CMN 572 UPDATED FINAL EXAMS QUESTIONS
AND ANSWERS SET A+
✔✔Describe how nuva-ring works - ✔✔insert with empty tampon holder or fingers and
leave in 3 weeks, then remove for 1 week
✔✔describe how transdermal patch works - ✔✔apply new patch every week for 3
weeks then leave off for 1 week
✔✔What are the benefits of extended use contraception - ✔✔decreases anemia, pre-
menstrual depression, and dysmenorrhea
✔✔Name some progestin-only methods of birth control? - ✔✔Progestin only pills, Depo,
Mirena, Implanon
✔✔What is the method of action of progestin only contraceptions? - ✔✔thickens
cervical mucus, decreases implantation ability, neg effect on sperm motility, suppresses
ovulation
✔✔Who is progestin only methods ideal for? - ✔✔smokers over 35, women with lupus,
migraines, htn, and breastfeeding women
✔✔What are the disadvantages of progestin-only methods? - ✔✔must be taken at
same time every day, irregular bleeding is common
✔✔What are contraindications to using IUD? - ✔✔pregnancy, PID, endometrial infection
in the past 3 months, cervicitis, or uterine, cervical, or breast cancer, and Wilson's
disease
✔✔What are advantages of depo? - ✔✔decreases risk of endometrial cancer,
frequency of sickle cell crisis, improvement in endometriosis
, ✔✔What are s/e and risks of depo? - ✔✔decrease bone density, irregular/prolonged
bleeding first 6 months, possible weight gain and depression
✔✔What should be recommended to patients on depo? - ✔✔calcium supplement with
Vit. D and weight bearing exercises
✔✔What contraceptive must be used with spermicidal gel? - ✔✔Diaphragm
✔✔Who may nexplanon be less effective in? - ✔✔overweight women
✔✔Who should nexplanon be used with caution in? - ✔✔women with diabetes,
depression, or htn. Some have fluid retention, increase in acne, or weight gain
✔✔What should be avoided when using male condoms as protection? - ✔✔spermicidal
condoms
✔✔What is important to instruct patients using female condoms? - ✔✔important to
remove before standing up to avoid contact with sperm
✔✔How long can a diaphragm be left in? - ✔✔6-8 hous after intercourse
✔✔How long must a sponge be left in place after intercourse? - ✔✔6 hours
✔✔How long is Paragard reliable for? - ✔✔reliable for 10 years
✔✔What contraception is also apporved as emergency contraceptive? - ✔✔copper iud;
must be inserted within 7 days of unprotected sex. Interferes with sperm function and
implantation
✔✔What are the side effects of paragard? - ✔✔heavier menses, dysmenorrhea
✔✔How long is lactational amenorrhea method reliable for? - ✔✔first 6 months if
exclusively breastfeeding
✔✔When does emergency contraception need to be taken? - ✔✔within 72 hours
✔✔What type of contraception can be used as emergency contraception? - ✔✔oral
contraception and copper IUD
✔✔When should IUDs be rechecked? - ✔✔4-6 weeks, then yearly
✔✔When should follow-up occur with pills, patches, and rings? - ✔✔in 3 months, then
yearly
AND ANSWERS SET A+
✔✔Describe how nuva-ring works - ✔✔insert with empty tampon holder or fingers and
leave in 3 weeks, then remove for 1 week
✔✔describe how transdermal patch works - ✔✔apply new patch every week for 3
weeks then leave off for 1 week
✔✔What are the benefits of extended use contraception - ✔✔decreases anemia, pre-
menstrual depression, and dysmenorrhea
✔✔Name some progestin-only methods of birth control? - ✔✔Progestin only pills, Depo,
Mirena, Implanon
✔✔What is the method of action of progestin only contraceptions? - ✔✔thickens
cervical mucus, decreases implantation ability, neg effect on sperm motility, suppresses
ovulation
✔✔Who is progestin only methods ideal for? - ✔✔smokers over 35, women with lupus,
migraines, htn, and breastfeeding women
✔✔What are the disadvantages of progestin-only methods? - ✔✔must be taken at
same time every day, irregular bleeding is common
✔✔What are contraindications to using IUD? - ✔✔pregnancy, PID, endometrial infection
in the past 3 months, cervicitis, or uterine, cervical, or breast cancer, and Wilson's
disease
✔✔What are advantages of depo? - ✔✔decreases risk of endometrial cancer,
frequency of sickle cell crisis, improvement in endometriosis
, ✔✔What are s/e and risks of depo? - ✔✔decrease bone density, irregular/prolonged
bleeding first 6 months, possible weight gain and depression
✔✔What should be recommended to patients on depo? - ✔✔calcium supplement with
Vit. D and weight bearing exercises
✔✔What contraceptive must be used with spermicidal gel? - ✔✔Diaphragm
✔✔Who may nexplanon be less effective in? - ✔✔overweight women
✔✔Who should nexplanon be used with caution in? - ✔✔women with diabetes,
depression, or htn. Some have fluid retention, increase in acne, or weight gain
✔✔What should be avoided when using male condoms as protection? - ✔✔spermicidal
condoms
✔✔What is important to instruct patients using female condoms? - ✔✔important to
remove before standing up to avoid contact with sperm
✔✔How long can a diaphragm be left in? - ✔✔6-8 hous after intercourse
✔✔How long must a sponge be left in place after intercourse? - ✔✔6 hours
✔✔How long is Paragard reliable for? - ✔✔reliable for 10 years
✔✔What contraception is also apporved as emergency contraceptive? - ✔✔copper iud;
must be inserted within 7 days of unprotected sex. Interferes with sperm function and
implantation
✔✔What are the side effects of paragard? - ✔✔heavier menses, dysmenorrhea
✔✔How long is lactational amenorrhea method reliable for? - ✔✔first 6 months if
exclusively breastfeeding
✔✔When does emergency contraception need to be taken? - ✔✔within 72 hours
✔✔What type of contraception can be used as emergency contraception? - ✔✔oral
contraception and copper IUD
✔✔When should IUDs be rechecked? - ✔✔4-6 weeks, then yearly
✔✔When should follow-up occur with pills, patches, and rings? - ✔✔in 3 months, then
yearly
