Mary L
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Combined Hormonal Methods

Questão 1 de 17

1

The main hormones in CHCs are:

Selecione uma ou mais das seguintes:

  • Progestin

  • Progesterone

  • Ethinyl Estradiol

  • Oxytocin

  • Prolactin

Explicação

Questão 2 de 17

1

The mechanism of action for progestin is to:

Selecione uma das seguintes:

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

  • Cycle control

  • Thins endometrium

  • Alters FSH production

Explicação

Questão 3 de 17

1

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

Selecione uma das seguintes:

  • Norgestimate (the patch)

  • desogestrel (the ring)

  • levonorgestrel (Mirena)

  • Drospirenone (Yasmine, Yaz)

Explicação

Questão 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) ____________

Arraste e solte para completar o texto.

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

Explicação

Questão 5 de 17

1

Synthetic estrogen was originally added for:

Selecione uma das seguintes:

  • cycle control

  • to prevent menstruation

  • to reduce androgenicity effects

  • acne control

Explicação

Questão 6 de 17

1

The mechanism of action for Ethinyl Estradiol include

Selecione uma ou mais das seguintes:

  • 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

Explicação

Questão 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:

Selecione uma ou mais das seguintes:

  • a biphasic CHC

  • a Triphasic CHC

  • Seasonique

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

Explicação

Questão 8 de 17

1

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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 9 de 17

1

The reason most women stop using their CHC is because of

Selecione uma das seguintes:

  • breakthrough bleeding

  • increased risk of DVTs

  • to get pregnant

  • increased blood pressure

Explicação

Questão 10 de 17

1

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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 11 de 17

1

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

Selecione uma das seguintes:

  • a month

  • a week

  • a day

  • 2 weeks

Explicação

Questão 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.

Selecione uma ou mais das seguintes:

  • The patch

  • Copper IUD

  • Implanon

  • Combined Oral Contraceptives

  • Progesterin Only Pills

Explicação

Questão 13 de 17

1

The following are contraindications for choosing combined hormonal contraceptives.

Selecione uma ou mais das seguintes:

  • 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

Explicação

Questão 14 de 17

1

Advantages of using CHCs include

Selecione uma ou mais das seguintes:

  • 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

Explicação

Questão 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:

Selecione uma das seguintes:

  • 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

Explicação

Questão 16 de 17

1

The transdermal patch available in the us:

Selecione uma das seguintes:

  • 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

Explicação

Questão 17 de 17

1

Preencha os espaços em branco para completar o texto.

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

Explicação