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cp Flashcards

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1
Q

estrogen produces ____ feedback

A

positive

^ estrogene = ^ GNRH = ^ FSH, LH

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2
Q

progesterone produces ____ feedback

A

negative

^ progesterone = v GNRH = v FSH, LH

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3
Q

hormone responsible for secondary female characteristics

A

estrogen

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4
Q

corpus luteum means

A

“yellow body”

it is a follicle with no egg cell

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5
Q

hormone resposible for maintaining pregnancy

A

progesterone

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6
Q

TRUE OR FALSE

the median menstrual cycle length is 28 days, but it can range from 21 to 40 days

A

true

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7
Q

they direct events in the ovarian follicles that result in the production of a fertile ovum

A

FSH, LH

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8
Q

birth control pills effective rate

A

99%

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9
Q

when should you use condoms when taking birth control pills?

A
  • in the first month
  • when taking antibiotics
  • if you miss a pill or take 1 late (1 week)
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10
Q

every when is birth control injections given?

A

every 3 months

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11
Q

birth control injections rate of effectiveness

A

99.7%

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12
Q

side effects of “shots”

A

blood spotting for 3-6 mos

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13
Q

implants effective rate?

A

99.95%

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14
Q

norplant 1, how many capsules and how long?

A
  • 6 caps
  • 5 yrs
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15
Q

norplant 1, how many capsules and how long?

A
  • 2 caps
  • 3 yrs
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16
Q

must be taken within 72 hours of the act of unprotected intercourse or failure of contraception method

A

emergency contraception

ECP

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17
Q

TRUE OR FALSE

you must receive ECP from a physician

A

true

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18
Q

ECP effective rate

A

75-84%

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19
Q

2 examples of emergency contraception

A
  • plan B
  • next choice

both has 2 tablets with 0.75mg levonorgestrel

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20
Q

when should you take ECP?

A
  • first dose within 72 hrs
  • second dose is 12 hrs after
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21
Q

levonorgestrel content of Plan B-One Step

A

1.5 mg levonorgestrel

old formula is phased out

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22
Q

two estrogen OCP drug in the US

A
  • ethinyl estradiol
  • mestranol
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23
Q

must be converted by the liver to ethinyl estradiol before it is pharmacologically active and is 50% less potent than ethinyl estradiol

24
Q

most combined OCs, transdermal patch, and vaginal ring contain estrogen at doses of ____ of ethinyl estradiol

25
* nausea * breast tenderness * headache * cyclic weight gain * **dysmennorhea** * **menorrhagia** * **uterine fibroid growth**
estrogen **excess**
26
* **vasomotor symptoms** * nervousness * **decreased libido** * **early cycle (days 1-9) ** * bleeding, spotting * **no am**early cycle (days 1-9) **enorrhea**
estrogen **deficiency**
26
* increased appetite * weight gain * bloating * constipation * acne, oily skin * **hirsutism**
progestin **excess**
27
* **dysmenorrhea** * **menorrhagia** * late cycle (days 10-21) * bleeding, spotting
progestin **deficiency**
28
considerations with CHC use | combined hormonal contraceptive
* older than 35 yrs * smoking 15 or more cig * hypertension * dyslipidemia * diabetes * migraine * breast cancer * thromboembolism * systemic lupus erythematosus * sickle cell disease
29
CHCs can cause ____ in blood pressure, regardless of estrogen dosage
small increase | **6-8 mmHg**
30
# TRUE OR FALSE progestin: * dec HDL * inc LDL
true
31
any effect of CHCs on carbohydrate and lipid metabolism is thought to be due to the ____ component
progestin | except for some levonorgestrel-containing products
32
this increases hepatic production of factor VII, factor X, and fibrinogen in the coagulation cascade, therefore increasing the risk of thromboembolic events
estrogen
33
# TRUE OR FALSE there is a low risk for pregnancy in women with SLE
false | **high risk**
34
# TRUE OR FALSE **progestin-only** can be given to women with SLE
true
35
what should be considered in women with sickle cell disease?
DMPA contraceptives | Depo-Medroxyprogesterone Acetate (DMPA)
36
they have **higher failure** rates than hormonal methods due to design and human error
barrier methods
37
spermicides effective rate
76% | when used alone, should be used w other methods
38
what do spermicides usually contain?
nonoxynol-9
39
these are chemical surfactants that **destroy sperm cell walls **and act as barriers that prevent sperm from entering the cervical os
spermicides
40
# TRUE OR FALSE spermicides offer **protection** against STDs
false | **no protection**
41
male condom effective rate
* when alone - **88%** * w spermicides - **99%**
42
material of female condom
polyurethane
43
female condom effective rate
79%
44
vaginal ring effective rate
95-99% | inserted every **MONTH**
45
does not require a "fitting" by a health care provider, does not require spermicide, can make periods more regular and less painful, no pill to take daily, ability to become pregnant returns quickly when use is stopped
vaginal ring
46
is a flexible plastic (ethylene-vinyl acetate copolymer) ring that releases a low dose of a progestin and an estrogen over 3 weeks
Nuva Ring | vaginal ring
47
latex barrier placed inside vagina during intercourse, fitted by physician
diaphragm
48
diaphragm effective rate
80%
49
uses **spermicidal jelly** before insertion and inserted up to **18 hours before intercourse** and can be left in for a **total of 24 hours**
diaphragm
50
latex barrier inserted in vagina before intercourse
cervical caps
51
caps **around the cervix **and can be left in body for up to a **total of 48 hours**
cervical cap
52
must be left in place six hours after sexual intercourse
cervical cap
53
cervical cap effective rate
* typical - **80%** * perfect - **91%**
54
a flexible rubber cup-like device that is **filled with spermicide** and self-inserted over the cervix prior to intercourse
cervical cap
55
nserted by the woman into the vagina and covers the cervix blocking sperm from entering the cervix
sponge

huy (8 decks)

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