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36 Cards in this Set
- Front
- Back
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Give the equation for Contraceptive Effectiveness
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Contraceptive Effectiveness = [ efficacy x compliance x continuation] ÷ [fecundability x coital frequency]
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Which is more important in clinical practice, "perfect use" or "typical use"?
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typical use (perfect use is theoretica if used without error or absence)
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T/F Contraception Efficacy is independent of contraception effectiveness.
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TRUE Contraception Efficacy is independent of contraception effectiveness.
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Match the specific contracetpion type (combined E/P or P only) with the following: OCP, DMPA, implants, Lunelle, Patch, Mirena IUS, Vaginal ring, minipill
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Combined E/P: OCPs, Patch, Vaginal Ring, Lunelle… Progestin only: Minipill, DMPA, Implants, Mirena IUS
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What is the most common problem with oral contraceptives?
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What is the most common problem with oral contraceptives? Discontinuation or misuse
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What are the contraindicdation of combined hormonal contracteptive?
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What are the contraindicdation of combined hormonal contracteptive? Pregnancy, undiagnosed vaginal bleeding, VTEs, cardiovascular or cerbrovascular dz
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What is the mechanism of action for combined hormonal OC?
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What is the mechanism of action for combined hormonal OC? Inhibition of H-P-O axis
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What are the 4 benefits of combined OC?
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What are the 4 benefits of combined OC? Cancer prevention, menstrual disorders (pain and bleeding), bone density, acne
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T/F OC cause increased risk of stroke and breast cancer (W/family hx)
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T/F OC cause increased risk of stroke and breast cancer (w/family hx)… FALSE
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T/F there is no ↑ risk of MI, or no significant risk CVA, but it's contraindiated for people with CV and cerebralvascular dz. For non-smoking women.
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TRUE: there is no ↑ risk of MI, or no significant risk CVA, but it's contraindiated for people with CV and cerebralvascular dz.
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Which OC should you give someone who is at risk for VTE?
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Which OC should you give someone who is at risk for VTE? Progesterin only
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What is Norgestimate?
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What is Norgestimate? OC patch
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Which would you give an obese person who is at risk for VTEs? Patch, pill or ring?
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Which would you give an obese person who is at risk for VTEs? Ring > Pill > Patch
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T/F the contraceptive patch is less effective in obese women
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T/F the contraceptive patch is less effective in obese women… true
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Which would have improved effectiveness, a patch or an OC? Why?
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Which would have improved effectiveness, a patch or an OC? Why? Patch… compliance
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If there is no withdrawl bleed when switching from OC to patch, what must be ruled out?
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If there is no withdrawl bleed when switching from OC to patch, what must be ruled out? Pregnancy
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When do you apply the patch when switching from an OC?
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When do you apply the patch when switching from an OC? The first day of withdrawl bleed
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If a woman is starting the patch more than one day after the withdrawl bleed, what should be done?
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Take the OC contraceptive concurrently for 7 days
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What are the three mechanisms of action for progestin only Ocs?
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What are the two mechanisms of action for progestin only OCs? (1) thickened and decreased cervical mucus --> prevents sperm penetration… (2) decidualized endometrium --> ↓ size, ↓ glands --> thin endometrium, atrophy. (3) suppression of midcycle peaks of LH and FSH (dose dependent suppression of ovulation)
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Which progestin is ideal for lactating women?
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Which progestin is ideal for lactating women? Minipill --> no effect on milk production
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What are the advantages of DMPA (depo prvera)? What are the disadvantages?
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What are the advantages of DMPA (depo prvera)? Decreases seizures… What are the disadvantages? HTN, Bleeding, WEIGHT GAIN
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How long are progestin inplants effects? What are posible disadvantages of low dose implants?
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How long are progestin inplants effects? 5 years… What are posible disadvantages of low dose implants? low dose --> ↓ dcreaed effectiveness with meds that induce hepatic enzymes
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T/F single rod implants inhibit ovulation during the entire treatment period.
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TRUE: single rod implants inhibit ovulation during the entire treatment period (3 YEARS)
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Which are TRUE and which are FALSE about IUDs? ↑ PID, Can't insert at time of abortion, There is an increased risk of PID for the first 21 days after insertion, Related to infertility, Can't insert post-pardom.
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Which are TRUE and which are FALSE about IUDs? FALSE: ↑ PID, Can't insert at time of abortion, Related to infertility, Can't insert post-pardom. TRUE: There is an increased risk of PID for the first 21 days after insertion
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What is the mechanism of action for copper IUDs?
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What is the mechanism of action for copper IUDs? Prevents sperm from fetilizing ova via ↑ uterine fluid --> ↑ prostaglandins and ↑ macdrophages… (2) also implantation
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What are the disadvantages of copper IUDs?
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What are the disadvantages of copper IUDs? Expulsion and pain and bleeding with menses
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What is the mechanims of action for Mirena?
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What is the mechanims of action for Mirena? Progestin IUS, local endometrium effect of progestin only…
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What is Levonorgestrel (LNG IUS)?
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What is Levonorgestrel (LNG IUS)? Like Mirena, progesterin only IUS… Mech of Action: thickened mucus, ↓ sperm motility and fx, ↓ endometrium, inhibition of ovulation.
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What is the disadvantage of Levonorgestrel IUS?
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What is the disadvantage of Levonorgestrel IUS? Expulsion, mood, changes, acne, headache, breast tenderness, nausea,
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What is emergency contraception?
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What is emergency contraception? One big bolus of progestin… plan B
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What is the Rx for ectopic pregnancy?
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What is the Rx for ectopic pregnancy? Methotrexate
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What is the mechanism of action for Mifepristone? What is the indication for Mifepristone?
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What is the mechanism of action for Mifepristone? It's an analog of progesterone, thus it blocks progesterone (not support of endometrium)… What is the indication for Mifepristone? Interruption of early pregnancy
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What is the mechanism of action of Misoprostol?
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What is the mechanism of action of Misoprostol? It's a PGE analog… both Mifepristone and Misoprostol block progesterone--> decidua necrosis, rhythmic contractions, cervical ripening --> detachment and expulsion
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Which is the safest form of abortion?
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Which is the safest form of abortion? Sugical, even with medical abortions, there is an increased risk of septic shock
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What are the indications for Manual Vacuum Aspiration abortion?
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What are the indications for Manual Vacuum Aspiration abortion? 1st trimester abortion, incomplete abortion, early pregnancy failure, failed medical abortion
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What are suction D&C and D&E?
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What are suction D&C and D&E? forms of surgical abortion
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