Contraception

Question 1

contraceptive methods

Answer 1

barrier
spermicides
OCPs
patch
nuvaring
minipill
IUD
emergency
depo-provera
nexplanon
sterilization

Question 2

t/f: barrier methods offer STI protection

Answer 2

t

Question 3

2 cons of diaphragm

Answer 3

-must remain in place 6-24 hr after intercourse
-requires pelvic exam/fitting

Question 4

what is nonoxynol-9

Answer 4

spermicide

Question 5

major con of spermicides

Answer 5

frequent use can increase risk for STI’s

Question 6

moa for OCP’s

Answer 6

prevent ovulation by inhibiting mid-cycle LH surge -> thickens cervical mucus -> thins endometrium

Question 7

4 pros of OCPs

Answer 7

-improve dysmenorrhea
-normalize menstrual cycle
-protect against cysts and ovarian/endometrial ca
-improve acne

Question 8

t/f: OCPs increase risk of breast ca, cervical ca, and liver ca

Answer 8

f!

according to Smarty PANCE there is no convincing evidence that they do this

Question 9

3 potential complications of OCPs

Answer 9

thromboembolic events
HTN
hepatic adenoma

Question 10

3 s.e of OCPs

Answer 10

-breakthrough bleeding
-nausea
-breast tenderness

usually resolve w.in 3 cycles

Question 11

contraindication for combined OCPs

Answer 11

> 35 yo PLUS smoker

Question 12

t/f: combined OCPs are ok for pt’s < 35 yo who smoke

Answer 12

t!

Question 13

t/f: failure rate of transdermal patches are comparable to OCPs

Answer 13

t!

Question 14

patches may be slightly less effective for what pt pop

Answer 14

> 198 lb

Question 15

benefit of patches over OCP

Answer 15

less risk for thromboembolic events

Question 16

how often is the patch changed

Answer 16

weekly

Question 17

how is the nuvaring used

Answer 17

1 ring intravaginally for 3 weeks each month

Question 18

t/f: mini pill has failure rates similar to OCP

Answer 18

t!

Question 19

3 pros of the mini pill

Answer 19

-safe in lactation
-no estrogenic s.e
-decreased ovarian/endometrial ca risk

Question 20

what are 3 estrogenic s.e

Answer 20

HA
neausea
HTN

Question 21

s.e of the minipill

Answer 21

-menstrual irregularities

Question 22

non hormonal IUD

Answer 22

paragard (copper)

Question 23

how often is the paragard replaced

Answer 23

q 10 years

Question 24

paragard is a good choice for what pt pop

Answer 24

women w. contraindication to hormones who want kids later in life

Question 25

what is the progestin only IUD

Answer 25

mirena

Question 26

how often is mirena replaced

Answer 26

q 3-5 years

Question 27

3 types of emergency contraception

Answer 27

levonorgestrel (Plan B, One Step) Ella (ulipristal) paragard

Question 28

levonorgestrel must be prescribed w.in _ days of unprotected sex ella must be prescribed w.in _ days of unprotected sex

Answer 28

levonorgestrel: 3 days ella: 5 days

Question 29

emergency contraception has up to _% failure rate

Answer 29

25

Question 30

copper IUD can be considered for emergency contractption w.in _ days of unprotected sex

Answer 30

5

Question 31

most effective emergency contraception

Answer 31

paragard

Question 32

what drugs may decrease efficacy of levonorgestrel or ella

Answer 32

CYP3A4 inhibitors: carbamazepine topiramate st. john's wort

Question 33

when should women resume OCP after taking levonorgestrel

Answer 33

asap

Question 34

when should women resume OCP after taking ella

Answer 34

wait 5 days they may decrease efficacy of one another

Question 35

back up contraception should be used for _ days after taking levonorgestrel and for _ days after taking ella

Answer 35

levonorgestrel: 7 ella: 14 *or until next period*

Question 36

what type of contraception is a long acting progesterone injection

Answer 36

depo-provera

Question 37

how long does depo last

Answer 37

3 months

Question 38

what type of contraception is a progesterone only implant in the upper arm

Answer 38

nexplanon

Question 39

how long does nexplanon work

Answer 39

3 years

Question 40

which has a higher failure rate: tubal ligation or vasectomy

Answer 40

tubal ligation

Question 41

what are the progestin only forms of contraception (4)

Answer 41

mini pill mirena IUD depo-provera nexplanon