Practice Questions Flashcards
Which of the following is a contraindication to estrogen / progestin-containing methods (combined oral
contraception [COC], patch [Ortho Evra], or ring
[NuvaRing])?
A. mother with a history of breast cancer
B. personal history of hepatitis A at age 10 years
C. presence of factor V Leiden mutation
D. cigarette smoking one pack per day in a 22-year-old
C. presence of factor V Leiden mutation
A 22-year-old woman taking a 35-mcg ethinyl estradiol COC calls after forgetting to take her pills for 2 consecutive days. She is 2 weeks into the pack. You advise her to:
A. take the last pill missed immediately, even if this means taking 2 pills today.
B. discard two pills and take two pills today.
C. discard the rest of the pack and start a new pack with the first day of her next menses.
D. continue taking one pill daily for the rest of
the cycle.
A. take the last pill missed immediately, even if this means taking 2 pills today.
When counseling a woman about COC use, you advise that:
A. long-term use of COC is discouraged because the body needs a “rest” from birth control pills from time to time.
B. fertility is often delayed for many months after
discontinuation of COC.
C. there is an increase in the rate of breast cancer after protracted use of COC.
D. premenstrual syndrome symptoms are often improved with use of COC.
D. premenstrual syndrome symptoms are often improved with use of COC.
Noncontraceptive benefits of COC use include a decrease in all of the following except: A. iron-deficiency anemia. B. pelvic inflammatory disease (PID). C. cervicitis. D. ovarian cancer.
C. cervicitis.
Which of the following women is the best candidate for progestin-only pill (POP) use?
A. an 18-year-old woman who frequently forgets to take prescribed medications
B. a 28-year-old woman with multiple sexual
partners
C. a 32-year-old woman with adequately-controlled hypertension
D. a 26-year-old woman who wants to use the pill
to help “regulate” her menstrual cycle
C. a 32-year-old woman with adequately-controlled hypertension
The most common reasons for discontinuing oral contraception use is breakthrough bleeding and: A. nausea/vomiting. B. inconvenience of use. C. cost. D. high failure rate.
B. inconvenience of use.
A 38-year-old nulliparous woman who smokes two and a half packs a day is in an “on-and-off” relationship. The woman presents seeking contraception. Which of the following represents the most appropriate method? A. contraceptive ring (NuvaRing) B. COC C. contraceptive patch (Ortho Evra) D. vaginal diaphragm
D. vaginal diaphragm
Due to an increased risk of blood clots, an alternative to the contraceptive ring (NuvaRing) or patch
(Ortho Evra) is preferred in all of the following women except:
A. a 42-year-old nulliparous woman.
B. 31-year-old woman with history of naturally
occurring multiple gestation pregnancy
C. 28-year-old who smokes one pack per day.
D. 33-year-old woman with a family history of venous thrombosis.
B. 31-year-old woman with history of naturally
occurring multiple gestation pregnancy
Which of the following statements is true concerning vaginal diaphragm use?
A. When in place, the woman is aware that the diaphragm fits snugly against the vaginal walls.
B. This is a suitable form of contraception for women with recurrent urinary tract infection.
C. After insertion, the cervix should be smoothly covered.
D. The device should be removed within 2 hours of coitus to minimize the risk of infection.
C. After insertion, the cervix should be smoothly covered.
According to the U.S. Medical Eligibility Criteria for Contraception Use, which of the following is a clinical condition in which use of a copper-containing IUD should be approached with caution? A. uncomplicated valvular heart disease B. AIDS-defining illness C. hypertension D. dysmenorrhea
B. AIDS-defining illness
Which of the following is the most appropriate response to a 27-year-old woman who is taking phenytoin (Dilantin) for the treatment of a seizure disorder and is requesting hormonal contraception?
A. “A barrier method would be the preferable choice.”
B. “COC is the best option.”
C. “Depo-Provera (medroxyprogesterone acetate in a depot injection [DMPA]) use will likely not
interact with your seizure medication.”
D. “Copper-containing IUD use is contraindicated.”
C. “Depo-Provera (medroxyprogesterone acetate in a depot injection [DMPA]) use will likely not
interact with your seizure medication.”
Which of the following is commonly found after 1 year of using DMPA (Depo-Provera)?
A. weight gain
B. hypermenorrhea
C. acne
D. rapid return of fertility when discontinued
A. weight gain
Yes or no? According to the U.S. Medical Eligibility Criteria for Contraception
Use, who is a category 1 or 2 COC candidate?
A 22-year-old woman who smokes one pack per day.
Yes
Yes or no? According to the U.S. Medical Eligibility Criteria for Contraception
Use, who is a category 1 or 2 COC candidate? A 29-year-old woman with PID.
Yes
Yes or no? According to the U.S. Medical Eligibility Criteria for Contraception
Use, who is a category 1 or 2 COC candidate? A 45-year-old woman with tension-type headache.
Yes
Yes or no? According to the U.S. Medical Eligibility Criteria for Contraception
Use, who is a category 1 or 2 COC candidate? A 32-year-old woman breastfeeding a 6-month-old infant.
Yes
Yes or no? According to the U.S. Medical Eligibility Criteria for Contraception
Use, who is a category 1 or 2 COC candidate? A 28-year-old woman with type 1 diabetes mellitus.
Yes, in the absence of advanced vascular disease.
Yes or no? According to the U.S. Medical Eligibility Criteria for Contraceptive Use, is this person a candidate for a copper-containing IUD? A 45-year-old woman with fibroids with uterine cavity distortion.
No
Yes or no? According to the U.S. Medical Eligibility Criteria for Contraceptive Use, is this person a candidate for a copper-containing IUD? A 33-year-old woman who smokes 2 packs per day.
Yes
Yes or no? According to the U.S. Medical Eligibility Criteria for Contraceptive Use, is this person a candidate for a copper-containing IUD? A 25-year-old woman with hypertension.
Yes
Yes or no? According to the U.S. Medical Eligibility Criteria for Contraceptive Use, is this person a candidate for a copper-containing IUD? A 33-year-old woman with low-grade squamous intraepithelial lesions noted on PAP test?
Yes
As you prescribe COC containing the progestin drospirenone (Loryna, Ocella, Vestura, Yasmin, Yaz),
you offer the following advice:
A. “Always take this pill on a full stomach.”
B. “You should not take acetaminophen when using this birth control pill.”
C. “Avoid using potassium-containing salt substitutes.”
D. “You will likely notice that premenstrual syndrome symptoms might become worse.”
C. “Avoid using potassium-containing salt substitutes.”
A 26-year-old mother who breastfeeds her 10-monthold child queries about contraceptives. In counseling her on the use of the progestin-only pill (POP), you mention all of the following except:
A. the pill is taken every day.
B. POP is a more effective contraceptive than COC.
C. POP does not alter the quality or quantity of breastmilk.
D. POP is associated with bleeding irregularity, ranging from prolonged flow to amenorrhea.
B. POP is a more effective contraceptive than COC.
By using a diaphragm with spermicide nonoxynol-9 during sexual intercourse, a woman is likely at
increased risk for:
A. cervical stenosis.
B. urinary tract infection.
C. increased perivaginal lactobacilli colonization.
D. ovarian malignancy.
B. urinary tract infection.