Dunn OB/GYN IX

Question 1

ibuprofen

Answer 1

decreases bleeding

Question 2

in CO

Answer 2

can treat any age for contraception or STI treatment

Question 3

54% of women having abortions

Answer 3

report using contraception in month they became pregnant

Question 4

unintended pregnancy

Answer 4

10% women per year

age 18-24yo

Question 5

LARC

Answer 5

long acting reversible contraception

Question 6

etonogestrel implant

Answer 6

rod of ethylene vinyl acetate copolypmer

68mg of etonogestrel
-progesterone only**

effective 3 years

implanon

Question 7

bleeding pattern with implant

Answer 7

total number of bleeding/spotting days decreased

irregular and unpredictable bleeding**

Question 8

to stop unscheduled bleeding

Answer 8

NSAIDS

Question 9

adverse of implantable

Answer 9

acne

weight gain

Question 10

implantable in obese

Answer 10

no contraindication

Question 11

implanon and bone

Answer 11

does not change bone density

Question 12

most common reason to discontinue implantable

Answer 12

bleeding irregularity

Question 13

migraines

Answer 13

discontinue implantable

Question 14

contraindications for implantable

Answer 14

SLE - anti-phospholipid Abs

hepatocellular adenoma

migraines with aura

Question 15

intrauterine contraception

Answer 15

copper IUD - paragard

levonorgestrel - mirena

Question 16

paragard

Answer 16

copper IUD
-no hormones

get heavy periods

10 year use

Question 17

mirena

Answer 17

levonorgestrel
-local progesterone**

5 year use

light irregular periods

Question 18

hormonal contraception

Answer 18

take a while to get fertile again

Question 19

IUD

Answer 19

fertile again right a way

Question 20

copper IUD

Answer 20

mass effect
-alters uterine and tubal fluid

inhibits fertilization

not abortifacient**

Question 21

progestin IUD

Answer 21

impairs spermatozoa motility and function

not an abortifacient

thick cervical mucus

atrophy of endometrium

Question 22

underdeveloped country contraception

Answer 22

IUD

Question 23

efficacy of IUD

Answer 23

> 99%

Question 24

risks for IUD

Answer 24

younger - difficulty to get in

higher expulsions in adolescents

Question 25

copper IUD problem

Answer 25

increased menstrual flow increased cramping give NSAID

Question 26

dakon shield

Answer 26

old IUD - terrible gave IUDs a bad rap

Question 27

infertility and IUD

Answer 27

does not cause it

Question 28

contraindication of IUD

Answer 28

current PID or within past 3 months risk for gonorrhea/chlamydia - screen before put IUD in

Question 29

depo provera

Answer 29

progesterone shot every 3 months thick cervical mucus depot medroxyprogesterone acetate initiate anytime in cycle - rule out pregnancy recommend condoms for 7 days

Question 30

side effects DMPA

Answer 30

bleeding irregularity delayed return to fertility weight gain decrease bone density

Question 31

most common cause discontinue DMPA

Answer 31

bleeding irregularity

Question 32

bleeding and spotting

Answer 32

decrease with each reinjection of DMPA

Question 33

weight gain and DMPA

Answer 33

yes there is early weight gain may predict excessive gain

Question 34

bone mineral density and DMPA

Answer 34

after stopping - recovers

Question 35

DMPA contraindications

Answer 35

severe HTN | diabetics

Question 36

nuvaring

Answer 36

E and P

Question 37

combined hormone contraceptives

Answer 37

safe for most women 92% effective - typical use - because forget it

Question 38

contraceptive patch

Answer 38

change 1x week E and P venous thombolic event is weight dependent**

Question 39

vaginal ring

Answer 39

continuous - leave in all time - lighter periods lowest ethinyl estradiol dose take out for 3 hours - other method necessary

Question 40

weight gain

Answer 40

only depot provera

Question 41

21-7 dosing for OCPs

Answer 41

catholic creator wanted to mimic normal cycle - not against god that way.. they are so dumb.

Question 42

breakthrough bleeding

Answer 42

common reason for discontinuation of OCPs higher rates - smoke and cervical infections if severe - give estrogen

Question 43

acne

Answer 43

all pills reduce acne no consistent results on which progesterone

Question 44

risk of venous thromboembolism

Answer 44

pregnancy** - highest risk high dose OC low dose OC

Question 45

who cannot go on pill

Answer 45

``` history of VTE thrombogenic mutations migraines with aura HTN - poorly controlled lupus with antiphospholipid Abs ```

Question 46

condom

Answer 46

good for prevention STIs NOT for pregnancy contraception 15% failure

Question 47

emergency contraception

Answer 47

plan B - 72 hours if missed some OCPs