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GYN Y3 > GN 4 FP CTCPTV > Flashcards

GN 4 FP CTCPTV Flashcards

1
Q

Calendar/Rhythm method

Which days should a woman abstain from sex if she doesn’t want to get pregnant if her shortest cycle is 26 days, and longest cycle is 36 days?

A

between 8 and 25 days

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2
Q

Basal Body Temperature increases by how much following ovulation?

A

0.2-0.5 deg C

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3
Q

What hormone is responsible for the elevation of Basal Body Temperature during ovulation?

A

Progesterone

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4
Q

When should a woman avoid from sex or use barrier method when using basal body temperature as a form of natural contraception?

A

first half of menstrual cycle until 3 days after there has been a rise in basal body temperature

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5
Q

True about ovulation method or Billings Method EXCEPT

a. it is based on the consistency of cervical mucus.
b. during the proliferative phase (prior to ovulation), cervical mucus increases in amount, becomes clearer in color, wetter, stretch, and slippery.
c. Thin, watery, clear and profuse cervical mucus is the effect of progesterone
d. The mucus is elastic and stretched up to 10 cm during ovulation

A

C

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6
Q

The mucus is elastic and stretched up to 10 cm during ovulation. This test for ovulation is called

A

spinnbarkeit test

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7
Q 
Mucus becomes thick, tenacious, and viscous and breaks easily when put under tension.
A. Ferning
B. Tacking
C. Spinnbarkeit
D. NOTA
A

B

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8
Q

Couple is advised to abstain until _____ day after the “peak mucus day”

a. third
b. fourth
c. fifth
d. sixth

A

B

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9
Q

What is the faulure rate of ovulation method (Cervical mucus or Billings Method)

A

20-25% per 100 women

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10
Q

Contraceptive technique combining calendar method, basal body temperature, and cervical mucus method is also known as

A

Symptothermal Method

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11
Q

The following are barrier method EXCEPT

a. Male condom
b. Contraceptive Sponge
c. Cervical Cap
d. Implanon

A

D

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12
Q

What is the failure rate of barrier method (combined rate of various forms of barrier contraception)

A

9-30% per 100 women years of use

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13
Q

failure rate of condom

A

10-14 per 100 women years of use

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14
Q

True about the use of male condom EXCEPT

a. male condom must be used with every act of coitus
b. it must be placed on his erect penis before penis has any contact with the vagina,
c. withdrawal must occur with the penis still erect
d. The base of the condom must be held at the time of withdrawal to prevent slipping out
e. NOTA, all are true

A

E

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15
Q

False about male condom

a. absolute protection against broad range of STD, including HIV
b. Contraceptive efficacy of the male condom is appreciably enhanced by a reservoir tip and by addition of spermicide.
c. lubrication should be water-based
d. polyurethane condoms are effective against STDs but have a higher breakage and slippage rate compared with latex condoms

A

A

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16
Q

What is the approximate size of the female condom

A

15cm in length and 7 cm in diameter

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17
Q

T/F Using a female condom and male condom at the same time increases effectiveness of barrier method

A

F; must not be used concurrently

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18
Q

T/F female condom can be used with both water-based and oil-based lubricants

A

T; unlike male condom. Male condom - waterbased lubricant only

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19
Q

T/F the diaphragm is effective when used in combination with spermicidal jelly or cream. The spermicide is applied into the cup and along the rim.

A

F; the spermicide is applied into the dome

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20
Q

T/F for use, the diaphragm and spermicide can be inserted hours before intercourse. If more than 6 hours elapse, the diaphragm can remain but additional spermicide is placed in the upper vagina for maximum protection. Spermicide is reapplied before each subsequent coital episode

A

T

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21
Q

In using the diaphragm, how long shoud it stay after intercourse?

A

At least 6 hours

22
Q

Why is it advisable to remove the diaphragm at 6 hours or at least the next morning?

A

To avoid toxic shock syndrome

23
Q

The cervical cap must be inserted into the cervix how long before intercourse?

A

15 minutes.

24
Q

The cervical cap must be kept in place for a minimum of how many hours after intercourse?

A

6-8 hours

25
Q

Success rate of contraceptive sponge

A

77-91%

26
Q

Contracpetive sponge can be inserted up to ___ hrs before sexual intercourse

A

24

27
Q

How long after intercourse should contraceptive sponge stay?

