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Combined Hormonal Methods

Description

material from Women's Health 1
Mary L
Quiz by Mary L, updated more than 1 year ago
Mary L
Created by Mary L about 9 years ago
13
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Resource summary

Question 1

Question
The main hormones in CHCs are:
Answer
  • Progestin
  • Progesterone
  • Ethinyl Estradiol
  • Oxytocin
  • Prolactin

Question 2

Question
The mechanism of action for progestin is to:
Answer
  • Thicken cervical mucous blocking sperm from entering the cervix and block LH surge to suppress ovulation
  • Cycle control
  • Thins endometrium
  • Alters FSH production

Question 3

Question
This CHC has very different drug-drug interactions than other CHCs.
Answer
  • Norgestimate (the patch)
  • desogestrel (the ring)
  • levonorgestrel (Mirena)
  • Drospirenone (Yasmine, Yaz)

Question 4

Question
Match the generation of progestin with it's unique qualities: 1) First (Norethindrone/Micronor, Norethindrone acetate, Ethydiol diacetate) [blank_start]________________________________________[blank_end]______ 2) Second (Levonorgestrel/Mirena) [blank_start]________________________________________[blank_end]____ 3) Third (Desogestrel/OCs & the Ring, Norgestimate/Patch) [blank_start]________________________________________[blank_end] 4) Fourth (Drospirenone/Yaz) _[blank_start]________________________________________[blank_end]___________
Answer
  • generic & low dose; less potent
  • more potent; more androgenic
  • more potent than 1st gen; less SE
  • diff drug interactions; K sparing diuret

Question 5

Question
Synthetic estrogen was originally added for:
Answer
  • cycle control
  • to prevent menstruation
  • to reduce androgenicity effects
  • acne control

Question 6

Question
The mechanism of action for Ethinyl Estradiol include
Answer
  • thickening the cervical mucous
  • suppression of FSH from the pituitary which in turn suppresses ovulation
  • slows egg transport and endometrial thinning
  • cycle control
  • blocks sperm from entering the cervix

Question 7

Question
A client tells you that she will be conducting research in an isolated area in the rain forest for 3 months and would prefer not to get her period in that time. You tell her that her best options include:
Answer
  • a biphasic CHC
  • a Triphasic CHC
  • Seasonique
  • Continuing her normal monophasic CHC, but that she can skip her placebo pills up to 3 times

Question 8

Question
A woman should have at least 4 periods a year or her risk of breast cancer increases.
Answer
  • True
  • False

Question 9

Question
The reason most women stop using their CHC is because of
Answer
  • breakthrough bleeding
  • increased risk of DVTs
  • to get pregnant
  • increased blood pressure

Question 10

Question
All smokers should be discouraged from using CHCs due to increased risk of MI
Answer
  • True
  • False

Question 11

Question
When starting CHCs women should use back up contraception for how long?
Answer
  • a month
  • a week
  • a day
  • 2 weeks

Question 12

Question
A woman is requesting assistance choosing a contraception. She says that she has headaches accompanied by blurry vision. The following are appropriate options for her.
Answer
  • The patch
  • Copper IUD
  • Implanon
  • Combined Oral Contraceptives
  • Progesterin Only Pills

Question 13

Question
The following are contraindications for choosing combined hormonal contraceptives.
Answer
  • Severe acne in teenager
  • Cigarette smoking (2 packs a day) in 30 year old woman
  • A woman 6 months post partum who is breastfeeding
  • history of CV disease
  • history of breast cancer
  • headaches with aura
  • Takes St John's Wort regularly for depression
  • Has an acute liver infection
  • Has a broken leg
  • Has Poly Ovarian Cystic Syndrome

Question 14

Question
Advantages of using CHCs include
Answer
  • Prevents mittelschmerz
  • decreased ovarian cysts
  • Can help with acne
  • Can prevent, control and treat endometriosis
  • Reduced risk of DVTs
  • Reduced risk of ovarian and endometrial cancer
  • Increased libido
  • Slight weight loss
  • prevents ectopic pregnancy

Question 15

Question
A woman calls concerned that she took her nuvaring out for sex and did not remember to put it back in before she went to sleep for the night. Advise her to:
Answer
  • Use a back up for 7 days
  • reinsert it without major concern as long as it was out for 10 hours or less
  • insert a new ring immediately and dispose of the old one
  • get emergency contraception immediately

Question 16

Question
The transdermal patch available in the us:
Answer
  • results is higher estrogen exposure which results in increased risk of VTEs
  • will likely be replaced with a lower dose patch to reduce the unpleasant side effect of weight gain
  • is less effective for women over 178lbs
  • is being replaced due to significant problems with spotting for women

Question 17

Question
It is important to educate women about ACHES when they are taking combined hormonal methods. This stands for A - [blank_start]Abdominal pain[blank_end] C - [blank_start]Chest pain[blank_end] H - [blank_start]Headaches[blank_end] E - [blank_start]Eye problems[blank_end] S - [blank_start]Severe leg pain[blank_end]
Answer
  • Abdominal pain
  • Chest pain
  • Headaches
  • Eye problems
  • Severe leg pain
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