OBGYN Lecture 2

How phexxi spermicide work?

A 45 yr old female pt with a history of diabetes and nephropathy wants to take CHCs. Can she take CHCs?

Monophasic OCs contain variable amounts of estrogen & progestin while multiphasic OCs have the same amounts of hormones.

Which of the following needs to be excluded before giving depo-provera in a pt that had their last injection 13 wks ago?

For how long can Skyla (levonorgestrel IUD) be used for?

Phexxi spermicide should be avoided in individuals with frequent _____.

The average delay in ovulation after discontinuing OCs is 1 to 2 wks.

Which of the following is an AE of norgestrel?

Which of the following is not needed to prescribe CHC?

Ortho Evra has a BBW for smoking, CV events, & VTE risk.

Which of the following is a first generation progestin?

Which of the following is a non-contraceptive benefit of OCs?

Depo-provera is administered every 5 months by deep IM injection in the gluteal or deltoid muscle.

BBW for DMPA?

What must clinicians encourage pts that take CHCs to use to prevent STDs while taking OCs?

A 21 yr old female pt taking an OC complains of bloating after 1 week of use. What do you tell the pt?

A female pt just gave birth 10 days ago and needs OC. Which of the following do you recommend?

For how long can Kyleena (levonorgestrel IUD) be used for?

A 25 yr old female pt with a hx of epilepsy is taking phenytoin. Which of the following contraceptives can she use?

The use of CHCs is contraindicated when the pts BP is ≥160/100 mm Hg.

Nonsmoking women younger than 35 yrs with diabetes but no associated vascular disease can safely use CHCs.

Use of high-dose CHC is acceptable in women younger than 35 yrs with well controlled HTN.

Which of the following is a third generation progestin?

Which hormonal contraceptive thickens cervical mucus, delays sperm transport, & induces endometrial atrophy?

Which of the following is the most common AE of DMPA?

Which of the following can be used for a female pt with SLE and antiphospholipid antibodies?

A female pt just got prescribed Ortho Evra. What instructions do you give her about this medication?

With nonadherence to OCs, the risk of pregnancy may be greater in women taking OCs containing less than 35 mcg of EE.

DMPA should be continued for more than 2 yrs only if other contraceptive methods are inadequate.

A 30 yr old female pt with uncontrolled dyslipidemia and diabetes needs contraception. What do you give to the pt?

Within how many hrs of unprotected intercourse should Plan B One Step be given?

Women with sickle-cell disease are good candidates for DMPA and can even reduce sickle-cell pain crises.

Women who are not breastfeeding but require contraception need to wait at least 5 wks before receiving DMPA.

In which of the following scenarios may a female pt benefit from injectable progestins?

Which of the following is a second generation progestin?

ParaGard IUD cannot be used for emergency contraception.

MOA of IUDs?

If two or more tablets of OCs are missed or late, then what should the pt do next?

For how long can Mirena (levonorgestrel IUD) be used for?

Phexxi spermicide should be used within 1 hr before intercourse and with each act of intercourse.

Which of the following is the major AE associated with Nexplanon?

Most combined OCs, transdermal patch, and vaginal rings contain estrogen.

ParaGard IUD is a highly effective IUD that can be left in place for 10 yrs.

Primary MOA of etonogestrel subdermal (Nexplanon)?

Which of the following is a disadvantage of ParaGard?

A pt is about to start taking an OC. She wants weekends free of menstrual periods. Which method do you recommend?

Women with current or past history of breast cancer can use low dose CHCs.

All women should be considered potential candidates for LARCs.

BBW for CHCs?

Within how many hrs of unprotected intercourse should Ulipristal be given?

Nexplanon should be inserted between days 1 & 5 of the menstrual cycle in women who have not used hormonal contraception

For the NuvaRing, on first use the ring should be inserted on or prior to the 5th day of the cycle and kept on for 3 wks

A women taking a CHC develops migraines, what is the next course of action?

If one tablet of OCs is missed or late, then what should the pt do next?

A female pt with a hx of venous thrombosis needs an OC. Which of the following do you recommended for this pt?

For how long can Liletta (levonorgestrel IUD) be used for?

Rifampin reduces the efficacy of OCs.

IUDs are contraindicated in the presence of _____.

About how many months should pass before conceiving after the first omitted dose of DMPA?

When choosing an OC for women without coexisting medical conditions, an OC containing ______ is recommended.

Which of the following is a warning sign that a women should stop taking CHCs immediately?

Ortho Evra (transdermal contraceptive) is considered first line for women weighing more than 90 kg.

Women with controlled dyslipidemia can use low dose CHCs, although periodic fasting lipid profiles are recommended.

A disadvantage of the levonorgestrel IUD is increased spotting in the first 6 months.

Injectable progestins provide longer-term contraception when injected into the skin.

Which of the following is the regimen of choice for emergency contraception?

A 38 yr old female pt with a history of smoking wants contraception. Which of the following should not be given?

Women with seizure disorders may experience fewer seizures when taking DMPA for contraception.

Nonoxynol-9, when used frequently, may increase the risk of transmission of ____.

How do nonoxynol-9 spermicides work?

Which of the following contraceptives are considered safe in obese pts?

Which of the following is the most common AE of OCs?

Women who are breastfeeding should avoid CHCs for the first 42 days postpartum if they have risk factors for VTE.