A

at least 6 hours, not more than 30hrs

28
Q

True about the use of spermicides

a. Woman should be instructed to insert the recommended dose of the spermicide deep into vagina to cover the cervix completely
b. spermicide is applied just before having sexual intercourse.
c. a second dose may be required if more than 1 hr passes before she has sexual intercourse
d. Additional application of spermicides is needed for each additional act
e. AOTA

A

E

29
Q

Characteristics of an ideal method of contraception EXCEPT

a. Safe.
b. 100% effective
c. free of side effects
d. acceptable to the user and sexual partner
e. NOTA

A

E

30
Q

True about side effects of contraception

a. Male condoms can interrupt with sexual activity
b. Male condoms can cause allergic reactions
c. Female condoms may be expensive
d. Female condoms may be difficult to insert

A

AOTA

31
Q

True about OCPs EXCEPT

a. monophasic OCPs have fixed doses of both estrogen and progestin throughout the 21 day cycle
b. Triphasic OCP vary both estrogen/progestin throughout the cycle
c. Normal menstrual cycles are likely to occur in 99% of women within 3 mos. of stopping the pills
d. return of fertility may be slightly late due to delayed return of ovulation

A

C. after 6 months

32
Q

True about OCP EXCEPT

a. prevents pregnancy
b. prevents endometrial cancer
c. increase risk for ovarian cancer
d. reduce menstrual cramps

A

C

33
Q

True about OCP EXCEPT

a. prevents ovarian cancer
b. reduce ovulation pain
c. cause excessive hair on face or body
d. increase risk of DVT or PE
e. increase risk of stroke and heart attack

A

C; reduce

34
Q

The side effects of OCP is related more to which hormone

a. prolactin
b. progesterone
c. LH
d. FSH
e. estrogen

A

E

35
Q

When should OCP be started

A

first 5 days of menses, taken same time of the day eevery day, depending on formulation ( 28 pill, or 21 pill)

36
Q

Give 2 examples of antiandrogenic progestins

A

Dienogest

Nomegestrol Acetate

37
Q

Oral contraceptive that displays antiandrogenic activity and antimineralocorticoid properties that can cause potassium retension and hyperkalemia

A

Dropirenone

38
Q

What should be done if woman missed 1 COC pill

A

take the missed dose ASAP and take the next dose as usual, no backup contraceptive necessary

39
Q

What should be done if woman missed 2 COC pills

A

take 2 pills daily for the next 2 days and then finish the pack as usual. Backup contraceptive is advised for 7 days.

40
Q

What should be done if woman missed 3 or more COC pills?

A

Start a new pack immediately. Backup contraceptive must be used for 7 days.

41
Q

What should be done if woman exceeds pill free interval of 7 days?

A

Back up contraceptive for 7 days.

42
Q

MOA of progestin only pills

A

thicken cervical mucus

prevent ovulation

43
Q

OCP contraindications (7)

A 
Hx of cardiac disease/hpn
Smoker over age of 35 yrs
Hx of DM
Chronic liver disease
Breast cancer/Thyroid disease
Patient on enzyme inducing drug (RIFAMPICIN)
Lactating woman
44
Q

OCP side effects EXCEPT

a. irregular bleeding
b. breast tenderness
c. nausea
d. weight gain
e. mood changes

A

NOTA

45
Q

OCP major side effects EXCEPT

a. irregular bleeding
b. venous thromboembolism
c. MI
d. stroke
e. breast cancer

A

A; it is a minor side effect

46
Q

Any woman on OCP should report the ff:

ACHES. what does ACHES stand for?

A 
Abdominal pain
Chest pain
Headache
Eye problems
Severe leg pain
47
Q

POP contain
___ microgram norethisterone
___ microgram norgestrel
___ microgram levonorgestrel

A

350
75
30

48
Q

True about POP

a. have same effectiveness with COCPs
b. pregnancy rate of 1-2 per 100 years of use
c. inhibits follicular development and ovulation
d. makes endometrium unfavorable to implantation
e. NOTA

A

C and D

lower effectiveness than COCPs
pregnancy rate is 2-3 per 100 years of use

49
Q

What should be done when woman taking POP takes pill more than 3 hours late

A

Back up method should be used for 2 days

50
Q

PO injectable/DMPA/ Norethsterone enanthate failure rate

A

0.1 to 0.4%

51
Q

How many weeks post partum can PO injectable be started

A

6weeks

52
Q

2 methods of emergency contraception

A
  1. Progestine only

levonorgestrel two doses, 750 microgram per dose, taken orally 12 hours apart.

  1. combination of ethinyl estradiol and levonorgestrel:
    2 doses 100 microgram ethinyl estradiol and 500 microgram levonorgestrel taken 12 hours apart

GYN Y3 (6 decks)

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