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RDS Test 2 > B8-078 CBCL Reproductive Health > Flashcards

B8-078 CBCL Reproductive Health Flashcards

1
Q

device that can be used for emergency contraception

A

copper IUD

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2
Q

oral progestin methods for emergency contraception [3]

A

ulipristal acetate
levonorgestrel (Plan B)
yuzpe method

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3
Q

describe the yuzpe method

A

100 mcg ethinyl estradiol + .5 mg levonorgestrel

two doses 12 hours apart

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4
Q

which emergency contraception option is considered the most effective?

A

copper IUD

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5
Q

emergency contraception is most effective if used within […] days

A

five

yuzpe method within 3 days

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6
Q

which emergency contraception option is the most expensive option (without insurance)?

A

copper IUD

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7
Q

which emergency contraception option is available OTC/online?

A

levonorgestrel

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8
Q

which emergency contraception option is the least effective?

A

yuzpe method

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9
Q

over […] kg, levonorgestrel has a higher failure rate

A

70

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10
Q

which emergency contraception option is a single dose?

A

ulipristal acetate (ella)

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11
Q

which emergency contraception option looses effectiveness with each day?

A

levonorgestrel

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12
Q

which emergency contraception option causes the most side effects?

A

yuzpe method

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13
Q

which emergency contraception option prevent only works by preventing fertilization?

A

copper IUD

(all of the rest can prevent both fertilization and ovulation)

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14
Q

can oral emergency contraception end an established pregnancy?

A

no

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15
Q

in the US, WOC have […] rates of unintended pregnancy, induced abortion, and unintended birth compared to white women

A

higher

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16
Q

in the US women of […] SES have the highest rates of abortion

A

low

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17
Q

the two medication involved in medication abortion are [2]

A

mifepristone
misoprotol

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18
Q

[…] anesthesia is a common part of a procedural abortion

A

paracervical

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19
Q

what method of contraception requires the patient to return every 3 months?

A

medroxyprogestrone acetate injection

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20
Q

what method of contraception do physicians and their partners use at higher rates than the national average?

A

IUDs

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21
Q

most studies that assess outcomes after abortion are […] and so the risk of bias is high

A

observational

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22
Q

[…] decrease the risk of post-surgical abortion infection

A

pre-procedure antibiotics

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23
Q

medical abortion is 93% effective when administered through […] days gestation

A

70

(limited data now supports 84 days, but is FDA cleared to 70)

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24
Q

the primary MOA of CHC is

A

ovulation prevention

25
Q

MOA is spermicidal, preventing fertilization

A

copper IUD

26
Q

POP pill that prevents pregnancy by thickening the cervical mucus, preventing fertilization

A

norethindrone

27
Q

POP pill that prevents pregnancy by inhibiting ovulation

A

drospirenone

28
Q

MOA of progestin IUDs

A

thicken cervical mucus, preventing sperm from reaching egg

29
Q

method of emergency contraception that is more effective than Plan B, has sustained efficacy for up to 120 hours after intercourse, and is more effective in obese women

A

ulipristal acetate (ella)

30
Q

method of emergency contraception that provides ongoing contraception

A

copper IUD

31
Q

method of emergency contraception that is available OTC

A

levonorgestrel (Plan B)

32
Q

cervical inspection and bimanual exam are essential and mandatory for safe initiation of

33
Q

what hormone in CHC suppresses FSH, preventing the emergence of a dominant follicle?

34
Q

net effect of both estrogen and progestin in CHC

A

suppression of LH/FSH surge midcycle

35
Q

what exam finding is an absolute contraindication to placing an IUD?

A

mucopurulent cervicitis

36
Q

the copper IUD is FDA approved for […] years, but data supports safety and efficacy though […] years

A

the copper IUD is FDA approved for [10] years, but data supports safety and efficacy though [12] years

37
Q

the etnogestrel implant (Nexplanon) is FDA approved for […] years, but data supports safety and efficacy though […] years

A

the etnogestrel implant (Nexplanon) is FDA approved for [3] years, but data supports safety and efficacy though [5] years

38
Q

the 52 mg levonorgestrol (Mirena) is FDA approved for […] years

A

the 52 mg levonorgestrol is FDA approved for [8] years

39
Q

the 13.5 mg levonorgestrol is FDA approved for […] years

40
Q

associated with delay in return of fertility up to 12 month

41
Q

what types of contraception don’t inhibit always ovulation?

A

progesterone only types

(POPs, and progestin IUD)

42
Q

estrogen use in patients with migraine with aura puts them at an unacceptably high risk of […]

43
Q

[effect of progestin or estrogens]
inhibition of ovulation by suppressing LH

44
Q

[effect of progestin or estrogens]
thickening of cervical mucus, hampering the transport of sperm

45
Q

[effect of progestin or estrogens]
possibly inhibits sperm capacitation

46
Q

[effect of progestin or estrogens]
hampered implantation by the production of decidualized endometrium

47
Q

[effect of progestin or estrogens]
regulate bleeding

48
Q

[effect of progestin or estrogens]
inhibit FSH

49
Q

[effect of progestin or estrogens]
prevent formation of dominant follicle

50
Q

what provider interventions are found to help maintain and continue contraceptive use 6 months after initiation?

A

investing in beginning
eliciting patient’s perspective

51
Q

what framework should you use to tell a patient they are pregnant?

A

listen
not assume
self-reflect

52
Q

as contraceptive prevalence increases, maternal mortality […]

53
Q

compared to women who have an abortion, women who are denied abortion are more likely to [3]

A

have household incomes below the poverty line for the next 3 years

less likely to have full-time employment in the next 2.5 years

more likely to stay in abusive relationships

54
Q

children whose mothers were denied an abortion are more likely to [2]

A

live in poverty
not meet developmental milestones

55
Q

what is the minimum serum hCG level a UPT will detect as positive?

56
Q

hCG peaks about week […] of gestation

57
Q

can oral emergency contraceptives end an established pregnancy?

58
Q

advanced prescription of oral emergency contraception [has/has not] been shown to change the rates of STIs

59
Q

what is an example of patient-centered advocacy?

A

routine counseling for patients about emergency contraception and providing advance prescriptions for emergency contraception

RDS Test 2 (21 decks)

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