Quiz 3

Question 1

How much estrogen typically in COCs

Answer 1

10-35mcg

Question 2

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

Answer 2

hyperkalemia

Question 3

Estrogen in COCs lowers what hormone

Answer 3

FSH

Question 4

Contraindications for COCs

Answer 4

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

Question 5

Estrogen in COCs is safe to use under what dose

Answer 5

50mcg

Question 6

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

Answer 6

Progestin

Question 7

Progestin alone OC can cause….

Answer 7

irregular bleeding

Question 8

Give depo-provers every…

Answer 8

13 weeks

Question 9

Biggest side effect of depo-provers….

Answer 9

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

Question 10

4 things progestin does for contraception

Answer 10

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

Question 11

Correct contraceptive for women with CV disease

Answer 11

progestin-only

Question 12

Side effects of which hormone?

nausea, bloating, HTN, breast tenderness, edema

Answer 12

Estrogen

Question 13

Use what with a diaphragm

Answer 13

spermicide

Question 14

What side effect is common with use of the diaphragm?

Answer 14

UTIs

Question 15

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

Answer 15

6

Question 16

Highest risk of tubal ligation

Answer 16

ectopic pregnancy

Question 17

Treatment for cyclic mastalgia

Answer 17

Reassurance and hormone contraception, or tamoxifen

Question 18

Most common types of breast masses

Answer 18

fibroadenomas and cysts

Question 19

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

Answer 19

fibroadenoma

Question 20

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

Answer 20

Cysts

Question 21

Anti-mullerian hormone detects…

Answer 21

ovarian reserve

Question 22

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

Answer 22

clomiphene citrate (Clomid)

Question 23

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

Answer 23

estrogen/progesterone low

FSH/LH high

Question 24

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

Answer 24

40

Question 25

HT for women without a uterus...

Answer 25

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

Question 26

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

Answer 26

2-6

Question 27

Painful cramps that occur with menstruation

Answer 27

dysmenorrhea

Question 28

First line treatment for primary dysmenorrhea

Answer 28

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

Question 29

Etiology for primary dysmenorrhea

Answer 29

prostaglandins causing cramping of muscle, hypoxia, and uterine ischemia

Question 30

Two medications used for PMS

Answer 30

SSRIs for emotional symptoms, COCs for physical symptoms

Question 31

3 characteristics of PCOS

Answer 31

Hyperandrogenism Oligo-ovulation/anovulation Polycystic ovaries on US

Question 32

Women with PCOS have elevated

Answer 32

LH levels

Question 33

3 antibiotics used for treatment of mastitis

Answer 33

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

Question 34

Highest risk types of HPV

Answer 34

16 and 18

Question 35

Start screening for HPV at

Answer 35

21