OC/SERMS

Question 1

Selective Estrogen Receptor Modulators (SERMS) help with what?

Answer 1

used to help osteoporosis and vaginal dryness, LDLs

Question 2

Tamoxifen, toremifene, raloxifene

Answer 2

Selective Estrogen Receptor Modulators (SERMS)

Question 3

How does Tamoxifen (an SERM) help in breast cancer treatment

Answer 3

it inhibits cell growth in the breast

Question 4

women who are at risk for a STD should not use which method of contraception?

Answer 4

IUD

Question 5

Absolute contraindications for oral contraceptives

Answer 5

Thrombophlebitis, 
cerebral vascular disease, 
abnormal liver function
breast cancer
undiagnosed vaginal bleeding
pregnancy
smoker over 35
HTN

Question 6

Estrogen function in OC

Answer 6

inhibits release of FSH

Question 7

Progesterone function in OC

Answer 7

inhibits release of LH surge

Question 8

when should OC be stopped before surgery

Answer 8

4 weeks

Question 9

what do OC protect against and what do they have no effect on?

Answer 9

protect against ovarian and endometrial

no effect on cervical

Question 10

If HTN occurs while on OC what do you do?

Answer 10

DC OC and take care of HTN or just DC OC

Question 11

mestranol in OC can cause what complication

Answer 11

hepatic adenoma

Question 12

Too much estrogen can cause?

Answer 12

nausea, breast tenderness, and edema

Question 13

Too much Progestin can cause?

Answer 13

increase in appetite, fatigue, depression

Question 14

which meds decrease OC effects

Answer 14

st jons wart, seizure meds, TB meds, ritonavir (HIV meds)

Question 15

OC effect on warfarin

Answer 15

it decreases effect of warfarin

Question 16

positives about progestrin only pills and negative

Answer 16

no blood clot worries, headaches, nausea that you would get with estrogen, slow movement of ovume through fallopian tubes they cause more breakthrough bleeding, and increased risk for etopic pregnancy and ovarian cysts

Question 17

Lo loestrin Fe, Aviane, Gildess are examples of which kinds of OC?

Answer 17

monophasic

Question 18

Necon 10/11, Azurette, Pimtrea are examples of which kinds of OC

Answer 18

biphasic

Question 19

Caziant, Cyclessa, are examples of which kinds of OC

Answer 19

triphasic

Question 20

what is unique about extended-cycle and continuous schedules? Why don’t you need to have a monthly bleed with this OC? Who are these good for?

Answer 20

they suppress endometrial thickening, good for women who have migraines associated with their period

Question 21

Amethia, Camrese and Lybrel are examples of which kind of OC

Answer 21

extendend-cycle

Question 22

what is levonorgestrel and what is it found in?

Answer 22

progestrone and it is the main ingredient in Plan B

Question 23

Biphasic OC, how is estrogen effected, how is progestin effected?

Answer 23

two pill strengths, amount of estrogen remains the same, progestrone lower in first 10 days

Question 24

why were triphasic and quadriphasic formulations of OC invented?

Answer 24

to decrease total monthly dose of progestin and reduce adverse effects

Question 25

Camila, Errin, Heather are which type of OC?

Answer 25

progestrin-only

Question 26

Selective Estrogen Receptor Modulators (SERMS) function

Answer 26

drugs that activate estrogen receptors in some tissues and block them in others

Question 27

activation of estrogen receptors fromSelective Estrogen Receptor Modulators (SERMS) can cause good effects and bad effects, bad effects?

Answer 27

increase risk for endometrial cancer, thromboembolism