Female Reproductive And Genitourinary
Systems Exam (A+ Graded)
C. Presence of factor V Leiden mutation -Answer Which of the following is a
contraindication to estrogen/progestin-containing methods (combined oral
contraception [COC], patch [Ortho Evra], or ring [NuvaRing])?
A. Mother with a history of breast cancer
B. Personal history of hepatitis A at age 10 years
C. Presence of factor V Leiden mutation
D. Cigarette smoking one pack per day in a 22-year-old
A. Take the last pill missed immediately, even if this means taking 2 pills today - Answer
A 22-year-old female on a 35-mcg ethinyl estradiol COC calls after having forgotten to
take her pills for 2 consecutive days. She is 2 weeks into the pack. You counsel her to:
A. Take the last pill missed immediately, even if this means taking 2 pills today
B. Discard two tablets and take two tablets today
C. Discard the rest of the pack and start a new pack on the first day of her next menses
D. Continue one tablet daily for the rest of the cycle
D. Premenstrual syndrome symptoms are often ameliorated with the use of COC -
Response When counseling a woman about COC use, you inform her that:
A. Chronic use of COC is not advised since the body must be given a "rest" from the use
of birth control pills periodically
B. Fertility is usually postponed for several months following the cessation of COC
C. The incidence of breast cancer is increased following extended use of COC
D. The symptoms of premenstrual syndrome are often ameliorated with the use of COC
C. Cervicitis - Answer Noncontraceptive benefits of COC use include a decrease in all of
,the following except:
A. Iron-deficiency anemia
B. Pelvic inflammatory disease (PID)
C. Cervicitis
D. Ovarian cancer
C. A 32-year-old woman with adequately-controlled hypertension - Answer Which of the
following women is the best candidate for progestin-only pill (POP) use?
A. An 18-year-old woman who frequently forgets to take prescribed medications
B. A 28-year-old woman with multiple sexual partners
C. A 32-year-old woman with adequately-controlled hypertension
D. A 26-year-old woman who wants to use the pill to help "regulate" her menstrual cycle
B. Inconvenience of use - Answer The most common reasons for discontinuing oral
contraception use is breakthrough bleeding and :
A. Nausea/vomiting
B. Inconvenience of use
C. Cost
D. High failure rate
D. Vaginal diaphragm -Answer A 38-year-old nulliparous woman who smokes two and a
half packs a day is in an "on-and-off" relationship. The woman presents seeking
contraception. Which of the following is the best option?
A. Contraceptive ring (NuvaRing)
B. COC
C. Contraceptive patch (Ortho Evra)
D. Vaginal diaphragm
B. 31-year-old woman with history of naturally occurring multiple gestation pregnancy
, -Answer Because of increased risk from thromboembolic phenomena, the use of the
contraceptive ring (NuvaRing) or patch (Ortha Evra) is preferably avoided in all of the
following patients except:
D. 33-year-old woman with a family history of venous thrombosis
C. After insertion, the cervix should be smoothly covered - Answer Which of the
following statements is true concerning vaginal diaphragm use?
A. When in place, the woman is aware that the diaphragm fits snugly against the vaginal
walls
B. This is a suitable form of contraception for women with recurrent urinary tract
infection
C. After insertion, the cervix should be smoothly covered
D. The device should be removed within 2 hours of coitus to minimize the risk of
infection
B. AIDS-defining illness - Answer According to the U.S. Medical Eligibility Criteria for
Contraception Use, which of the following is a clinical condition in which use of a
copper-containing IUD should be approached with caution?
A. Uncomplicated valvular heart disease
B. AIDS-defining illness
C. Hypertension
D. Dysmenorrhea
C. "Depo-Provera (medroxprogesterone acetate in a depot injection [DMPA]) use will
not likely interact with your seizure medication. " - Answer Which of the following is the
most appropriate response to a 27-year-old woman who is taking phenytoin (Dilantin) for
the treatment of a seizure disorder and is requesting hormonal contraception?
A. "A barrier method would be the preferable choice."
B. " COC is the best option.
C. "Depo-Provera (medroxprogesterone acetate in a depot injection [DMPA] use will not
likely interact with your seizure medication."
