Birth Control

Question 1

First generation progestin

Answer 1

norethidone (micronor)
norethindrone acetate
ethynodiol diacetate
norethynodrel

Question 2

Second generation progestin

Answer 2

norgestrel (not in OC)

levonorgestrel (mirena)

Question 3

third generation progestin

Answer 3

desogstrel (OC, ring)

norgestimate (patch)

Question 4

fourth generation progestin

Answer 4

Dropspirenone (yasmine, yaz)

Question 5

minimal to no adrogenicity progestin

Answer 5

dropsirenone, noregestimate, desogetral, norethindrone 0.4-0.5

Question 6

moderate adronegicity

Answer 6

ethynodiol diacetate
norethindrone 0.5-1.0
norethindrone acetate 1.0 mg
levonorgestre 0.05 -0.125

Question 7

higher androgenicity

Answer 7

nor acetate 1.5 mg
levonorg 0.3
norgestrel

Question 8

patch limitations

Answer 8

VTW risk and not effective if over certain weight (198 lbs)

Question 9

CI to CHC?

Answer 9

Headaches with focal neurological symptoms
• Greater than 35 years of age and a heavy smoker (15 cigarettes/day)
• Severe hypertension (>160/100)
• Hx of or current thrombophlebitis or thromboembolic disorders
• Diabetes mellitus with vascular or neurological involvement
• Current or suspected breast cancer
• Hx, current, or suspected estrogen dependent neoplasia
• Hx or current benign hepatic adenoma or liver cancer
• Current impaired liver function
• Hx of/current CVA
• Hx of/current coronary artery or ischemic heart disease
• Hx of current structural heart disease, subacute bacterial endocarditis,
or atrial fibrillation
• Major surgery or any leg surgery

Question 10

category 3 for CHC?

Answer 10

• Moderate hypertension 140-159/90-99
• Complicated DM
• Hx of breast cancer
• Undiagnosed breast mass
• FH of hyperlipidemia
• Undiagnosed or abnormal vaginal/uterine bleeding
• Conditions that may make it difficult to use the method correctly
• FH of MI
• Elective surgery not requiring immobilization
• Sickle cell or sickle C disease
• Active gallbladder disease
• Use of medications that alter liver enzymes
• Congenital hyperbilirubinemia
• Women over age 50

Question 11

CHC increase what levels of drug in blood?

Answer 11

benzo, corticosteroids,

Question 12

miss 2 pills?

Answer 12

take as soon as remember
take 1 pill regular time that day
return to regular schedule
use back up method day 7 
happen during wk 3 do not take 7 day break. begin new pack on day 22.

Question 13

WArning signs on OCP?

Answer 13

ACHES - abdominal pain, cough, or chest pain, headaches, eye problems, severe leg pain

Question 14

drug interactions with nexplanon?

Answer 14

decrease effectiness: phenytin, barbituates. primidone, barbamazipense, rifampicin

possibe decrease: st johns wort, topiramate, felbamate, ritonavir, grideofulvin, oxcarbazapein