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NP 618- Women's Health > Quiz 3 > Flashcards

Quiz 3 Flashcards

1
Q

How much estrogen typically in COCs

A

10-35mcg

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2
Q

What to monitor with drospirenone (non-testosterone-derived progestin) in COCs

A

hyperkalemia

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3
Q

Estrogen in COCs lowers what hormone

A

FSH

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4
Q

Contraindications for COCs

A

breast CA, VTE, factor V Leiden, smoking, HTN, migraines, seizure

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5
Q

Estrogen in COCs is safe to use under what dose

A

50mcg

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6
Q

These are side effects of what hormone?
Increased appetite, weight gain, mood changes, depression, fatigue, complexion changes, carb metabolism changes, increased LDL, decreased HDL, decreased libido, pruritis

A

Progestin

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7
Q

Progestin alone OC can cause….

A

irregular bleeding

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8
Q

Give depo-provers every…

A

13 weeks

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9
Q

Biggest side effect of depo-provers….

A

decreased bone density- don’t use more than 2 years

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10
Q

4 things progestin does for contraception

A
  1. prevents LH surge, inhibiting ovulation
  2. thickens cervical mucus
  3. changes motility of Fallopian tubes
  4. causes endometrial atrophy (thins it)
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11
Q

Correct contraceptive for women with CV disease

A

progestin-only

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12
Q

Side effects of which hormone?

nausea, bloating, HTN, breast tenderness, edema

A

Estrogen

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13
Q

Use what with a diaphragm

A

spermicide

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14
Q

What side effect is common with use of the diaphragm?

A

UTIs

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15
Q

Must leave diaphragm in place for ___ hours after intercourse to be effective

A

6

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16
Q

Highest risk of tubal ligation

A

ectopic pregnancy

17
Q

Treatment for cyclic mastalgia

A

Reassurance and hormone contraception, or tamoxifen

18
Q

Most common types of breast masses

A

fibroadenomas and cysts

19
Q

Type of breast mass- dense epithelial tissue, usually contender, encapsulated, round, movable, and firm

A

fibroadenoma

20
Q

Type of breast mass- fluid-filled mass, tender, mobile, fluctuates in size with menstruation

A

Cysts

21
Q

Anti-mullerian hormone detects…

A

ovarian reserve

22
Q

Binds to estrogen receptors in hypothalamus, preventing them from detecting circulating estrogen, and increased secretion of GNRH, stimulating pituitary to secrete FSH and LH, stimulating ovaries to produce a mature follicle

A

clomiphene citrate (Clomid)

23
Q

During menopause, what hormones are low, what hormones are high

A

estrogen/progesterone low

FSH/LH high

24
Q

What number is FSH to diagnose menopause (not common anymore to test this)

A

40

25
Q

HT for women without a uterus…

A

Estrogen only (don’t need to balance risk of endometrial hyperplasia with progesterone)

26
Q

After starting systemic HT for VMS, symptoms start to subside in ____ weeks

A

2-6

27
Q

Painful cramps that occur with menstruation

A

dysmenorrhea

28
Q

First line treatment for primary dysmenorrhea

A

NSAIDs (2-3 days before period, continue through pain duration)

29
Q

Etiology for primary dysmenorrhea

A

prostaglandins causing cramping of muscle, hypoxia, and uterine ischemia

30
Q

Two medications used for PMS

A

SSRIs for emotional symptoms, COCs for physical symptoms

31
Q

3 characteristics of PCOS

A

Hyperandrogenism
Oligo-ovulation/anovulation
Polycystic ovaries on US

32
Q

Women with PCOS have elevated

A

LH levels

33
Q

3 antibiotics used for treatment of mastitis

A

dicloxicillan 500 QID x 10-14
cephalexin 500 QID x 10-14
clindamycin 450 TID x 10

34
Q

Highest risk types of HPV

A

16 and 18

35
Q

Start screening for HPV at

A

21

NP 618- Women's Health (1 decks)

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