Contraception_Sterilization

Question 1

What are the benefits of Progestin only OCP’s

Answer 1

Menstrual cycle regularity
Improves dysmenorrhea
Decrease risk of Fe deficiency anemia
Lower risk of female cancers

Question 2

What are the major SE’s to worry about with Progestin only OCP’s

Answer 2

Breakthrough bleeding for 3 months
Venous thrombosis, PE
Stroke/MI
Hepatic tumors
Cholestasis and Gallbladder disease

Question 3

Is the patch a combo contraceptive or not

Answer 3

Combo

Question 4

In what population must you use caution giving the patch

Answer 4

> 198 lbs.

Question 5

What is the major SE of using the patch

Answer 5

Greater risk of thrombosis compared to OCP’s

Question 6

What population of women typically use Progestin only OCP’s

Answer 6

Women breastfeeding

Women who can’t have E

Question 7

How many hours can you be late taking your daily Progestin only OCP and not need to use backup protection

Answer 7

3 hours

Question 8

What are the major benefits of using the vaginal ring

Answer 8

Greater compliance
Few SE’s (not going through GI)
Less breakthrough bleeding

Question 9

In what populations are combo contraceptives contraindicated

Answer 9

Women > 35 yo who smoke
Hx of thromboembolic event
Hx of CAD, CHF, migraine with aura, uncontrolled HTN
Hepatic disease/tumor

Question 10

What is the route of administration of Depo

Answer 10

Injectable

Question 11

How long does one dose of Depo last

Answer 11

14 weeks

Question 12

When is Depo given

Answer 12

Within first 5 days of menses

Question 13

Efficacy of Depo is equivalent to that of _____ and is not altered by weight.

Answer 13

Sterilization

Question 14

What are the major indications for Depo

Answer 14

Breastfeeding
Can’t have E
Seizure disorders
Sickle cell anemia

Question 15

What is the route of administration of Nexplanon and how long is it good for

Answer 15

Implant

3 years

Question 16

What is the major SE of Nexplanon

Answer 16

Irregularly irregular vaginal bleeding

Question 17

How does Nexplanon affect the bones

Answer 17

No bone loss issues

Question 18

What are the risks of using an IUD

Answer 18

Infection w/in 20 days of insertion
Ectopic pregnancy
Uterine perforation
Malposition

Question 19

What are the types of Levonorgestrel IUDs and how long are they good for

Answer 19

Mirena/Kyleena = 5 years
Liletta = 3 years
Skyla = 3 years (nulliparous)

Question 20

What is the name of the Copper T IUD and how long is it good for

Answer 20

Paragard

10 years

Question 21

What are the benefits of using an IUD

Answer 21

Decreased menses
Less dysmenorrhea
Convenient
Protection of endometrial lining

Question 22

What are the contraindications to using emergency contraceptives

Answer 22

There are none

Question 23

What hormone is in Plan B

Answer 23

Progestin only

Question 24

In what time frame must Plan B be taken

Answer 24

120 hours, but failure rate goes to 1.1% after 72 hours

Question 25

In what time frame must Ella (Emergency) be taken

Answer 25

Within 5 days

Question 26

How long does it take for complete azoospermia to be obtained after a vasectomy

Answer 26

~ 10 weeks

Question 27

What is the most common approach for performing female sterilization

Answer 27

Mini-Laparotomy

Question 28

Which form of female sterilization has a decreased risk of ovarian cancer risk

Answer 28

Salpingectomy

Question 29

What are contraindications for a Hysteroscopy

Answer 29

Nickel/Contrast allergy
Active pelvic infection
Suspected pregnancy

Question 30

In what pt population is a Hysteroscopy beneficial

Answer 30

Obese pts