exam 5 lecture 2 part 2 Flashcards

1
Q

cervical cancer screening recommendations based on age and history

A

less than 21- no screening
21-29- Pap smear every 3 years
30-65- Pap every 3 years
HPV every five
PAP+HPV every 5 years
greater than 65 or hysterectomy= no screening

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2
Q

Which HPV causes cancer?
which HPV causes warts?

A

HPV-16 and 18 cause cancer
HPV- 6 and 11 cause warts

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3
Q

what percent of cervical cancer is caused by HPV? Vaginal? Penile?
anal?`

A

91%- cervical
75%- vaginal
63%- penile
89%- anal

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4
Q

Which HPV vaccine protects against 9 different types

A

Gardasil 9

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5
Q

how many doses of HPV if age is 9-14 at initial vaccination

A

2 doses
0, 6-12 months months (minimum is 5 months. repeat dose if too soon)

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6
Q

how many doses of HPV vaccine if 15 or older

A

3 dose series (0, 1-2 months, 6 months)

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7
Q

minimum intervals of HPV vaccine at age 15 or older

A

dose 1 to dose 2=4 weeks
dose 2 to dose 3= 12 weeks
dose 1 to dose 3= 5 months

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8
Q

what age can you start vaccinating for HPV

A

9

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9
Q

true or false
HPV vaccination at ages 11-12 could prevent 90% of the cancers (anus, vulva, penis)

A

True

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10
Q

Name 2 behavioral methods of contraception

A

Coitus inturruptus
Lactation amenorrhea meyhod

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11
Q

When can LAM method work

A

1.breast feeding
2.infant is 6 months old
3. no period

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12
Q

Name some FAM and NFP methods and effectiveness

A

Predicting ovulation
cervical mucus

3-22%

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13
Q

FAM and NFP advantages

A

No effect on hormone/cycle
no side effects
inexpensive or free

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14
Q

FAM and NFP disadvantages

A

3-22% failure rate
no STI protection
difficult if irregular menses
requires consistent accurate record keeping
requires abstinence of other contraception for 1/3 of the month

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15
Q

is copper IUD hormonal?

A

No

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16
Q

how long do copper IUDs last

A

10 yrs

17
Q

fertility return of copper IUD

A

immediate

18
Q

Rank implants, diaphragms, condoms, shots, pills and FAM interms of efficacy

A

implant
shots
pill
diaphragm
condom
FAM

19
Q

side effects of HPV vaccine

A

local rxn/pain
redness
pyrexia
complete regional pain syndrome
postural orthostatic tachycardia syndroma
erythema