Parker Study Guide Pg 2 Flashcards
1
Q
- What four long term contraception options were covered in class and how long did they work for?
A
- Depo provera (3 months)
- Implants (3 years)
- Mirena (5 years)
- Paragard IUD (10 years)
2
Q
- What permanent contraception options were discussed in class?
A
- Vasectomy
- Tubal ligation (works immediately)
- Adiana, essure (blockage of fallopian tube) - requires followup in three months so may not be best option for migrant patients
3
Q
- What emergency contraceptions were discussed in class?
A
- Plan B onestep - 1 pill LNG (levonorgestrel) - 3 days
- Next choice - 2 pills LNG - 3 days
- Ulipristal (Ella one) - mixed progesterone agonist/antagonist; 5 days
- Copper IUD - 5 days
4
Q
- Are emergency contraceptives teratogenic or abortifacient? Why?
A
No and No
The primary mechanism for these drugs is during the folicular phase or right at ovulation
5
Q
- Put these contraceptive methods in order of efficacy:
A. Condoms/Diaphragm/Cervical cap/Fertility Awareness
B. Coitus Interruptus / Spermicide alone
C. Implants
D. IUD
E. Permanent sterilization
F. Pills/Patch/Ring/Shot & LAM
A
- Perm. Sterilization
- IUD
- Implants
- Pills/Patch/Ring/Shot & LAM
- Condoms/Diaphragm/Cervical Cap/Fertility Awareness
- Coitus Interruptus/Spermicide alone
6
Q
- What dental concerns exist for women on combined oral contraceptives?
- Plaque response?
- Effect of estrogen on clotting factors
- Attachment loss?
- Hyperpigmentation?
- Periodontium?
- Antibiotic interaction?
A
- Oral/hormonal contraceptives may cause exaggerated response to plaque
- Possible increased risk of localized osteitis after mand. extraction due to estrogen effects on clotting factors
- Not associated with attachment loss
- May see gingival melanosis (hyperpigment)
- Negative effect on periodontium (increase in bacteroides)
- Antibiotic use may decrease efficacy of some OCP’s
7
Q
- How does Sjogren’s Syndrome present?
A
- Dry eyes / Dry mouth / Fatique / Joint pain due to salivary/lacrimal gland dysfunction
- B-cell lymphoma risk (esp. salivary glands)
- Difficulty swallowing or speaking
- May be associated with lupus, rheumatoid arthritis or scleroderma, variable serologic abnormalities
- May also result in multi-organ dysfunction
8
Q
- What are the four categories for the Medical Eligibility Criteria (MEC)?
A
Category 1 (safe) Category 2 (safe mostly) Category 3 (consider pros and cons) Category 4 (contraindicated)
9
Q
- What is an example of when you would classify an estrogen containing contracepion as a class 4 MEC?
A
When that woman has DVT (deep vein thrombosis)
10
Q
- What MEC category would you classify a progestin contraception for a lactating women?
A
Category 1 (safe)
11
Q
- What nonmedical contraception can be used as an off-label emergency contraception?
A
Copper IUD - can insert up to 5 days post unprotected sex - good for ten years
12
Q
- Which of the two types of condoms will not protect against STI’s?
A
Lambskin will not protect against STI transmission
13
Q
- What are some of the advantages and disadvantages of the female barrier methods, the diaphragm and the cervical cap?
A
- Does not contain hormones (can be used by women who smoke and/or who breastfeed)
- Some protection against STI’s
- Discrete; can be inserted ahead of time
- Low ongoing cost after initial fitting
14
Q
- Which nonmedical contraceptive is advised to be used with another form of contraception?
A
Sponges and spermicides
15
Q
- What is lactational amenorrhea?
A
Women who nurse have delayed ovulation and are considered sub futile
- This is because prolactin inhibits the pulsaitile release of GnRH
- Only effective if feeding 8-10x daily and less than six months postpartum
