MN576 Contraception
C. presence of factor V Leiden mutation - ANS -1. Which of the following is a
contraindication to estrogen/progestin containing methods (combined oral contraception
{COC}, patch [Ortho Evra], or ring [NuvaRing])?
A. mother with a history of breast cancer
B. personal history of hepatitis A at age 10 years
C. presence of factor V Leiden mutation
D. cigarette smoking one pack per day in a 22 y/o
A. Take the last pill missed immediately, even if this means taking 2 pills today. - ANS -2.
A 22 y/o woman taking a 35 mcg ethinyl estradiol COC calls after forgetting to take her
pills for 2 consecutive days. She is 2 weeks into the pack. You advise her to:
A. Take the last pill missed immediately, even if this means taking 2 pills today.
B. discard two pills and take two pills today.
C. discard the rest of the pack and start a new pack with the first day of her next menses.
D. continue taking one pill daily for the rest of the cycle.
D. premenstrual syndrome symptoms are often improved with use of COC - ANS -3.
When counseling a woman about COC use, you advise that:
A. long term use of COC is discouraged because the body needs a "rest" from birth
control pills from time to time.
B. fertility is often delayed for many months after discontinuation of COC.
C. there is an increase in the rate of breast cancer after protracted use of COC
D. premenstrual syndrome symptoms are often improved with use of COC
C. cervicitis - ANS -4. Noncontraceptive benefits of COC use include a decrease in all of
the following except:
A. iron-deficiency anemia.
B. Pelvic inflammatory disease (PID)
C. cervicitis
D. ovarian cancer
C. a 32 y/o woman with adequately-controlled HTN - ANS -5. Which of the following
women is the best candidate for progestin-only pill (POP) use?
A. an 18 y/o woman who frequently forgets to take prescribed medications.
B. a 28 y/o woman with multiple sexual partners
C. a 32 y/o woman with adequately-controlled HTN
D. a 26 y/o woman who wants to use the pill to help "regulate" her menstrual cycle.
, B. inconvenience of use - ANS -6. The most common reasons for discontinuing oral
contraception use is breakthrough bleeding and:
A. nausea/vomiting.
B. inconvenience of use
C. cost.
D. high failure rate.
D. vaginal diaphragm - ANS -7. A 38 y/o nulliparous woman who smokes two and a half
pack a day is in an "on and off" relationship. The woman is seeking contraception. Which
of the following represents the most appropriate method?
A. contraceptive ring (NuvaRing)
B. COC
C. contraceptive patch (Ortho Evra)
D. vaginal diaphragm
B. 31 y/o woman with history of naturally occurring multiple gestation pregnancy - ANS
-8. Due to an increased risk of blood clots, an alternative to the contraceptive ring
(NuvaRing) or patch (Ortho Evra) is preferred in all of the following women except:
A. a 42 y/o nulliparous woman
B. 31 y/o woman with history of naturally occurring multiple gestation pregnancy
C. 28 y/o who smokes one pack per day
D. 33 y/o woman with a family hx of venous thrombosis
c. After insertion, the cervix should be smoothly covered. - ANS -9. Which of the
following statements is true concerning vaginal diaphragm use?
A. When in place, the woman is aware that the diaphragm fits snugly against the vaginal
walls.
B. This is a suitable form of contraception for women with recurrent urinary tract
infection
c. After insertion, the cervix should be smoothly covered.
D. The device should be removed within 2 hours of coitus to minimize the risk of
infection.
B. AIDS defining illness - ANS -10. According to the U.S. Medical Eligibility Criteria for
Contraception Use, which of the following is a clinical condition in which use of a
copper-containing IUD should be approached with caution?
A. uncomplicated valvular heart disease
B. AIDS defining illness
C. HTN
D. dysmenorrhea
C. "Depo-Provera is a depot injection use will likely not interact with seizure medication"
- ANS -11. Which of the following is the most appropriate response to a 27 y/o woman
C. presence of factor V Leiden mutation - ANS -1. Which of the following is a
contraindication to estrogen/progestin containing methods (combined oral contraception
{COC}, patch [Ortho Evra], or ring [NuvaRing])?
