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25 Cards in this Set
- Front
- Back
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M/C FORM of contraception in states? %?
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permanent = tubal ligation/vasectomy!!
= 34% ocp pills = 28% |
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OCP"S ARE associatd w/ incr risk for what neoplasms (2)
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liver adenoma
cerv cxr (prob due to promiscuity though, not independent factor) |
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what sexual effect does clonidine for hypertension have on women?
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IHIBITION OF ORGASM IN WOMEN!!
think "Clone, leave the clitoris alone!" |
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sexual stimulation phases?
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excitiement = vasocong --br engorgement, rash on breasts, chest, epigastric (sex flush), incr HR, BP, clit, labial and vaginal lubrication and swelling
plateau = greater v/cthroughout body and retraction of clitoris orgasm = musc contractions throughout body and pelvis |
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are changes in estrogen involved in the sexual response?
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no
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method of choice for term of pregnancy in frist trim? 2nd trim?
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FIRST TRIM =
surgical D and C (in europe = ru486+inj of pg = up to 9 weeks) 2ND = inj of 15methyl alpha pg IM or pg E2 suppository DONT use saline = more complications D & E if can't be expelled, do hysterotomy (open ut and remove contents manually) |
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sex lubrication occurs from primariy what source in female?
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vaginal walls = transudate from venous plexus.
bartholin glands = minor contribution durign late plateau phase |
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by 3 mo of ocp stoppage, what % women will resume normal menses? ovulation?
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80% = same for m or o
98% =within one year |
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absolute c/i's to ocp's?
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1 te disorders ie dvt, cva, mi, or predisposing conditions
2 impaired liver fxn 3 cxr of br or other estrogen dependent malignancies 4genital maligs 5 abnorm genital bleeding 6 known/suspected bleeding 7pregnancy 8 hx of obstr jaundice in preg (ocps mau cause liver cholestasis) 9 cong hyperlipidemia 10 obesity in F's over 35 and smoking |
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combin ocp's cause what effects on glucose metab and chol metab?
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incr binding globulins
incr TG and total plipids Decr glucose tolerance modestly incr HDL chol |
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thrombosis risk in ocp use is directy related to levels of what component of ocp's?
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ESTROGEN component
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estrogen component of pill does what? progesterone?
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inhibits FSH; stimulates neg feedback of progestins to enable stable endom and prevent irreg menses;
prog inhibits LH (and thus LH surge and thus ovulation) and causes endom atrophic changes that result in poor enviro for implantation, as well as retarded sperm migration due to low prod and thickening of cervical mucus |
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C/I's to iud use?
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pregnancy,
PID OR hx of multiple sex partners, or hx of ectopic conception!!!! genital bleeding gyn malign cong anomalies/fibroids distorting ut cavity copper allergy (for copper IUD) |
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ocp users have what health benefits?
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decr ov cxr, decr endom cxr, decr benign breast disease (fcystic changes, fibroadenomas, etc)
these due to estrogen stimulation on target tissues being counteracted by progesterone in ocp decr shedding = decr iron def anemia also decr ov cysts decr PID |
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complic's of vasectomy?
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m/c = hematoma , then spermgranuloma, then spont reanast, then infection
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c/i to diaphragm usage for contraception?
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vaginal anatomic malformations/distortions ie cystocele
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actual pregnancy rates in ppl with the use of diff types of contraceptives?
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rhythm = 40%
IUD = 3-10% Diaphragm OR condom= 15-25% condom + spermicide OR OCP 5-15% postcoital douche = 80% (same as for NO contraception at all!) |
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acute phase of rape trauma syndrome?
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hrs-days
depends on many factors: use of force, duration of attack, relat to attacker; normal coping mech's are usually paralysed ...= complete emo breakdown OR well controlled behavior, involuntary loss of cognition, can't think clearly, etc. |
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def of sex assault?
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rape, forced vaginal, anal or oral penetration, forced sexual intercourse, inappropriate touching, forced kissing, child molestation and the torture of the victim in a sexual manner.[5]
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any rape victim gets what tests inER?
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gonn, chlamydia cultures from vag, anus, and throat; RPR; hepatitis antigens; HIV; U/A and urine culture and stain, pregnancy test
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% of family relats that are violent? who are the victims mostly?
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50%!
women are victims 93% of time |
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% of pregnancies where abuse is seen?
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10,
and 20% of relats will have increase of abuse during pregnancy |
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% of cases of abuse wherealcohol is involved?
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75%
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does mother or child come first in obstetrics legal/ethical matters?
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general ethical opinioni s that the mother generally comes first
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Living wills are automatically invalid under whatcircumstancies?
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patient is pregnant (another living being is involved)
patient verbally revokes them when competent |
