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A 23-year-old female presents to the clinic on a combined hormonal contraceptive, she
complains of nausea and breast tenderness. What would you tell this patient? - SELECTED
ANSWER 👀 *** This is a normal side effect of COC's and should resolve in the first few
cycles.
What are examples of progestin only contraceptives? - SELECTED ANSWER 👀 *** IUD,
mini pills, depo Provera injection, implanon implant
Disadvantage of progestin only versus COC? - SELECTED ANSWER 👀 *** Progestin only
do not provide the same cycle control as COC's.
-Patient may have unscheduled bleeding during the first six months.
-mini pills can have a high failure rate due to timing of administration.
Advantage of progestin only versus COC's? - SELECTED ANSWER 👀 *** -does not
increase risk of VTE
-does not increase the risk of breast cancer
What is the black box warning for Depo-Provera? - SELECTED ANSWER 👀 *** Caution
with use greater than two years, bone density loss may extend beyond the duration of
treatment
,A 25-year-old female presents with a progestin only implant, she is concerned that she has
not had her Menstrual cycle and over seven months. She has taken many pregnancy test
and they are all negative. What would you tell this patient? - SELECTED ANSWER 👀 ***
Amenorrhea is normal in patients with >6 months of use.
When is the highest risk of pregnancy? - SELECTED ANSWER 👀 *** 48 hours after
ovulation
How long do patients have before having to use emergency contraceptive after unprotected
sex? - SELECTED ANSWER 👀 *** 120 hours
Which emergency contraceptive would not be beneficial for a female weighing 200 pounds?
- SELECTED ANSWER 👀 *** Levonorgestrel
Only effective up to 150lbs or BMI <30.
What is amenorrhea? - SELECTED ANSWER 👀 *** Absence of menses
Common causes of amenorrhea? - SELECTED ANSWER 👀 *** -pregnancy
-hypothalamic
-PCOS
When is amenorrhea a problem? - SELECTED ANSWER 👀 *** -no. By age 14
-A female who had menstrual periods previous but has had no period for six months.
, A 30-year-old female presents to the office complaining of amenorrhea for six months, she
is not on birth control pills. What lab test would be indicated? - SELECTED ANSWER 👀 ***
-pregnancy test
-CBC
-TSH
Is a female patient presents with amenorrhea and also complains of headaches and
galactorrhea, what lab test would be indicated aside from standard? - SELECTED
ANSWER 👀 *** Prolactin level- can directly indicate a tumor on the pituitary gland.
What is dysmenorrhea? - SELECTED ANSWER 👀 *** painful menstruation
What are risk factors for dysmenorrhea? - SELECTED ANSWER 👀 *** Age <30 years,
BMI < 20
smoking
menarche prior to age 12
longer duration of bleeding
irregular or heavy bleeding
prior sexual assault