FNP: Women's Health Exam Questions and Questions Latest Update

Fibroadenoma - ANSWER-Most common in < 25 years Order US to dx Normal vaginal pH - ANSWER-4.0 (acidic) Contraception - ANSWER-Combined OCs: Absolute contraindications include hx of DVT, CVA, CAD, DM, pregnancy, gyn bleeding, age > 35 with HTN or DM, LDL > 160, trigs >250. Remember ACHES (abd pain, chest pain, HA, eye problems, or severe leg pain) Progestin only: good choice for lactating women, women with CV risks. If pill is 3h late, r/o pregnancy rises Depo-provera: no effect on milk production, long return to ovulation Contraindication for COC (Combined OC) use? - ANSWER-factor V Leiden mutation Noncontraceptive benefits of OC increase a decrease in all of the following: - ANSWER-IDA, PID, ovarian cancer All of the following are relative contraindication in copper-containing IUD: - ANSWER-valvular heart dx, multiple sexual encounters, lack of follow-up care COC - ANSWER--noncontraceptive benefits include lower rates of benign breast tumors, dysmenorrhea, decreased IDA, endometrial, ovarian and breast cancers. -BTB can be minimized by taking within same 4-hr period every day. Not harmful and doesn't indicate lesser contraceptive benefit. -Nausea common in first few months. -Causes reduction in therapeutic levels of antiepileptics such as phenytoin, carbamazepine, phenobarbital, primidone. -Depo-provera works and may cause reduction in seizures. Yasmin - ANSWER--Drospirenone found in Yaz, is an analog of aldosterone antagonist and has potassium-sparing qualities. Use with caution in hepatic/renal dysfunction or with concomitant use of ACE, ARB, salt substitute, or K sparing diuretic.