Quiz 2 BC

Question 1

abx that decrease BC effectiveness

Answer 1

PCN
amox
sulfa/trimethoprim
minocycline
metronidazole
nitrofurantoin

Question 2

if 1+ pill missed in 1st week

Answer 2

take 1 asap, then use condom for 1wk`

Question 3

if 1 or 2 pills missed in 2nd or 3rd week

Answer 3

take 1 asap then continue w active pills, skip placebo and go straight to new pack when done w actives

Question 4

3+ pills missed in 2nd or 3rd week

Answer 4

same as missing 1 or 2 pills but use condom 1 wk

Question 5

BC initiation and f/u

Answer 5

pelvic exam, pap, STI, f/u 2-3 mo and check BP if on estrogen, check IUD in 1 mo (^expulsion rate),

Question 6

ST johns wort can affect

Answer 6

estrogen levels, reducing efficacy or causing breakthru bleeding

Question 7

Estrogen -progestin complications

Answer 7

stroke, clot, htn, MI, cholestatic jaundice

4 fold risk of VTE (like when pregnant), overall risk is low

Question 8

Injectable contraceptive complication

Answer 8

decreased bone mineral density if used >2yrs, recovers after d/c, consider calcium/vitamin D

Question 9

IUD complication

Answer 9

PID, treat unless serious infection
uterine perforation
^risk of ectopic pregnancy