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Emma Family Med > Contraception/HRT > Flashcards

Contraception/HRT Flashcards

1
Q

Which IUD can improve cramps and bleeding

A

progestin IUD

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2
Q

nexplanon duration

A

up to 3 yr

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3
Q

depo duration

A

one shot q3mo

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4
Q

depo prevents

A

uterine cancer

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5
Q

ability to become pregnant is delayed after stopping

A

depo-provera shot (up to 6 mo.)

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6
Q

combined estriol/progestin dec risk of

A

ovarian cancer

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7
Q

safe to use while breastfeeding

A

progestin only pills

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8
Q

not safe to use while breastfeeding

A

combined OCPs

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9
Q

plan B

A

take within 5 d post sex

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10
Q

monounsaturated fats

A

Olive oil/nuts/avocado

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11
Q

breast CA

A

CI: excerything except copper IUD

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12
Q

cervical/endometrial CA

A

CI: any IUD

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13
Q

DM w/ end organ damage

A

CI: combined OCP

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14
Q

protease inhib

A

CI: any OCP

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15
Q

anticonvulsants

A

CI: any OCP

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16
Q

migraines w/ aura or w/o aura but >35 y/o

A

CI: any combined OCP

17
Q

HTN

A

CI: combined OCP, progestin injection (if >160/100)

18
Q

Ischemic heart disease:

A

CI: combined OCP

19
Q

Viral hepatitis:

A

CI: combined OCPs

20
Q

Severe cirrhosis or liver CA:

A

CI: everything except copper IUD

21
Q

<3weeks postpartum or 3-6weeks postpartum w/ DVT risk:

A

CI: combo OCPs

22
Q

Active or high risk for GC/Chlamydia:

A

CI: any IUD

23
Q

Smoking >35yo:

A

CI: Combo OCPs

24
Q

Hx of Stroke:

A

CI: Combo OCPs

25
Q

Major Surgery w/ immobilization:

A

CI: Combined OCPs

26
Q

Antiphospholipid Abs:

A

CI: everything except cooper IUD

27
Q

Complicated valvular heart disease:

A

CI: combo OCPs

28
Q

Thrombocytopenia:

A

CI: progestin injection, copper IUD

29
Q

Past, High Risk or Current DVTs:

A

CI: combo OCPs

30
Q

hot flashes tx

A 
Paxil or venlafaxine
HRT
gabapentin
clonidine
soy isoflavone or red-clover extract
31
Q

which HRT inc risk of breast cancer after 3-5 yr of use

A

combined estrogen/progesterone

32
Q

effective non hormonal therapies for genitourinary syndrome of menopause

A

vaginal moisturizers and oral ospemifene (only FDA-approved non hormonal for dyspareunia)

33
Q

medication abortion

A

11

34
Q

vacuum-assisted abortion

A

14-16

35
Q

D/E abortion

A

16-24

Emma Family Med (5 decks)

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