NRl 577/l NR577l Midterml Exam:l Primaryl
Carel Managementl ofl Adolescentsl andl
Adultsl Guidel (Latestl 2026/l 2027l Update)l
|l Qsl &l As|l Gradel A|l 100%l Correctl
(Verifiedl Answers)-l Chamberlain
QUESTION
Tierl 2l Contraceptives
Answer:
combinedl orall contraceptivel (COC)l pills:l estrogenl andl progesterone
monophasicl orall contraceptivel pill:l progestin-onlyl "Minipill"
emergencyl contraception
transdermall patch
cervicall ring
QUESTION
Tierl 3l Contraceptives
Answer:
barrierl methods:l condom,l diaphragm,l cervicall cap,l spermicidall foam,l film,l sponge
naturall familyl planning
coitusl interruptus
QUESTION
Infertility
Answer:
beingl unablel tol becomel pregnantl withinl onel yearl ofl regularl andl unprotectedl intercourse
,QUESTION
Causesl ofl infertility:l Mechanical
Answer:
§l Abnormal/insufficientl sperm
§l Abnormal/insufficientl eggs
QUESTION
Causesl ofl infertility:l Hormonal
Answer:
§l Anovulationl resultingl froml lowl progesterone
§l Abnormall hypothalamus
§l Hypothyroidism
§l Hyperprolactinemia
QUESTION
Causesl ofl infertility:l Structural
Answer:
§l Uterinel fibroids
§l Vaginall septum
§l Adhesions
§l Scarred/absentl fallopianl tubes
QUESTION
Clinicall presentationl forl PCOS
Answer:
ol Troublel conceivingl orl infertility
ol Moodl changes
ol Acne
ol Fatigue
ol Insulinl resistance
ol Highl testosteronel levels
,ol Excessivel bodyl hairl growth
ol Weightl changesl andl troublel losingl weight
ol Ovarianl cysts
ol Lowl sexl drive
ol Irregularl orl missedl periods
ol Malel patternl baldnessl thinningl hair
QUESTION
Diagnosticl criterial forl PCOS
Answer:
Hyperandrogenism
Menstruall Irregularity
Polycysticl ovariesl onl utrasoundography
QUESTION
Hyperandrogenism
Answer:
§l clinicall examination:l hirsutism,l acne,l androgenicl alopecia,l andl acanthosisl nigricans
§l laboratoryl values:l highl circulatingl levelsl ofl testosteronel orl androstenedione
QUESTION
Menstruall irregularity
Answer:
§l clinicall examination:l oligomenorrheal orl amenorrhea
§l laboratoryl values:l highl levelsl ofl luteinizingl hormone
QUESTION
polycysticl ovariesl onl ultrasonography
Answer:
§l >l 12l folliclesl inl eachl ovary
, §l folliclel sizel betweenl 2l andl 9l mml +/-l >l 10l mLl ovarianl volume
QUESTION
Vaccinationsl duringl pregnancy
Answer:
ol Livel vaccines,l includingl MMR,l varicella,l livel influenzal vaccinel (nasall flul vaccine),l
andl HPVl shouldl bel avoidedl
ol Shouldl receivel thel influenzal injection,l Covid,l andl al Tdapl booster
QUESTION
Intrauterinel device:l Copperl bearingl andl levonorgestrel-releasing
Answer:
§l MOA:l Devicel actsl asl al foreignl body,l producingl anl inflammatoryl responsel tol
decreasel pregnancy.l Copperl devices=l 10l years,l hormonel devices=l 3-5l years
§l Advantages:l Highlyl effectivel Removesl userl errorl Lastsl 5-10l yearsl Reducesl menstruall
flow
§l Disadvantages:l Requiresl providerl trainingl forl insertionl ,l Highl initiall cost
QUESTION
Depotl Medroxyprogesteronel Acetatel (DMPA):l Depo-Provera
Answer:
§l MOA:l Preventsl LHl surgel whichl inhibitsl ovulation,l thickensl cervicall mucus,l andl
causesl thel endometriuml tol atrophyl whichl reducesl thel likelihoodl ofl implantation
§l Advantages:l Highlyl effective,l Reducesl menstruall flowl andl withinl al yearl mostl womenl
havel amenorrhea,l Lastsl 3l months
§l Disadvantages:l Lossl ofl bonel minerall densityl (blackl boxl warning;l avoidl usel forl morel
thanl 2l years),l delayedl returnl ofl fertility
QUESTION
Progestinl implants:l Nexplanon,l Norplant
