to prevent menstruation
-
to reduce androgenicity effects
-
acne control
Pregunta 6
Pregunta
The mechanism of action for Ethinyl Estradiol include
Respuesta
-
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
Pregunta 7
Pregunta
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:
Respuesta
-
a biphasic CHC
-
a Triphasic CHC
-
Seasonique
-
Continuing her normal monophasic CHC, but that she can skip her placebo pills up to 3 times
Pregunta 8
Pregunta
A woman should have at least 4 periods a year or her risk of breast cancer increases.
Respuesta
- True
- False
Pregunta 9
Pregunta
The reason most women stop using their CHC is because of
Respuesta
-
breakthrough bleeding
-
increased risk of DVTs
-
to get pregnant
-
increased blood pressure
Pregunta 10
Pregunta
All smokers should be discouraged from using CHCs due to increased risk of MI
Respuesta
- True
- False
Pregunta 11
Pregunta
When starting CHCs women should use back up contraception for how long?
Respuesta
-
a month
-
a week
-
a day
-
2 weeks
Pregunta 12
Pregunta
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.
Respuesta
-
The patch
-
Copper IUD
-
Implanon
-
Combined Oral Contraceptives
-
Progesterin Only Pills
Pregunta 13
Pregunta
The following are contraindications for choosing combined hormonal contraceptives.
Respuesta
-
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
Pregunta 14
Pregunta
Advantages of using CHCs include
Respuesta
-
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
Pregunta 15
Pregunta
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:
Respuesta
-
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
Pregunta 16
Pregunta
The transdermal patch available in the us:
Respuesta
-
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
Pregunta 17
Pregunta
It is important to educate women about ACHES when they are taking combined hormonal methods. This stands for
A - [blank_start]Abdominal pain[blank_end]
C - [blank_start]Chest pain[blank_end]
H - [blank_start]Headaches[blank_end]
E - [blank_start]Eye problems[blank_end]
S - [blank_start]Severe leg pain[blank_end]
Respuesta
-
Abdominal pain
-
Chest pain
-
Headaches
-
Eye problems
-
Severe leg pain
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