CMN 572 FINAL EXAM QUESTIONS| WITH COMPLETE
SOLUTIONS
It is at this location, where squamous cells meet glandular cells, that cancer is more likely
to develop. - -Transformation zone
Pap Screening starts at what age? - -21
Routine HPV screening starts at what age? - -30
A patient is founds to have ASC-H? What is the next step? - -Colposcopy
Cervical Cancer is typically slow growing and occurs predominantly in women of what age?
- -40-44
Most SE's of COC's resolve over the first ____ months. - -6
Common side effects of COC's include: - -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? -
-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? - -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? - -Decreased
menorrhagia, acne, PCOS, ovarian cysts, PID, ovarian/endometrial cancer, benign breast
disease, ectopic pregnancy. Increased bone density.
What are the contraindications to the transdermal patch for BC? - -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? - -
Seasonale, Seasonique, Lybrel- the lining of the uterus doesn't build up, so menses is not
needed. The pills delay or eliminate menstruation
What kind of hormone(s) does the NuvaRing contain? - -Estrogen and Progestin
How long can the NuvaRing be removed without losing efficacy? - -3 hours
What hormone(s) does the transdermal patch contain (orthevra or xulane)? - -
Estrogen and Progestin
, Is the patch effective for all shapes and sizes of women? - -Less effective in obese
women
What are the benefits of extended use contraceptives? - -Decreased anemia,
dysmenorrhea, or pre-menstrual depression
What is common during the first several months of use in extended use combination
contraceptives? - -Breakthrough bleeding (BTB)
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? - -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? -
-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.
SOLUTIONS
It is at this location, where squamous cells meet glandular cells, that cancer is more likely
to develop. - -Transformation zone
Pap Screening starts at what age? - -21
Routine HPV screening starts at what age? - -30
A patient is founds to have ASC-H? What is the next step? - -Colposcopy
Cervical Cancer is typically slow growing and occurs predominantly in women of what age?
- -40-44
Most SE's of COC's resolve over the first ____ months. - -6
Common side effects of COC's include: - -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? -
-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? - -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? - -Decreased
menorrhagia, acne, PCOS, ovarian cysts, PID, ovarian/endometrial cancer, benign breast
disease, ectopic pregnancy. Increased bone density.
What are the contraindications to the transdermal patch for BC? - -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? - -
Seasonale, Seasonique, Lybrel- the lining of the uterus doesn't build up, so menses is not
needed. The pills delay or eliminate menstruation
What kind of hormone(s) does the NuvaRing contain? - -Estrogen and Progestin
How long can the NuvaRing be removed without losing efficacy? - -3 hours
What hormone(s) does the transdermal patch contain (orthevra or xulane)? - -
Estrogen and Progestin
, Is the patch effective for all shapes and sizes of women? - -Less effective in obese
women
What are the benefits of extended use contraceptives? - -Decreased anemia,
dysmenorrhea, or pre-menstrual depression
What is common during the first several months of use in extended use combination
contraceptives? - -Breakthrough bleeding (BTB)
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? - -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? -
-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.
