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huy > cp > Flashcards

cp Flashcards

1
Q

estrogen produces ____ feedback

A

positive

^ estrogene = ^ GNRH = ^ FSH, LH

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2
Q

progesterone produces ____ feedback

A

negative

^ progesterone = v GNRH = v FSH, LH

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3
Q

hormone responsible for secondary female characteristics

A

estrogen

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4
Q

corpus luteum means

A

“yellow body”

it is a follicle with no egg cell

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5
Q

hormone resposible for maintaining pregnancy

A

progesterone

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6
Q

TRUE OR FALSE

the median menstrual cycle length is 28 days, but it can range from 21 to 40 days

A

true

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7
Q

they direct events in the ovarian follicles that result in the production of a fertile ovum

A

FSH, LH

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8
Q

birth control pills effective rate

A

99%

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9
Q

when should you use condoms when taking birth control pills?

A
  • in the first month
  • when taking antibiotics
  • if you miss a pill or take 1 late (1 week)
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10
Q

every when is birth control injections given?

A

every 3 months

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11
Q

birth control injections rate of effectiveness

A

99.7%

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12
Q

side effects of “shots”

A

blood spotting for 3-6 mos

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13
Q

implants effective rate?

A

99.95%

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14
Q

norplant 1, how many capsules and how long?

A
  • 6 caps
  • 5 yrs
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15
Q

norplant 1, how many capsules and how long?

A
  • 2 caps
  • 3 yrs
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16
Q

must be taken within 72 hours of the act of unprotected intercourse or failure of contraception method

A

emergency contraception

ECP

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17
Q

TRUE OR FALSE

you must receive ECP from a physician

A

true

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18
Q

ECP effective rate

A

75-84%

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19
Q

2 examples of emergency contraception

A
  • plan B
  • next choice

both has 2 tablets with 0.75mg levonorgestrel

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20
Q

when should you take ECP?

A
  • first dose within 72 hrs
  • second dose is 12 hrs after
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21
Q

levonorgestrel content of Plan B-One Step

A

1.5 mg levonorgestrel

old formula is phased out

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22
Q

two estrogen OCP drug in the US

A
  • ethinyl estradiol
  • mestranol
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23
Q

must be converted by the liver to ethinyl estradiol before it is pharmacologically active and is 50% less potent than ethinyl estradiol

A

mestranol

24
Q

most combined OCs, transdermal patch, and vaginal ring contain estrogen at doses of ____ of ethinyl estradiol

A

20-50 mcg

25
Q
  • nausea
  • breast tenderness
  • headache
  • cyclic weight gain
  • dysmennorhea
  • menorrhagia
  • uterine fibroid growth
A

estrogen excess

26
Q
  • vasomotor symptoms
  • nervousness
  • decreased libido
  • **early cycle (days 1-9)
    **
  • bleeding, spotting
  • no amearly cycle (days 1-9)
    enorrhea
A

estrogen deficiency

26
Q
  • increased appetite
  • weight gain
  • bloating
  • constipation
  • acne, oily skin
  • hirsutism
A

progestin excess

27
Q
  • dysmenorrhea
  • menorrhagia
  • late cycle (days 10-21)
  • bleeding, spotting
A

progestin deficiency

28
Q

considerations with CHC use

combined hormonal contraceptive

A
  • older than 35 yrs
  • smoking 15 or more cig
  • hypertension
  • dyslipidemia
  • diabetes
  • migraine
  • breast cancer
  • thromboembolism
  • systemic lupus erythematosus
  • sickle cell disease
29
Q

CHCs can cause ____ in blood pressure, regardless of estrogen dosage

A

small increase

6-8 mmHg

30
Q

TRUE OR FALSE

progestin:
* dec HDL
* inc LDL

A

true

31
Q

any effect of CHCs on carbohydrate and lipid metabolism is thought to be due to the ____ component

A

progestin

except for some levonorgestrel-containing products

32
Q

this increases hepatic production of factor VII, factor X, and fibrinogen in the coagulation cascade, therefore increasing the risk of thromboembolic events

A

estrogen

33
Q

TRUE OR FALSE

there is a low risk for pregnancy in women with SLE

A

false

high risk

34
Q

TRUE OR FALSE

progestin-only can be given to women with SLE

A

true

35
Q

what should be considered in women with sickle cell disease?

A

DMPA contraceptives

Depo-Medroxyprogesterone Acetate (DMPA)

36
Q

they have higher failure rates than hormonal methods due to design and human error

A

barrier methods

37
Q

spermicides effective rate

A

76%

when used alone, should be used w other methods

38
Q

what do spermicides usually contain?

A

nonoxynol-9

39
Q

these are chemical surfactants that **destroy sperm cell walls **and act as barriers that prevent sperm from entering the cervical os

A

spermicides

40
Q

TRUE OR FALSE

spermicides offer protection against STDs

A

false

no protection

41
Q

male condom effective rate

A
  • when alone - 88%
  • w spermicides - 99%
42
Q

material of female condom

A

polyurethane

43
Q

female condom effective rate

A

79%

44
Q

vaginal ring effective rate

A

95-99%

inserted every MONTH

45
Q

does not require a “fitting” by a health care provider, does not require spermicide, can make periods more regular and less painful, no pill to take daily, ability to become pregnant returns quickly when use is stopped

A

vaginal ring

46
Q

is a flexible plastic (ethylene-vinyl acetate copolymer) ring that releases a low dose of a progestin and an estrogen over 3 weeks

A

Nuva Ring

vaginal ring

47
Q

latex barrier placed inside vagina during intercourse, fitted by physician

A

diaphragm

48
Q

diaphragm effective rate

A

80%

49
Q

uses spermicidal jelly before insertion and inserted up to 18 hours before intercourse and can be left in for a total of 24 hours

A

diaphragm

50
Q

latex barrier inserted in vagina before intercourse

A

cervical caps

51
Q

caps **around the cervix **and can be left in body for up to a total of 48 hours

A

cervical cap

52
Q

must be left in place six hours after sexual intercourse

A

cervical cap

53
Q

cervical cap effective rate

A
  • typical - 80%
  • perfect - 91%
54
Q

a flexible rubber cup-like device that is filled with spermicide and self-inserted over the cervix prior to intercourse

A

cervical cap

55
Q

nserted by the woman into the vagina and covers the cervix blocking sperm from entering the cervix

A

sponge

huy (8 decks)

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