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Board Review > Contraception & infertility > Flashcards

Contraception & infertility Flashcards

1
Q

what agent would you use: BREASTFEEDING

A

progestin

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2
Q

what agent would you use: migraine with aura

A

progestin

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3
Q

what agent would you use: estrogen contraindication

A

progestin

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4
Q

what agent would you use: estrogenic side effects

A

low estrogen formulation

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5
Q

what agents have elevated clotting risk

A

drospirenone containing pills (yaz beyaz ocella syeda zarah safyral gianvi) ortho evra patch

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6
Q

what agent would you use: elevated clotting risk

A

low estrogen formulation or progestin

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7
Q

what agent would you use: avoiding monthly cycle

A

seasonique or seasonale or lybrel

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8
Q

what agent would you use: premenstrual dysphoric disorder (PMDD)

A

yaz seasonique

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9
Q

what non contraceptive agents are used to treat: premenstrual dysphoric disorder (PMDD)

A

sertraline fluoxetine

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10
Q

sarafem

A

fluoxetine for pmdd

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11
Q

what agent would you use: heavy menstrual bleeding

A

natazia mirena

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12
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Apri

A

monophasic

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13
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Kariva

A

monophasic low estrogen

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14
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Ortho Cyclen

A

monophasic

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15
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Yasmin 28

A

monophasic

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16
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Ocella

A

monophasic

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17
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Zarah

A

monophasic

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18
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Syeda

A

monophasic

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19
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Cyclessa

A

multiphasic

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20
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Estrostep

A

multiphasic

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21
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Neocin 10/11

A

multiphasic

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22
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Ortho Tri Cyclen

A

multiphasic

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23
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Tri-Sprintec

A

multiphasic

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24
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): TriNessa

A

multiphasic

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25
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Trivora

A

multiphasic

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26
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Ortho-Novum 7/7/7

A

multiphasic

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27
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Aviane

A

low estrogen

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28
Q

what type of contraception products are used to DECREASE WITHDRAWAL SYMPTOMS (EMOTIONAL/PHYSICAL) and bleeding

A

low estrogen

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29
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): LoSeasonique

A

low estrogen extended cycle

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30
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Loestrin Fe 24

A

extended cycle

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31
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Seasonique

A

extended cycle

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32
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Seasonale

A

extended cycle

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33
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Natazia

A

extended cycle

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34
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): YAZ 24

A

extended cycle

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35
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Giavani

A

extended cycle

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36
Q

Yaz + folic acid

A

beyaz safyral

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37
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): lybrel

A

extended cycle

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38
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): camila

A

progestin

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39
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): errin

A

progestin

40
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only):jolivette

A

progestin

41
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Nor-QD

A

progestin

42
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): heather

A

progestin

43
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Micronor

A

progestin

44
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Camila

A

progestin

45
Q

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Alesse - 28

A

low estrogen

46
Q

if a women is complaining of nausea while on the combo patch what can you recommend

A

take in evening/bedtime

47
Q

women with osteoporosis should avoid what injectable progestin

A

depo provera

48
Q

what contraceptive agent causes low bone density

A

depo provera

49
Q

what antibiotics decrease efficacy of oral contraceptives

A

ampicillin griseovulvin tetracyclines sulfonamides rifampin rifapentin

50
Q

what anticonvulsants decrease efficacy of oral contraceptives

A

carbamazepine oxcarbazepine phenytoin barbiturates felbomate topiramate

51
Q

what antiretroviral agents decrease efficacy of oral contraceptives

A

protease inhibitors

52
Q

when can you take the progestin only pills

A

at anytime

53
Q

when does protection start and how long do you use backup with: progestin only pills

A

protection after 48 hours use backup for first 48 hours

54
Q

if its been > 3 hours since your scheduled pill what must you do when using the progestin only pills

A

take the late pill and use back up for 48 hours

55
Q

if you miss your dose for that day when using the progestin only pill what do you do

A

risk of pregnancy consider emergency contraception

56
Q

with combination oral contraceptives when do you start

A

sunday start or 1st day start

57
Q

with combination oral contraceptives no back up is needed if

A

start within 5 days of first day of period

58
Q

if you miss a pill in week ____ you are at the highest risk of pregnancy

A

one

59
Q

when using combination oral contraceptives: if you miss 1 -2 pills in the first 2 days what do you do

A

take pill asap take next pill at usual time (may take 2 in a day)

60
Q

when using combination oral contraceptives: if you miss 1 -2 pills on days 3 - 21 what do you do

A

take pill asap take next pill at usual time (may take 2 in a day)

61
Q

how long is seasonale and seasonique take

A

3 months

62
Q

do you need a 7 day back up if you miss 1 - 2 pills (at the very beginning of the pack) w/in the first 2 days

A

yes

63
Q

do you need a 7 day back up if you miss 1 - 2 pills during days 3 - 21

A

no

64
Q

what is the difference between seasonale and seasonique

A

seasonale has a placebo week seasonique has low estrogen for the placebo week

65
Q

when is seasonale and seasonique started

A

sunday after period if period is on a sunday then start at the same time

66
Q

lybrel is taken for how long

A

12 months no placebo week

67
Q

when is lybrel started

A

within 24 hours of period

68
Q

lybrel is usually discontinued 2/2

A

spotting

69
Q

how long is the ortho evra patch on

A

3 weeks on 1 week off

70
Q

if the ortho evra patch falls off for > 24 hours what do you do

A

back up for 1 week

71
Q

if the ortho evra patch is off for > 7 days on the 4th week what do you do

A

back up for 1 week

72
Q

ortho evra patch is less effective in what pt

A

> 198 lbs

73
Q

ortho evra should not be give to these pt (besides those contraindicated for estrogen)

A

women > 35 who smoke

74
Q

how long is nuvaring used

A

3 weeks on 1 week off

75
Q

when should the nuvaring be started

A

between days 1 - 5 of period

76
Q

if nuvaring is out for > 3 hours

A

rinse reinsert 7 day back up

77
Q

if nuvaring is out for < 3 hours

A

rinse reinsert

78
Q

how long can nuvaring be stored

A

4 months at room temperature

79
Q

plan b one step contains how much levonorgestrel

A

1 1.5 mg tab

80
Q

next choice contains how much levonorgestrel

A

2 0.75 mg tabs

81
Q

when should levonorgestrel EC be taken

A

w/in 72 hours (89% efficacy)

82
Q

levonorgestrel EC is OTC if

A

17+

83
Q

levonorgestrel EC is Rx if

A

< 17

84
Q

what serm can be used in infertility

A

clomiphene

85
Q

serophene

A

clomiphene

86
Q

clomid

A

clomiphene

87
Q

clomiphene moa

A

increase LH/.FSH to increase ovulation

88
Q

clomiphene side effects

A

hot flashes, thrombosis risk, nausea, blurred vision, fluid retention

89
Q

if a patient takes next choice and vomits the pill within ____ they must retake that dose

A

2 hours

90
Q

if taken within 72 hours next choice / plan b one step if ____% effective at preventing pregnancy

A

89%

91
Q

what does emergency contraception do to a women if she takes it while pregnant

A

nothing

92
Q

unlike levonorgestrel which ulipristal has this MOA as well

A

prevents implantation of the egg

93
Q

patients are counselined on severe leg pain, trouble breathing, 2/2 risk of

A

clots

94
Q

spotting should go away after patient has been on contraception for ___

A

2 - 3 months

95
Q

a couples chances of getting pregnant each month are ___%

A

25

96
Q

yaz + folic acid

A

beyaz safyral

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