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Combined Hormonal Methods

Pregunta 1 de 17

1

The main hormones in CHCs are:

Selecciona una o más de las siguientes respuestas posibles:

  • Progestin

  • Progesterone

  • Ethinyl Estradiol

  • Oxytocin

  • Prolactin

Explicación

Pregunta 2 de 17

1

The mechanism of action for progestin is to:

Selecciona una de las siguientes respuestas posibles:

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

  • Cycle control

  • Thins endometrium

  • Alters FSH production

Explicación

Pregunta 3 de 17

1

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

Selecciona una de las siguientes respuestas posibles:

  • Norgestimate (the patch)

  • desogestrel (the ring)

  • levonorgestrel (Mirena)

  • Drospirenone (Yasmine, Yaz)

Explicación

Pregunta 4 de 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) ____________

Arrastra y suelta para completar el texto.

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

Explicación

Pregunta 5 de 17

1

Synthetic estrogen was originally added for:

Selecciona una de las siguientes respuestas posibles:

  • cycle control

  • to prevent menstruation

  • to reduce androgenicity effects

  • acne control

Explicación

Pregunta 6 de 17

1

The mechanism of action for Ethinyl Estradiol include

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 7 de 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:

Selecciona una o más de las siguientes respuestas posibles:

  • a biphasic CHC

  • a Triphasic CHC

  • Seasonique

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

Explicación

Pregunta 8 de 17

1

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

Selecciona uno de los siguientes:

  • VERDADERO
  • FALSO

Explicación

Pregunta 9 de 17

1

The reason most women stop using their CHC is because of

Selecciona una de las siguientes respuestas posibles:

  • breakthrough bleeding

  • increased risk of DVTs

  • to get pregnant

  • increased blood pressure

Explicación

Pregunta 10 de 17

1

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

Selecciona uno de los siguientes:

  • VERDADERO
  • FALSO

Explicación

Pregunta 11 de 17

1

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

Selecciona una de las siguientes respuestas posibles:

  • a month

  • a week

  • a day

  • 2 weeks

Explicación

Pregunta 12 de 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.

Selecciona una o más de las siguientes respuestas posibles:

  • The patch

  • Copper IUD

  • Implanon

  • Combined Oral Contraceptives

  • Progesterin Only Pills

Explicación

Pregunta 13 de 17

1

The following are contraindications for choosing combined hormonal contraceptives.

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 14 de 17

1

Advantages of using CHCs include

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 15 de 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:

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 16 de 17

1

The transdermal patch available in the us:

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 17 de 17

1

Rellena los espacios en blanco para completar el texto.

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

Explicación