contraception-UofT

Question 1

contraindications of coc?

Answer 1

a.)<4 weeks postpartum (breastfeeding)
b.)<21 days postpartum (not breastfeeding)
c.)Smoker >35 years (>15 cigarettes/day)
d.)Hypertension (systolic 160 mmHg or diastolic 100 mmHg)

Question 2

serious side effects of COC?

Answer 2

“ACHES”
-Abdominal pain [indicates liver problem :( ! ]
-chest pain: + coughing up blood
-headache (severe)
-Eye problem
-Severe leg pain (indicates PE*)

Question 3

T/F: Diaphragm can be used with oil-based lubricants

Answer 3

false;
(*same goes with cervical cap)

Question 4

How is the size of diaphragm estimated?

Answer 4

using bimanual exam

Question 5

Contraindications of IUD include?

Answer 5

-Pt with copper allergy
-Uterine abnormalities
-Severe dysmenorrhea
-First few weeks post-partum

Question 6

progestin-only pill can be used for current breast cancer patients?

Answer 6

FALSE; contraindicated

Question 7

signs of too much estrogen?

Answer 7

N/V, breast tenderness, HA, bloating, high BP, melasma

Question 8

signs of too much progestin?

Answer 8

breast tenderness, HA, fatigue, mood changes

Question 9

Contraceptive options for sickle cell?

Answer 9

Use DMPA

Question 10

Explain the yuzpe method ?

Answer 10

2 tablets of Ovral® (each tablet 50mcg of Ethinyl Estradiol and 250 mcg of levonorgestrel) orally and repeated 12 hours later

Question 11

If ulipristal is given as an emergency contraceptive, it is recommended to wait for____ days before starting hormonal contraception as the efficacy of ulipristal may decrease

Answer 11

7