OB-GYN Crash Course 160 Questions with Complete Solutions

What is Ortho Evra? - Correct Answer - weekly, transdermal contraceptive patch - contains estradiol & progesterone Cautions with Ortho Evra? - Correct Answer - reduced efficacy if 190lbs - slight inc risk of VTE over other OCPs - warning for counterfeit products Patient Instructions if They Forget to Apply Ortho Evra on Time - Correct Answer - delay in 1st wk = reapply & backup x 1 wk - 2nd/3rd wk: if 2 days = NO BACKUP - 2nd/3rd wk: if 2 days = backup x 1 wk Patient Instructions if Ortho Evra Patch Falls Off - Correct Answer - 24 hrs = replace and NO BACKUP - 24 hrs = NEW patch, NEW day, backup x 1 wk Non-contraceptive Benefits of COCPs - Correct Answer - improvement of acne/hirsutism - regulation of menstrual cycles - improvement of cycle-related anemia - improvement of dysmenorrhea/menorrhagia - increased bone density - ↓ ca risk (ovarian, endometrial, colon, rectal) Absolute CIs for COCP Use - Correct Answer - hx of thromboembolic dz, stroke, or heart dz - *undiagnosed* vaginal bleeding - *active* hepatic dz - 35 & smoker (15/day) - hx of estrogen-dependent ca (breast/endo) - pregnancy Relative CIs for COCP Use - Correct Answer - 35 & hx of migraine (w/focal components) - 35 & obese - immobility - *poorly controlled* HTN - concomitant anti-convulsant use - hypertriglyceridemia Possible Complications with COCP Use - Correct Answer - Thromboembolism - Stroke