Carel Managementl ofl Adolescentsl andl
Adultsl Guidel (Latestl 2026/l 2027l Update)l
|l Qsl &l As|l Gradel A|l 100%l Correctl
(Verifiedl Answers)-l Chamberlain
QUESTION
Tierl 2l Contraceptives
Answer:
combinedl orall contraceptivel (COC)l pills:l estrogenl andl progesterone
monophasicl orall contraceptivel pill:l progestin-onlyl "Minipill"
emergencyl contraception
transdermall patch
cervicall ring
QUESTION
Tierl 3l Contraceptives
Answer:
barrierl methods:l condom,l diaphragm,l cervicall cap,l spermicidall foam,l film,l sponge
naturall familyl planning
coitusl interruptus
QUESTION
Infertility
Answer:
beingl unablel tol becomel pregnantl withinl onel yearl ofl regularl andl unprotectedl intercourse
,QUESTION
Causesl ofl infertility:l Mechanical
Answer:
§l Abnormal/insufficientl sperm
§l Abnormal/insufficientl eggs
QUESTION
Causesl ofl infertility:l Hormonal
Answer:
§l Anovulationl resultingl froml lowl progesterone
§l Abnormall hypothalamus
§l Hypothyroidism
§l Hyperprolactinemia
QUESTION
Causesl ofl infertility:l Structural
Answer:
§l Uterinel fibroids
§l Vaginall septum
§l Adhesions
§l Scarred/absentl fallopianl tubes
QUESTION
Clinicall presentationl forl PCOS
Answer:
ol Troublel conceivingl orl infertility
ol Moodl changes
ol Acne
ol Fatigue
ol Insulinl resistance
ol Highl testosteronel levels
,ol Excessivel bodyl hairl growth
ol Weightl changesl andl troublel losingl weight
ol Ovarianl cysts
ol Lowl sexl drive
ol Irregularl orl missedl periods
ol Malel patternl baldnessl thinningl hair
QUESTION
Diagnosticl criterial forl PCOS
Answer:
Hyperandrogenism
Menstruall Irregularity
Polycysticl ovariesl onl utrasoundography
QUESTION
Hyperandrogenism
Answer:
§l clinicall examination:l hirsutism,l acne,l androgenicl alopecia,l andl acanthosisl nigricans
§l laboratoryl values:l highl circulatingl levelsl ofl testosteronel orl androstenedione
QUESTION
Menstruall irregularity
Answer:
§l clinicall examination:l oligomenorrheal orl amenorrhea
§l laboratoryl values:l highl levelsl ofl luteinizingl hormone
QUESTION
polycysticl ovariesl onl ultrasonography
Answer:
§l >l 12l folliclesl inl eachl ovary
, §l folliclel sizel betweenl 2l andl 9l mml +/-l >l 10l mLl ovarianl volume
QUESTION
Vaccinationsl duringl pregnancy
Answer:
ol Livel vaccines,l includingl MMR,l varicella,l livel influenzal vaccinel (nasall flul vaccine),l
andl HPVl shouldl bel avoidedl
ol Shouldl receivel thel influenzal injection,l Covid,l andl al Tdapl booster
QUESTION
Intrauterinel device:l Copperl bearingl andl levonorgestrel-releasing
Answer:
§l MOA:l Devicel actsl asl al foreignl body,l producingl anl inflammatoryl responsel tol
decreasel pregnancy.l Copperl devices=l 10l years,l hormonel devices=l 3-5l years
§l Advantages:l Highlyl effectivel Removesl userl errorl Lastsl 5-10l yearsl Reducesl menstruall
flow
§l Disadvantages:l Requiresl providerl trainingl forl insertionl ,l Highl initiall cost
QUESTION
Depotl Medroxyprogesteronel Acetatel (DMPA):l Depo-Provera
Answer:
§l MOA:l Preventsl LHl surgel whichl inhibitsl ovulation,l thickensl cervicall mucus,l andl
causesl thel endometriuml tol atrophyl whichl reducesl thel likelihoodl ofl implantation
§l Advantages:l Highlyl effective,l Reducesl menstruall flowl andl withinl al yearl mostl womenl
havel amenorrhea,l Lastsl 3l months
§l Disadvantages:l Lossl ofl bonel minerall densityl (blackl boxl warning;l avoidl usel forl morel
thanl 2l years),l delayedl returnl ofl fertility
QUESTION
Progestinl implants:l Nexplanon,l Norplant
