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NAPLEX 2022 > CONTRACEPTION & FERTILITY > Flashcards

CONTRACEPTION & FERTILITY Flashcards

1
Q

FOLATE RECOMMENDATIONS

A

400 MCG FOR ADULTS
600 MCG ONCE PREGNANT

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2
Q

WHICH FORM OF CONTRACEPTION HAS A DELAY IN RETURN TO FERTILITY

A

MEDROXYPROGESTERONE INJECTION

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3
Q

WHAT FORM OF ESTROGEN IS FOUND IN COC’S

A

ETHINYL ESTRADIOL (EE)

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4
Q

WHICH FORM OF PROGESTIN IS FOUND IN COC’S

A

NORETHINDRONE
LEVNORGESTREL
DROSPIRENONE

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5
Q

WHAT MAKES DROSPERINONE UNIQUE

A

REDUCES ADVERSE EFFECTS COMMONLY SEEN WITH CONTRACEPTIVES
MILD POTASSIUM-SPARING DIURETIC WHICH ↓ BLOATING

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6
Q

WHICH PROGESTINS HAVE LOW ANDROGEN ACTIVITY

A

DROSPIRENONE
NORGESTIMATE

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7
Q

WHICH OTHER INDICATIONS ARE COC’S USED FOR

A

DYSMENORRHEA (MESTRUAL CRAMPS)
PREMENSTRUAL SYNDROME (PMS)
ANEMIA
REGULATE MENSES IN POS
ENODMETRIOSIS

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8
Q

WHEN ARE POPs OR MINI PILLS USED

A

PRIMARILY IN THOSE BREASTFEEDING
CI OR INTOLERANCE TO ESTROGEN

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9
Q

WHICH TYPE OF CONTRACEPTIVES IS COMMONLY USED FOR MIGRAINES WITH AURAS

A

POPs

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10
Q

POPs REQUIRE GOOD ADHERENCE. HOW SHOULD THE PILL BE TAKEN

A

WITHIN 3 HOURS OF SCHEDULED DOSE

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11
Q

CONTRACEPTIVE PATCH IS LESS EFFECTIVE IN WHO

A

XULANE > 198 LBS
TWIRLA > 30 BMI

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12
Q

WHO SHOULD NOT USE PATCHES

A

WOMEN > 35 YEARS WHO SMOKE

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13
Q

HOW IS DEPO-PROVERA DOSED

A

IM OR SC EVERY 3 MONTHS

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14
Q

WHEN DOES BLEEDING OCCUR IF USING CONTRACEPTION

A

DURING WEEK 4 USING PLACEBO PILLS

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15
Q

WHAT DOES EXTENDED CYCLE COC’S DO

A

INVOLVE 84 DAYS OF ACTIVE HORMONAL PILLS
HAVE PERIOD EVERY 3 MONTHS

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16
Q

WHICH COC IS INDICATED FOR CONTINUOUUS MENSES SUPPRESSION

A

AMETHYST

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17
Q

GENERAL TIP FOR CONTRACEPTION NAMES:
“LO” INDICATES

A

≤ 35 MCG OF ESTROGEN

18
Q

GENERAL TIP FOR CONTRACEPTION NAMES:
“FE” INDICATES

A

AN IRON SUPPLEMENT IS INCLUDED

19
Q

GENERAL TIP FOR CONTRACEPTION NAMES:
“24” INDICATES

A

SHORTER PLACEBO TIME
24 ACTIVE + 4 PLACEBO = 28 DAY CYCLE

20
Q

PROGESTIN ONLY CONTRACEPTIVE NAMES

A

ERRIN
CAMILLA
NORA-BE
(NORETHINDRONE)

21
Q

DROSPIRENONE CONTAINING FORMULATION NAMES

A

YASMIN 28
YAZ

22
Q

EXTENDED CYCLE FORMULATION NAMES

A

SEASONIQUE

23
Q

BIPHASIC AND TRIPHASIC FORMULATION NAMES

A

ORTHO TRI-CYCLEAN LO
TRI-SPRINTEC

24
Q

MONOPHASIC FORMULATIONS NAMES

A

JUNEL
MICROGESTIN
SPRINTEC
LOESTRIN
YASMIN
YAZ
LO LOESTRIN

25
Q

ESTROGEN RELATED SIDE EFFECTS

A

NAUSEA
BREAST TENDERNESS
BLOATING/WEIGHT GAIN
INCREASED BP

26
Q

SIGNS OF BREAKTHROUGH BLEEDING CAN INDICATE

A

TOO LOW OF ESTROGEN

27
Q

DO NOT USE ESTROGENS IN THESE CONDITIONS

A

HISTORY OF ANY CLOT
CANCER
MIGRAINES WITH AURA

28
Q

WHICH CONTRACEPTION SHOULD BE USED?
ACNE OR HIRSUTISM

A

COC WITH LOWER ANDROGEN ACTIVITY OR NO ANDROGENIC ACTIVITY
NORGESTIMATE OR DROSPIRENONE

29
Q

WHICH CONTRACEPTION SHOULD BE USED?
BREASTFEEDING

A

POP OR NONHORMONAL METHOD

30
Q

WHICH CONTRACEPTION SHOULD BE USED?
MIGRAINE

A

WITH AURA = POP OR NON HORMONAL
W/OUT AURA = ANY

31
Q

WHICH CONTRACEPTION SHOULD BE USED?
FLUID RETENTION OR BLOATING

A

USE DROSPIRENONE

32
Q

WHICH CONTRACEPTION SHOULD BE USED?
HEAVY MENSTRUAL BLEEDING

A

COC NATAZIA OR IUD MIRENA
CAN DO SHORTER PLACEBO PERIOD OR CONTINUOUS

33
Q

WHICH CONTRACEPTION SHOULD BE USED?
HTN

A

POP OR NONHORMONAL

34
Q

WHICH CONTRACEPTION SHOULD BE USED?
MOOD CHANGES OR DISORDER

A

MONOPHASIC COC
EXTENDED CUCLE OR CONTINUOUS WITH DROSPIRENONE IS PREFERRED

35
Q

WHICH CONTRACEPTION SHOULD BE USED?
PREMENSTRUAL DYSPHORIC DISORDER

A

YAZ OR
ANTIDEPRESSANT

36
Q

COC MISSED DOSES
1 LATE OR MISSED DOSES

A

TAKE ASAP AND TAKE NEXT ON SCHEDULE
BACK UP NOT NEEDED
EC NOT NEEDED

37
Q

COC MISSED DOSES
2 LATE OR MISSED DOSES

A

TAKE MOST RECENT MISSED DOSE ASAP, DISCARD ANY EXTRA
IF MISSED DOSE DURING WEEK 3, SKIP HORMONE FREE WEEK AND START NEXT PACK
BACK UP NEEDED FOR 7 DAYS
EC CAN BE CONSIDERED

38
Q

POP MISSED DOSE

A

IF >3 HOURS PAST SCHEDULED, TAKE ASAP
BACK UP NEEDED FOR 48 HOURS
CONSIDER EC IF UNPROTECTED SEX IN LAST 5 DAYS

39
Q

WHAT AGENTS ARE USED IN INFERTILITY

A

CLOMIPHENE (SERM)
LETROZOLE
GONADOTROPICS
hCG

40
Q

WHICH FIRTILITY MEDICATIONS INCREASE RISK OF MULTIPLE BIRTHS

A

GONADOTROPINS
CLOMIPHENE

41
Q

CLOMIPHENE SIDE EFFECTS

A

HOT FLASHES
INCREASED CLOTTING RISK

NAPLEX 2022 (37 decks)

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