A. mother with a history of breast cancer
B. personal history of hepatitis A at age 10 years
C. presence of factor V Leiden mutation
D. cigarette smoking one pack per day in a 22 y/o
A. Take the last pill missed immediately, even if this means taking 2 pills today. - ANS -2.
A 22 y/o woman taking a 35 mcg ethinyl estradiol COC calls after forgetting to take her
pills for 2 consecutive days. She is 2 weeks into the pack. You advise her to:
A. Take the last pill missed immediately, even if this means taking 2 pills today.
B. discard two pills and take two pills today.
C. discard the rest of the pack and start a new pack with the first day of her next menses.
D. continue taking one pill daily for the rest of the cycle.
D. premenstrual syndrome symptoms are often improved with use of COC - ANS -3.
When counseling a woman about COC use, you advise that:
A. long term use of COC is discouraged because the body needs a "rest" from birth
control pills from time to time.
B. fertility is often delayed for many months after discontinuation of COC.
C. there is an increase in the rate of breast cancer after protracted use of COC
D. premenstrual syndrome symptoms are often improved with use of COC
C. cervicitis - ANS -4. Noncontraceptive benefits of COC use include a decrease in all of
the following except:
A. iron-deficiency anemia.
B. Pelvic inflammatory disease (PID)
C. cervicitis
D. ovarian cancer
C. a 32 y/o woman with adequately-controlled HTN - ANS -5. Which of the following
women is the best candidate for progestin-only pill (POP) use?
A. an 18 y/o woman who frequently forgets to take prescribed medications.
B. a 28 y/o woman with multiple sexual partners
C. a 32 y/o woman with adequately-controlled HTN
D. a 26 y/o woman who wants to use the pill to help "regulate" her menstrual cycle.
, B. inconvenience of use - ANS -6. The most common reasons for discontinuing oral
contraception use is breakthrough bleeding and:
A. nausea/vomiting.
B. inconvenience of use
C. cost.
D. high failure rate.
D. vaginal diaphragm - ANS -7. A 38 y/o nulliparous woman who smokes two and a half
pack a day is in an "on and off" relationship. The woman is seeking contraception. Which
of the following represents the most appropriate method?
A. contraceptive ring (NuvaRing)
B. COC
C. contraceptive patch (Ortho Evra)
D. vaginal diaphragm
B. 31 y/o woman with history of naturally occurring multiple gestation pregnancy - ANS
-8. Due to an increased risk of blood clots, an alternative to the contraceptive ring
(NuvaRing) or patch (Ortho Evra) is preferred in all of the following women except:
A. a 42 y/o nulliparous woman
B. 31 y/o woman with history of naturally occurring multiple gestation pregnancy
C. 28 y/o who smokes one pack per day
D. 33 y/o woman with a family hx of venous thrombosis
c. After insertion, the cervix should be smoothly covered. - ANS -9. Which of the
following statements is true concerning vaginal diaphragm use?
A. When in place, the woman is aware that the diaphragm fits snugly against the vaginal
walls.
B. This is a suitable form of contraception for women with recurrent urinary tract
infection
c. After insertion, the cervix should be smoothly covered.
D. The device should be removed within 2 hours of coitus to minimize the risk of
infection.
B. AIDS defining illness - ANS -10. According to the U.S. Medical Eligibility Criteria for
Contraception Use, which of the following is a clinical condition in which use of a
copper-containing IUD should be approached with caution?
A. uncomplicated valvular heart disease
B. AIDS defining illness
C. HTN
D. dysmenorrhea
C. "Depo-Provera is a depot injection use will likely not interact with seizure medication"
- ANS -11. Which of the following is the most appropriate response to a 27 y/o woman
