Chapters 34 and 35: Reproductive Health Flashcards

1
Q

pregnancy must be ruled out before administering to woman who is 1 day late

A

depot medroxyprogesterone acetate injection

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2
Q

cardiovascular adverse effects of contraceptive drugs include ________, _____________, _________, and _________

A

hypertension, edema, myocardial infarction, embolisms

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3
Q

should not be used more than 24 months due to limited safety data

A

teriparatide

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4
Q

increases the risk for twins

A

clomiphene citrate

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5
Q

adverse effects include thromboembolic events, increased risk for endometrial cancer, cardiovascular disorders, breast cancer, dementia

A

estrogen

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6
Q

GU adverse effects of contraceptive drugs include ___________, ___________, _____________, and ___________

A

amenorrhea, breakthrough bleeding, breast changes, dysmenorrhea

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7
Q

induces menstruation when fertilization does not occur

A

progesterone

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8
Q

slower return to fertility when compared with other hormonal methods of contraception

A

depot medroxyprogesterone acetate

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9
Q

in comparison to pills, CHC patches have ________ menstrual flow, acne, vaginal dryness, and PMS

A

decreased

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10
Q

prone to first pass effect

A

testosterone

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11
Q

BRAIDED method

A

Benefits, Risks, Alternatives, Inquiries, Decision, Explanation, Documentation

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12
Q

hormone free pills

A

counter pills

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13
Q

physical symptoms include backaches, headache, fatigue, acne, alterations in sleep, bloating, breast soreness, constipation, or diarrhea

A

premenstrual syndrome (PMS)

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14
Q

medication that stimulates ovulation

A

clomiphene citrate

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15
Q

drugs that prevent pregnancy (not STDs)

A

contraceptive drugs

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16
Q

give 1 hour before sexual activity

A

sildenafil

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17
Q

infertility is inability to conceive a child after _________ of unprotected sexual intercourse

A

12 months

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18
Q

side effects include decreased ejaculate/libido, impotence

A

finasteride

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19
Q

PMS is an increase in symptoms __________ before menstruation subsiding __________

A

2 weeks, when menstruation begins

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20
Q

finasteride in its higher strength is used for _______

A

benign prostatic hyperplasia

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21
Q

principal male sex hormone

A

testosterone

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22
Q

significantly reduces bone mineral density; FDA recommends discontinuing after 2 years

A

depot medroxyprogesterone acetate

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23
Q

do not place CHC patches on the _______

A

breast

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24
Q

indicated in treatment of uterine bleeding, contraception, ovarian failure, menopause (hot flashes), hypogonadism, atrophic vaginitis, breast or prostate cancers

A

estrogen

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25
Q

creates thicker cervical mucus

A

hormonal contraceptives

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26
Q

usually started after age 15

A

androgen therapy

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27
Q

male sex hormones responsible for development and maintenance of male sex characteristics

A

androgens

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28
Q

efficacy is reduced by antibiotics

A

combined hormonal contraceptives (CHC)

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29
Q

take with full glass of water on empty stomach

A

alendronate

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30
Q

IM depot medroxyprogesterone acetate injections are given in the ________ or ____________ muscle

A

ventral gluteus, deltoid

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31
Q

failure to produce testosterone, sperm, or both

A

hypogonadism

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32
Q

condition that results in infertility and lack of secondary sex characteristics in young males

A

hypogonadism

33
Q

thin plastic CHC patches are changed ________ for __ weeks, and ___ week is patch free

A

weekly, 3, 4th

34
Q

emotional symptoms include trouble concentrating, anxiety, depression, mood swings, decreased sexual desire, appetite changes

A

premenstrual syndrome (PMS)

35
Q

Pharmacologic treatment for PMS includes _____________ and _____________

A

SSRIs, hormonal therapy

36
Q

can accelerate bone maturation leading to premature closing of bone epiphyses

A

androgen therapy

37
Q

indicated for primary and secondary amenorrhea, oral contraception, functional uterine bleeding due to hormone imbalances, fibroids, uterine cancer

A

progestins

38
Q

indicated for hypogonadism, replacement therapy for testicular failure in adult males, inoperable breast cancer in women to counteract estrogen

