Family Planning Barrier and Surgical Method

Question 1

the action of this device releases progestin into the uterus at a constant rate which reduces its side effect

Answer 1

chemically inert-levonorgestrel releasing IUD

Question 2

Levonorgestrel releasing IUD is approved to use for how long?

Answer 2

5 yrs

Question 3

T-shaped frame wound with copper with 2 strings from the base

Answer 3

T308A IUD - Paragard

Question 4

Paragard is approved for __yrs of use

Answer 4

10

Question 5

How does IUD prevent fertilization

Answer 5

there is intense local endometrial inflammatory response w/c leads to decreased sperm and egg viability so the endometrium is transformed into a hostile site

Question 6

thin, pliable progestin-containing cylinders that
are implanted sub dermally and release
hormones over many years

Answer 6

Etonogestrel implant

Question 7

Mechanism of action of progestin implants

Answer 7

supress LH and in turn block ovulation

Endometrial atrophy renders the endometrium unfavorable for implantation

Question 8

absolute contraindications for progestin imploants

Answer 8

current breast CA and pregnancy

Question 9

why male condoms are only water based and not oil based

Answer 9

oil based products destroy latex condoms and diaphragm

Question 10

Describe a cerical cap and its function

Answer 10

it is a cap that covers the cervix and flared brim used with spermicide. Femcap - made of Si rubber

Question 11

example of spermicides

Answer 11

nonxynol 9 or octoxynol 9

Question 12

spermicides are effective for how long

Answer 12

no more than 1 hour

Question 13

examples of emergency contraception

Answer 13

Yuzpe method

Copper containing IUD

Question 14

what is yuzpe method

Answer 14

Nordette or Norfem taken (1st) within 72 hours from intercourse and 2nd dose after 12 hours. (4 pills per dose)

Question 15

procedures performed in cjn w/ CS or Vag del

Answer 15

peurperal sterilization

Question 16

surgical error in puerperal sterilization

Answer 16

round ligament or only partial transection and reanastomosis

Question 17

This method was designed to avoid the initial
intimate proximity of the cut ends of the
fallopian tube inherent with the Pomeroy
procedure.

Answer 17

Parkland method

Question 18

Intratubal devices are inserted via

Answer 18

hysteroscopy

Question 19

microinsert that has a fine stainless
steel inner coil enclosed in polyester fibers and
outer coil Nitinol

Answer 19

Essure

Question 20

mechanism in essure

Answer 20

polyester fibers incite a chronic inflammatory response to promp local tissue ingrowth that leads to tubal occlusion

Question 21

Failure in intratubal devices are due to

Answer 21

misinterpretation of HSG
insert expulsion
conception before insertion
Uterine perforation
migration of an insert

Question 22

process where the vas deferens lumen is disrupted

to block the passage of sperm from the testes

Answer 22

vasectomy

Question 23

how do you confirm sterility after doing vasectomy

Answer 23

collection of azoospermic semen analysis after 3 months

Question 24

Failure of vasectomy is due to

Answer 24

unprotected intercourse too
soon, incomplete occlusion of vas deferens or
recanalization