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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
MOA is spermicidal, preventing fertilization
copper IUD
26
POP pill that prevents pregnancy by thickening the cervical mucus, preventing fertilization
norethindrone
27
POP pill that prevents pregnancy by inhibiting ovulation
drospirenone
28
MOA of progestin IUDs
thicken cervical mucus, preventing sperm from reaching egg
29
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
ulipristal acetate (ella)
30
method of emergency contraception that provides ongoing contraception
copper IUD
31
method of emergency contraception that is available OTC
levonorgestrel (Plan B)
32
cervical inspection and bimanual exam are essential and mandatory for safe initiation of
IUD
33
what hormone in CHC suppresses FSH, preventing the emergence of a dominant follicle?
estrogen
34
net effect of both estrogen and progestin in CHC
suppression of LH/FSH surge midcycle
35
what exam finding is an absolute contraindication to placing an IUD?
mucopurulent cervicitis
36
the copper IUD is FDA approved for [...] years, but data supports safety and efficacy though [...] years
the copper IUD is FDA approved for [10] years, but data supports safety and efficacy though [12] years
37
the etnogestrel implant (Nexplanon) is FDA approved for [...] years, but data supports safety and efficacy though [...] years
the etnogestrel implant (Nexplanon) is FDA approved for [3] years, but data supports safety and efficacy though [5] years
38
the 52 mg levonorgestrol (Mirena) is FDA approved for [...] years
the 52 mg levonorgestrol is FDA approved for [8] years
39
the 13.5 mg levonorgestrol is FDA approved for [...] years
3
40
associated with delay in return of fertility up to 12 month
DMPA
41
what types of contraception don't inhibit always ovulation?
progesterone only types (POPs, and progestin IUD)
42
estrogen use in patients with migraine with aura puts them at an unacceptably high risk of [...]
stroke
43
[effect of progestin or estrogens] inhibition of ovulation by suppressing LH
progestin
44
[effect of progestin or estrogens] thickening of cervical mucus, hampering the transport of sperm
progestin
45
[effect of progestin or estrogens] possibly inhibits sperm capacitation
progestin
46
[effect of progestin or estrogens] hampered implantation by the production of decidualized endometrium
progestin
47
[effect of progestin or estrogens] regulate bleeding
estrogens
48
[effect of progestin or estrogens] inhibit FSH
estrogens
49
[effect of progestin or estrogens] prevent formation of dominant follicle
estrogens
50
what provider interventions are found to help maintain and continue contraceptive use 6 months after initiation?
investing in beginning eliciting patient's perspective
51
what framework should you use to tell a patient they are pregnant?
listen not assume self-reflect
52
as contraceptive prevalence increases, maternal mortality [...]
decreases
53
compared to women who have an abortion, women who are denied abortion are more likely to [3]
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
children whose mothers were denied an abortion are more likely to [2]
live in poverty not meet developmental milestones
55
what is the minimum serum hCG level a UPT will detect as positive?
25
56
hCG peaks about week [...] of gestation
10
57
can oral emergency contraceptives end an established pregnancy?
no
58
advanced prescription of oral emergency contraception [has/has not] been shown to change the rates of STIs
has not
59
what is an example of patient-centered advocacy?
routine counseling for patients about emergency contraception and providing advance prescriptions for emergency contraception

RDS Test 2 (21 decks)

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