A+ Grade 2026\2027
It is at this location, where squamous cells meet glandular cells, that cancer is more likely to develop.
- correct answer Transformation zone
Pap Screening starts at what age?
- correct answer 21
Routine HPV screening starts at what age?
- correct answer 30
A patient is founds to have ASC-H? What is the next step?
- correct answer Colposcopy
Cervical Cancer is typically slow growing and occurs predominantly in women of what age?
- correct answer 40-44
Most SE's of COC's resolve over the first ____ months.
- correct answer 6
Common side effects of COC's include:
- correct answer Breast tenderness, nausea, headache, breakthrough bleeding (BTB)
Theresa is a 33 y.o smoker with no health history. Can she be prescribed a COC pill?
- correct answer yes- Would be contraindicated in a smoker age >/= 35.
Linda is a 35 y.o smoker with a history of undiagnosed vaginal bleeding, triglyceride level of 269, and a
history of DVT. Can she be prescribed a COC pill?
- correct answer No. Contraindications to COC pill include: Smoker, aged >/=35, hx of thrombolytic event
,(MI, DVT, Stroke), hx or current breast cancer, uncontrolled HTN or DM, prolonged immobilization,
triglycerides > 250, active liver disease, women at increased risk of cardiac dse, Active SLE, and
undiagnosed vaginal bleeding
Danielle is a 29 y.o. She is in grad school and admits to having acne, having heavy cycles, and never
being in the sunlight. She wants to start on a BC pill and is interested in COC's. What could you tell her
might be advantages to using COC's?
- correct answer Decreased menorrhagia, acne, PCOS, ovarian cysts, PID, ovarian/endometrial cancer,
benign breast disease, ectopic pregnancy. Increased bone density.
What kind of hormone(s) does the NuvaRing contain?
- correct answer Estrogen and Progestin
How long can the NuvaRing be removed without losing efficacy?
- correct answer 3 hours
What hormone(s) does the transdermal patch contain (orthevra or xulane)?
- correct answer Estrogen and Progestin
Is the patch effective for all shapes and sizes of women?
- correct answer Less effective in obese women
What are the contraindications to the transdermal patch for BC?
- correct answer Same as COC's: Smoker >/= age 35, history of thrombolytic events (MI, DVT, stroke),
history or current breast cancer, uncontrolled HTN or DM, Prolonged immobilization, Triglycerides >
250, active liver disease, women at increased risk of cardiac disease, active SLE, undiagnosed vaginal
bleeding
What are some extended use combination contraceptives? How do they work?
- correct answer Seasonale, Seasonique, Lybrel- the lining of the uterus doesn't build up, so menses is
not needed. The pills delay or eliminate menstruation
What are the benefits of extended use contraceptives?
- correct answer Decreased anemia, dysmenorrhea, or pre-menstrual depression
, What is common during the first several months of use in extended use combination contraceptives?
- correct answer Breakthrough bleeding (BTB)
Hillary is a 38 y.o smoker with SLE. She wants to use a BC pill, but does not know what kind. As her NP,
what would you suggest?
- correct answer A progestin only BC option. Due to her SLE, a progestin only option is preferred to a
COC, but must still be used in caution.
Laura has been prescribed a POP. She reports working 12 hour shifts and getting home at irregular hours
each night. What is appropriate education for Laura, concerning her POP?
- correct answer MUST be taken at the SAME time each day. A delay of even a couple of hours can result
in contraceptive failure. And you don't want that, Laura!
Erin had her baby 4 months ago. She is still breastfeeding, but wants to start on contraception. What is a
safe contraceptive to start her on?
- correct answer Progestin only methods- Safe to use while breastfeeding
Allison is very concerned b/c she was started on a progestin only contraceptive device two months ago
and has had irregular bleeding. What should you tell her?
- correct answer Irregular bleeding is very common with all progestin only methods of BC.
Maria has heard about IUD's from her friend and comes to your clinic today wanting to discuss
advantages, SE's, and contraindications of IUD's. What should you tell her?
- correct answer Advantages: Decreased menorrhagia, dysmenorrhea, and anemia, can be used by
lactating women and in those w/ contraindications to estrogen. May be used as treatment for
menorrhagia.
SE's: Irregular bleeding (may be heavy), worse the first few months. Headache, mastalgia, acne,
expulsion (more common in first few cycles), uterine perforation at time of insertion
CONTRAINDICATIONS: Pregnancy!!, uterine abnormalities causing distortion, Acute PID, or high risk for
PID, endometrial infection in past 3 months. Uterine, cervical, breast cancer. undiagnosed vaginal
bleeding, acute mucopurulent cervicitis.
What do Mirena, Skyla, Liletta, and Kyleena all have in common?
- correct answer They are all progestin-only IUD's; Highly effective with a duration of 3-5 years