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18 Cards in this Set
- Front
- Back
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What is a method failure rate? What is a typical failure rate?
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- Method: failure rate with 100% correct usage
- typical: failure rate with how it is actually used |
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Options for post-coital/ emergency contraception are:
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- combined OCPs
- Plan B - Copper IUD |
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Options for permanent sterilization include:
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Men: vasectomy
Women: tubal ligation, tubal occlusion |
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The "mini-pill" contains primarily _____ and acts by ____
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- progesterone
- thickening cervical mucus |
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Estrogenic OCP have hwat mechanism?
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- suppress secretion of FSH to prevent follicle maturation
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Progestational OCP have what mechanism?
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- suppressing LH secretion and thereby ovulation
- thickening cervical mucus - alter tube peristalsis - inhibiting sperm movement and fertilization |
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What are absolute contraindications to Rx for OCP?
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- VTE
- CVA - AMI - abnormla vaginal bleeding - Smoker >35yrs - breast CA - liver dz |
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True or False: mirena can be used as emergency contraception.
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NO! Only paragard (copper)
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Emergency contraception may be used for ____ hours after unprotected sex.
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72
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How to emergency contraceptives work?
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- PREVENT OR DELAY ovulation, altering the endometrium, possibly interfering with sperm migration.
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How is Ella different from major Plan B pills?
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- RX only
- binds to progesterone receptors on corpus luteum so progesterone can't bind... blocks pregnancy from occurring (need progesterone for pregnancy) |
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Medical abortion is an alternative to surgical in appropriate women less than _____ gestation
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49 days from first day of LMP
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What three medications can be used for medical abortions?
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- mifepristone (RU-486): antiprogestin
- methotrexate: used in ectopics, blocks folate which is required for fetal growth - misoprostol: given with RU-486 to stimulate smooth muscle (uterine) contractions. |
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Methods of natural family planning include:
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- calendar method (based on period)
- basal body temperature - cervical mucus method - syptothermal method: combines basal & mucus) |
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Options for vasectomy include:
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- excision and ligation
- electrocautery - mechanical or chemical occlusion |
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Options for tubal ligation include:
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- laparoscopic
- minilaparotomy - transvaginal (never done) |
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True or false: failure rates of tubal ligation are less than intrauterine contraception.
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FALSE: they are comparible. Vasectomy is lower failure rate.
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Options for permanent sterilization of women include:
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- tubal ligation
- tubal occlusion (spring device inserted - Essure) |
