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GU pt 2 > Family Planning > Flashcards

Family Planning Flashcards

1
Q

Which contraception suppresses ovulation of inhibition of gonadotropin releasing hormone, luteinizing hormone, follicle stimulating hormone and mid cycle LH surge?

A

Combined oral contraceptives (COC)

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2
Q

For COC, what is the failure fate for perfect use and typical use?

A

Perfect use: 0.3%
Typical use: 8%

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3
Q

A patient missed an active pill but did not have intercourse in the last 5 days, what should her next course of action be?

A

Take 2 pills and a back up method be used the next 7 days

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4
Q

A patient missed an active pill and did have intercourse in the last 5 days, what should be done?

A

Emergency contraception should be used immediately and a back up method used for 5 days

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5
Q

Contraindications for COC?

A

Over 35 and smokes more than 15 cigarettes per day
Cardiovascular disease
Pregnancy and breast feeding
Migraines w/aura

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6
Q

How should the progestin minipill be taken?

A

Similar to COC but with precise accuracy, within same 3 hour window every day

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7
Q

What contraception can be taken while breast feeding?

A

Progestin minipill
May increase flow of milk

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8
Q

Patients who smoke and over the age of 35 may take which contraceptive?

A

Progestin minipill

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9
Q

Contraindications of progestin minipill

A

Bleeding irregularities
Ectopic pregnancies more frequent
Weight gain and mild HA

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10
Q

Which contraception is associated with bone mineral loss, irregular bleeding and delayed ovulation after discontinuation?

A

Injectable

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11
Q

What is the frequency of injectable progestin DMPA?

A

IM or SC q3months

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12
Q

What is single rod progestin implant?

A

Nexplanon

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13
Q

Where is the Nexplanon inserted?

A

Proximal aspect of non dominant arm for 3 years

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14
Q

What is the most common reason for Nexplanon discontinuation?

A

Irregular bleeding

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15
Q

What is a transdermal contraceptive patch?

A

Ortho evra

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16
Q

How is ortho evra used?

A

Applied to lower abdomen, upper torso or buttock once a month for 3 weeks and followed by 1 week w/o patch

17
Q

What is the contraceptive vaginal ring?

A

Nuvaring

18
Q

How is the nuva ring used?

A

Ring is soft and flexible and is placed in the upper vagina for 3 weeks removed and replaced 1 week later

19
Q

What is a side effect of the nuva ring?

A

Increased vaginal discharge

20
Q

How does LNG releasing IUD work?

A

Causes thickening of cervical mucus, prevent endometrial thickening, and can inhibit ovulation

21
Q

How does the copper bearing (paragard) IUD work?

A

Either spermicidal or inhibitory effects on sperm capacitation and transport

22
Q

After IUD insertion, what is an increased risk for the first month?

A

Pelvic infection

23
Q

Who is the copper IUD not recommended for?

A

Heavier menstrual periods
Bleeding between periods
More cramping

24
Q

What is the concern for missing IUD strings?

A

Unnoticed expulsion or mitigation through the uterus into the abdomen

25
Q

If a patient is missing IUD strings, what imaging and referral should be done?

A

Pelvic US, GYN

26
Q

What is symptothermal natural family planning?

A

Based on patient monitoring their cyclic physical and temperature changes
Couples only have intercourse 48 hours after ovulation

27
Q

What is the calendar method of contraception?

A

Length of menses has been observed for at least 8 months and then calculations are made
Relies on strict documentation and regular predicable periods

28
Q

What is the basal body temperature method?

A

Temperature must be taken immediately upon waking
Slight drop in temp occurs 12-24hours before ovulation
Rise of about 0.4C occurs 1-2 days after ovulation

29
Q

When should emergency contraceptive be started?

A

Within 120 hours (5 days) after unprotected coitus

30
Q

What is the failure rate of plan B if taken within 72 hours?

A

1%

31
Q

What is an abortion?

A

Premature expulsion of products of conception from the uterus

32
Q

When does abortion typically occur?

A

Prior to 20th week

33
Q

What are the instructions for pregnancy and abortion?

A

BUMEDINST 6300.16
OPNAVINST 6000.1

34
Q

What is the most popular method of birth control for couples who want no more children?

A

Sterilization

35
Q

What is severed during vasectomy?

A

Vas deferens

36
Q

When should patients who undergo vasectomy follow up?

A

3 months post op to confirm sterility

37
Q

How is female sterilization achieved?

A

Tubal ligation

38
Q

How can tubal ligation be achieved?

A

Clipped, cauterized, tied and/or cut

GU pt 2 (24 decks)

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