A

androgen therapy

39
Q

pregnant or women of childbearing age should not handle

A

finasteride

40
Q

do not lie down within 30 minutes of taking medication

A

alendronate

41
Q

CHC patches can be placed on the _________, ________, ________, or ___________

A

buttocks, stomach, upper outer arm, upper torso

42
Q

inhibits osteoclastic bone resorption

A

calcitonin

43
Q

GI adverse effects of contraceptive drugs include ________, _________, _________, _________, _________, __________, and _________

A

nausea, vomiting, diarrhea, anorexia, cramps, increased weight gain, constipation

44
Q

black box warning for development of blood clots, stroke, or heart attack

A

androgen therapy

45
Q

pseudo-menstruation is also known as

A

withdrawal bleeding

46
Q

Nonpharmacologic treatment for PMS includes __________ exercise; limiting ________, ________, and _______; and __________ family and friends

A

aerobic, salty foods, alcohol, caffeine, supportive

47
Q

X-rays of wrist and hands every 6 months

A

androgen therapy

48
Q

treatment of erectile dysfunction resulting from inadequate blood flow to penis

A

sildenafil

49
Q

indications include pregnancy prevention, endometriosis, dysmenorrhea, emergency contraception, PMS

A

hormonal contraceptives

50
Q

should not be combined with nitrates

A

sildenafil

51
Q

finasteride in its lower strength is used for _______

A

alopecia

52
Q

effectiveness is reduced in women who weigh more than 198 lbs

A

CHC patch

53
Q

sildenafil treats ________________ under name Revatio

A

pulmonary atrial hypertension

54
Q

condition that results in decreased bone density and muscle mass, decreased libido, gynecomastia, fatigue, hair loss, and impotence in adult males

A

hypogonadism

55
Q

side effects include headache, nasal congestion, priapism, and orthostatic hypotension

A

sildenafil

56
Q

CNS adverse effects of contraceptive drugs include ___________, ___________, _____________, __________, and _______

A

dizziness, headache, migraines, depression, stroke

57
Q

routes of hormonal contraception include ___________, __________, _________, __________, and _________

A

oral, transvaginal, transdermal, injection, implants

58
Q

IM or SubQ injection scheduled every 11-13 weeks

A

depot medroxyprogesterone acetate

59
Q

side effects include priapism, gynecomastia, halted sperm production (in normal males)

A

androgen therapy

60
Q

can cause orthostatic hypotension with first few doses

A

teriparatide

61
Q

rotate sites, do not massage after injection

A

depot medroxyprogesterone acetate

62
Q

results in pseudo-menstruation

A

hormone-free period (from CHCs)

63
Q

obtain baseline assessment of urinary function

A

finasteride

64
Q

adverse effects include liver dysfunction, thromboembolic disorders

A

progestins

65
Q

contraindicated for those with salmon allergy

A

calcitonin

66
Q

disadvantages include skin reactions, vision changes, higher risk for venous thromboembolism

A

CHC patch

67
Q

couple who has never conceived or carried a pregnancy to term

A

primary infertility

68
Q

used for prevention of osteoporosis in postmenopausal women because it can result in increased hot flashes

A

raloxifene

69
Q

contraceptive with efficacy rate between 97-99%

A

depot medroxyprogesterone acetate

70
Q

couple who has conceived and carried to term but is unable to conceive afterwards

A

secondary infertility

71
Q

anabolic steroid

A

testosterone

72
Q

produced by the corpus luteum to prepare uterus for implantation

A

progesterone

73
Q

most common used method of reversible contraception

A

combined hormonal contraceptives (CHC)

74
Q

steroid hormone in females that stimulates secondary sex characteristics

A

estrogen

75
Q

indicated for prevention and treatment of osteoporosis in men and women

A

alendronate

76
Q

inhibits release of gonadotropins

A

hormonal contraceptives

77
Q

two ways SSRI medications can be used for PMS

A

continuously
at certain points in cycle (start on day 14, decrease with menses)

78
Q

nondrug methods of pregnancy prevention

A

contraceptive devices