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Therapeutics Exam 3 > Peventative Health(hormones) > Flashcards

Peventative Health(hormones) Flashcards

1
Q

What is the recommended type of HPV brand

A

Gardasil 9

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2
Q

Whaat age range is HPV vaccine mandated for

A

9 to 26 years

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3
Q

What age range can do shared decision for HPV vaccine

A

27 and upward

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4
Q

What age range is given 2 doses of HPV vaccines

A

0 to 14 years

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5
Q

What age range is given 3 doses of HPV vaccine

A

15 and older

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6
Q

What are the side effects of HPV vaccine

A

Postural orthostatic tachycardia. Redness/erythema. Complex Regional pain syndrome. Pyrexia. Local pain

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7
Q

Explain the ways estrogen works as a contraceptive

A

Suppresses FSH production to prevent follicles from maturing. Increases sex hormone binding globulin and this increases anti androgenic effects

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8
Q

How does progestin work as a contraceptive

A

Prevents LH surge. Thickens mucus to block sperm transport/access. Changed uterine motility to prevent spend or eggs transport. Causes endometrium atrophy to stop implantation

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9
Q

What are the effects of too low estrogen

A

No withdrawal bleeding. Spotting. Vaginal dryness. Light menses

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10
Q

When do we not give an estrogen containing product to a patient

A

When they have migraines with aura

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11
Q

Counter indications for progestin only method of contraceptives

A

Breast cancer

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12
Q

What treatment is recommended for transgender men for contraceptives

A

Progestin only product cos it doesn’t interfere with testosterone

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13
Q

What is the best Emergency contraception for people across all weight class and BMI

A

Copper IUD

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14
Q

What is the problem with copper IUD

A

An in office procedure so not convenient

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15
Q

What is the problem with ullipristal acetate or Ella use and it’s advantage

A

Good for people above 100 pounds. Might interact with other hormonal contraception and is only gotten through RX

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16
Q

Why is ullipristal acetate or Ella better than levonorgestrel plan B

A

It maintains its efficacy throughout the 5 days post sex no matter how long you go

17
Q

What makes levorgestrel good

A

It doesn’t interact with other contraceptive methods. It can be gotten over the counter

18
Q

What makes levorgestrel bad

A

It is less effective in people that weigh more than 165 pounds or BMI of 25. Though it’s efficacy is for 5 days, it is not 100 percent the farther you go in the days. It is best effective for use within 72 hours

19
Q

When can medication can be used to terminate pregnancy

A

Up to 70 days or 10 weeks calculated from first day of menstrual period

20
Q

What are the counter indications for abortion medications

A

Patients with IUD. Allergies. Patient on long term use of corticosteroid. Patient on anticoagulants. Ectopic pregnancy

21
Q

What are the two medications and their drug class for abortion

A

Mifepristone: progesterone antagonist. Misoprostol: prostaglandins analogue

22
Q

In the us eligibility chart for prescribing contraceptives..what color can we not prescribe

A

If it falls in pink or red

23
Q

What is the Benchmark bp reading at which we cannot prescribe an estrogen product to a patient

A

If it is more than 140/90 you refer

24
Q

Do you refer for estrogen containing products if patient has migraine with aura

A

Yes we refer because they are in stage 3 or 4 on the eligibility chart

25
Q

Explain the tiered effectiveness method for contraceptive counseling

A

You rank from the most effective method for preventing pregnancy to the least effective method

26
Q

Explain the one key question approach

A

Ask would you like to become pregnant next year

27
Q

Listen the questions for PATH approach

A

Do you think you might have more children at some point? When do you think that may be. How important is it to prevent pregnancy until then

28
Q

What progesterone is the best for use in coc

A

Ethynodiol diacetate

29
Q

What does nexplanon implant contain

A

Only progestin

30
Q

Explain the back up method for nexplanon implant

A

If inserted after 5 days from the start of period, use backup method for 7 days

Therapeutics Exam 3 (13 decks)

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