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ParaGaurd intrauterine device would be changed every
10 years
23 year old women with a desire for pregnancy needs treatment for symptoms of PCOS, initial
choice is
metformin
Tranexamic acid(Lysteda) used in treatment of abnormal uterine bleeding, should not be
administered concomitanly with
combination hormonal contraceptives
Combined contraceptive patches:
a. are replaced every 14 days
b. have fewer side effects than oral contraceptives
c. may not be as effective in women weighing more than 200 pounds
d. are safer than oral contraceptives in pt with HTN
c. may not be as effective in women weighing more than 200 pounds
nonhormonal tx for menopausal symptoms include
a. benzos
b. copper intrauterin
c. SSRIs
d. antiepilaptic/ antiseizure meds
c. SSRIs
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,etonogestrel (nexplanon) implant for contraception contains
progesterone only
Danazol, classified as an androgen is used in the tx of abnomral uterine bleeding and
endometriosis. it works by supproessing:
FSH and Luteinizing hormone
Danazol an adnrogen may cause
a. clitoral atrophy
b. breast tenderness
c. edema
d. weight loss
c. edema
oral contraceptive regimens in which the estrogen and progestin both vary throughout the cycle
are considered:
a. monophasic
b. biphasic
c. triphasic
d. quadriphasic
d. quadriphasic
the best choice for short term treatment of several abnormal uterine bleeding is
a. estrogen only
b. androgen therapy
c. gonadotropin-releasing hormone analogs
d. combination estrogen/progesterone
answer:
a. estrogen only
before prescribing oral contraceptives, the NP should check for
a. anemia
b. HPV
c. STD
d. Pregnancy
d. Pregnancy
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,intrauterine devices for contraception
a. have no systemic effect on hormones
b. are not safe for long term use
c. may cause uncomfortable intercourse
d. never spontaneously expel
a. have no systemic effect on hormones
serious adverse reactions of progesterone therapy that warrant immediate medical attention
include:
a. breakthrough bleeding
b. nipple discharge
c. low BP
d. calf pain and swelling
d. calf pain and swelling
combined oral contraception use is absolutely contraindicated in patients who
a. are older than 35 years and smoke a pack of cigarettes/day
b. develop migraines after starting oral contraceptives
c. are 6-12 weeks postpartum and breastfeeding
d. had breast cancer more than 5 years ago
a. are older than 35 years and smoke a pack of cigarettes/day
Levonorgestrel/ plan b for women who do not desire pregnancy:
a. is prescription only
b. should be taken with 7 days of unprotected sex
c. is 99% effective against pregnancy
d. inhibits fertilization or implantation of fertilized egg
d. inhibits fertilization or implantation of fertilized egg
In the prevention of pregnancy edroxyprogesterone acetate 9 depo-provera should be
administered at least every:
a. 4 weeks
b. 8 weeks
c., 10 weeks
d. 12 weeks
d. 12 weeks
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, Which statement is true about diaphragms in comparison to pharmacologic methods of
contraception
a. they are as effective as oral contraceptives
b. they can be removed immediately after intercourse
c. they may cause recurrent bladder infections
d. they are not as effective in preventing STDs
c. they may cause recurrent bladder infections
when initiating progestin-only contraceptives women should be advised to
a. take with food anytime of the day
b. resume with the next dose, if one does is missed
c. immediately reports irregular uterine bleeding
d. use a backup method of contraception for the first month
d. use a backup method of contraception for the first month
intrauterine devices should NOT be implanted in women:
a. until they are at least 2 weeks postpartum
b. who have had STI in the past 3 months
c. who have recurrent bladder infections
d. who have a hx of toxic shock syndrome
b. who have had STI in the past 3 months
Medroxyprogesterine acetate Provera reduces abnormal uterine bleeding by:
a. halting the produ of estrogen
b. stimulating pituitary gland FSH
c. maintaining the corpus luteum and thus uterine thickness
d. preventing overgrowth of the endometrium
d. preventing overgrowth of the endometrium
the first line tx for mixed somatic behavior symptoms related to severe premenstrual syndrome
when pregnancy is desired is
a. metformin
b. spironolactone
c. fluoxetine hydrochloride
d. ibuprofen
c. fluoxetine hydrochloride
SSRI
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