1F - Family Planning Flashcards

1
Q

This allow individuals to and couples to anticipate and
attain their desired number of children and spacing
and timing of their births

A

Family planning

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2
Q

What are the two permanent family planning methods?

A

Vasectomy and bilateral tube ligation

Reversible: Spermicide, barrier, OCP, Hormone, IUD or IUS

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3
Q

What is the active agent in spermicides?

A

Nonoxynol - 9

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4
Q

Spermicides can be used alone for contraception, T or F?

A

False. Used with barriers

*no increased risk for congenital and chromosomal abnormalities

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5
Q

What must be covered by diaphragm totally to prevent conception?

A

Cervical os

*used with spermicide

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6
Q

How long can a diaphragm stay within the genital tract post coitus?

A

8 hrs

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7
Q

If there is repeated intercourse after 8 hours of application of the diaphragm, what should be added?

A

Spermicide

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8
Q

How long is the maximum time a cervical cap can be placed on the cervix?

A

48 hrs

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9
Q

After use of cervical cap, what test should be done after 3 months?

A

Pap smear test

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10
Q

What is more comfortable, diaphragm or cervical cap?

A

Cervical cap

*also used with spermicide

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11
Q

What are the possible adverse effects if the cervical cap is placed for more than 48 hours?

A

Mucosal infections, unpleasant odor, infection

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12
Q

What is the most effective contraceptive method to prevent transmission of STDS?

A

Male condom

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13
Q

This contraceptive method makes us of loose fitting soft sheath with two polyurethrane rings?

A

Female condom

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14
Q

This contraceptive method has the ability to prevent infections of the external genitalia?

A

Female condom

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15
Q

How many should you subtract from the longest and shortest cycle to make use of the calendar method?

A

Longest - 11
Shortest - 18

*COMPUTE:
- 27 – 18 = 9, and
- 31 – 11 = 20
- Fertile period is from days 9 to 20, and couple should abstain or use barriers at
this time

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16
Q

How many months of monitoring should be done by the patient before starting calendar method?

A

6 months

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17
Q

Using the basal body temperature method when should couples abstain from sex or use barrier method?

A

onset of menses until the 3rd consecutive day of elevated body temperature

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18
Q

How many days post observation of the presence of slippery mucus should the couples abstain or use barrier method?

A

4 days

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19
Q

Based on cervical mucus method, the safe period is indicated by what consistency of the mucus?

A

Dry

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20
Q

Smypothermal method, what is used to establish the first and last days of fertile period?

A

First day - cervical mucus and calendar

Last day - Basal body temperature method

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21
Q

Most widely used reversible method of contraception?

A

OCP

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22
Q

In fixed dose combination, how many pills from the 28 are inert of free day pills?

A

7

*21 are active pills with E + P

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23
Q

What are two drugs used in fixed dose combination?

A

Estrogen and progestin

24
Q

Without estrogenic stimulation, the endometrium usually begins to slough off after how many days without steroid stimulation?

25
What pill only has progestin as its content?
Minipil *low dose progestin
26
This OCP is ideal for nursing mothers and is used daily at the same time?
Minipill
27
What is the action of progestin?
Thick scanty mucus preventing transport of sperm
28
Major effect of synthetic estrogen?
maintain the endometrium and prevent unscheduled bleeding and inhibit follicular development by feedback inhibition
29
The magnitude of the effects of synthetic estrogen is directly related to what?
Dosage and potency of the steroids
30
What antidiuretic hormone is increased due to synthetic estrogen?
Aldosterone
31
What kind of bleeding is experienced especially with progestin only pills?
irregular bleeding
32
The androgenic effects of progestins are attributed to their structural similarity to what?
Testosterone
33
Which of the 2 increases LDL levels, progestin or estogen?
progestin *estrogen decreases LDL levels but increases HDL, TGs and total cholesterol Progestin decreases HDL, TGs and total cholesterol
34
There is increased risk of stroke among users of estrogen pills, T or F?
False but there is increase in coagulation factors among users
35
Length of delay and reversibility is attributed on what factors after OCP use?
Dose and user age
36
OCPs are protective of what cancer types?
Endometrial, ovarian and colorectal *may have increased risk for breast and cervical
37
A woman with PCOS can be recommended what anti androgenic OCP?
Cyproterone acetate
38
What is the dose for the contraceptive patch?
75 ug estradiol and 6 mg progestin * 3 weeks patch 1 week rest
39
Dose for vaginal ring contraception?
2. 7 mg estradiol 11.7 mg progestin | * same timing as OCP (3 w/ 1 w/o)
40
Most common formulation for injectable contraception?
DMPA
41
What are the 3 MOAs or DMPA (also OCPs)
inhibition of ovulation thinning of endometrium cervical mucus changes
42
When do we give DMPA?
within the first 5 days of the cycle
43
What is the formulation for the contraceptive implant?
Progestin only
44
If a patient has a contraindication for estrogen use as contraception, what alternative can be given?
DMPA (injectables) or progestin implant or progestin only OCP
45
How long can copper T 380A be placed in the uterus?
12 years
46
How long can LNG IUD be placed?
5 years
47
What is the MOA of IUDs?
Spermicide
48
When is IUD inserted?
Any day of the cycle as long as patient is not pregnant
49
When is the preferable day of insertion of IUD?
day 1 to 7 of menses due to cervical os opening for easier insertion
50
This form of contraception has the highest rate of discontinuance?
IUD
51
Which IUD can also be given for AUB and treatment for hyperplasia?
LNG
52
For the first 6 months, what problem may be encountered by those using Copper T380A as the uterus adapts?
Uterine bleeding or increased menstrual loss
53
After how many ejaculations post vasectomy will the patient be considered sterile?
14-20
54
Post vasectomy, how many months will the male use barrier method as contraception?
3 months
55
What kind of incision is required in bilateral tubal ligation?
Transperitoneal