D. "Copper-containing IUD use is contraindicated."
Systems Exam (A+ Graded)
C. Presence of factor V Leiden mutation -Answer Which of the following is a
contraindication to estrogen/progestin-containing methods (combined oral
contraception [COC], patch [Ortho Evra], or ring [NuvaRing])?
A. Mother with a history of breast cancer
B. Personal history of hepatitis A at age 10 years
C. Presence of factor V Leiden mutation
D. Cigarette smoking one pack per day in a 22-year-old
A. Take the last pill missed immediately, even if this means taking 2 pills today - Answer
A 22-year-old female on a 35-mcg ethinyl estradiol COC calls after having forgotten to
take her pills for 2 consecutive days. She is 2 weeks into the pack. You counsel her to:
A. Take the last pill missed immediately, even if this means taking 2 pills today
B. Discard two tablets and take two tablets today
C. Discard the rest of the pack and start a new pack on the first day of her next menses
D. Continue one tablet daily for the rest of the cycle
D. Premenstrual syndrome symptoms are often ameliorated with the use of COC -
Response When counseling a woman about COC use, you inform her that:
A. Chronic use of COC is not advised since the body must be given a "rest" from the use
of birth control pills periodically
B. Fertility is usually postponed for several months following the cessation of COC
C. The incidence of breast cancer is increased following extended use of COC
D. The symptoms of premenstrual syndrome are often ameliorated with the use of COC
C. Cervicitis - Answer Noncontraceptive benefits of COC use include a decrease in all of
,the following except:
A. Iron-deficiency anemia
B. Pelvic inflammatory disease (PID)
C. Cervicitis
D. Ovarian cancer
C. A 32-year-old woman with adequately-controlled hypertension - Answer Which of the
following women is the best candidate for progestin-only pill (POP) use?
A. An 18-year-old woman who frequently forgets to take prescribed medications
B. A 28-year-old woman with multiple sexual partners
C. A 32-year-old woman with adequately-controlled hypertension
D. A 26-year-old woman who wants to use the pill to help "regulate" her menstrual cycle
B. Inconvenience of use - Answer The most common reasons for discontinuing oral
contraception use is breakthrough bleeding and :
A. Nausea/vomiting
B. Inconvenience of use
C. Cost
D. High failure rate
D. Vaginal diaphragm -Answer A 38-year-old nulliparous woman who smokes two and a
half packs a day is in an "on-and-off" relationship. The woman presents seeking
contraception. Which of the following is the best option?
A. Contraceptive ring (NuvaRing)
B. COC
C. Contraceptive patch (Ortho Evra)
D. Vaginal diaphragm
B. 31-year-old woman with history of naturally occurring multiple gestation pregnancy
, -Answer Because of increased risk from thromboembolic phenomena, the use of the
contraceptive ring (NuvaRing) or patch (Ortha Evra) is preferably avoided in all of the
following patients except:
D. 33-year-old woman with a family history of venous thrombosis
C. After insertion, the cervix should be smoothly covered - Answer Which of the
following statements is true concerning vaginal diaphragm use?
A. When in place, the woman is aware that the diaphragm fits snugly against the vaginal
walls
B. This is a suitable form of contraception for women with recurrent urinary tract
infection
C. After insertion, the cervix should be smoothly covered
D. The device should be removed within 2 hours of coitus to minimize the risk of
infection
B. AIDS-defining illness - Answer According to the U.S. Medical Eligibility Criteria for
Contraception Use, which of the following is a clinical condition in which use of a
copper-containing IUD should be approached with caution?
A. Uncomplicated valvular heart disease
B. AIDS-defining illness
C. Hypertension
D. Dysmenorrhea
C. "Depo-Provera (medroxprogesterone acetate in a depot injection [DMPA]) use will
not likely interact with your seizure medication. " - Answer Which of the following is the
most appropriate response to a 27-year-old woman who is taking phenytoin (Dilantin) for
the treatment of a seizure disorder and is requesting hormonal contraception?
A. "A barrier method would be the preferable choice."
B. " COC is the best option.
C. "Depo-Provera (medroxprogesterone acetate in a depot injection [DMPA] use will not
likely interact with your seizure medication."
D. "Copper-containing IUD use is contraindicated."
