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Exam (elaborations)

NAPLEX: Contraception Questions and answers

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  • NAPLEX
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  • NAPLEX

best time to conceive LH surge detected and following 2 days phases of menstrual cycle follicular (estrogen surge causing LH and FSH to increase), ovulatory (LH surge triggers ovulation), luteal (progesterone is dominant) indication of pregnancy positive hCG (human chorionic gonado...

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  • September 6, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NAPLEX
  • NAPLEX
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BRAINBOOSTERS
NAPLEX: Contraception
Questions and answers
best time to conceive - answer LH surge detected and following 2
days


phases of menstrual cycle - answer follicular (estrogen surge
causing LH and FSH to increase), ovulatory (LH surge triggers
ovulation), luteal (progesterone is dominant)


indication of pregnancy - answer positive hCG (human chorionic
gonadotropin) in urine or blood


medication women wishing to conceive should take - answer folic
acid 400mcg/day (help prevent neural tube defects)


fertility is promptly returned when contraceptives are discontinued
EXCEPT... - answer medroxyprogesterone injection


effectiveness of contraceptive methods - answer implant/IUD >
medications (pill/patch/ring/injectable) >
condoms/withdrawal/sponge > spermicide


nonoxynol-9 is a... - answer spermicide


COCs have other indications besides pregnancy: - answer
dysmenorrhea (menstrual cramps), premenstrual syndrome (PMS),
acne (in females), anemia, polycystic ovary syndrome (PCOS),
endometriosis

, unique progestin used to reduce AEs commonly seen with
contraceptives, such as bloating, PMS, weight gain, acne,
androgenic symptoms (also acts as a mild K-sparing diuretic) -
answer drospirenone


progestin-only pills are primarily used in... - answer lactating
women (estrogen decreases milk production); migraines with aura
(aura associated with thrombosis risk)


progestin-only pills require... - answer good adherence; pill must be
taken within 3 hours of scheduled time


patch vs PO contraceptives - answer higher estrogen exposure;
Xulane less effective in women > 198lbs; don't use in women > 35
y.o. who smoke


depot medroxyprogesterone acetate brand name, dosing, and route
- answer Depo-Provera; IM/SC q3 months


with continuous contraception, patients may experience [blank], but
this typically resolves after [blank2] - answer spotting
(breakthrough bleeding); 3-6 months of continuous use


monophasic formulations of contraceptives - answer 21/7 pill pack:
Junel Fe 1/20, Microgestin Fe 1/20, Sprintec 28, Loestrin 1/20,
Yasmin 28
24/4 pill pack: Loestrin 24 Fe, Yaz
24/2/2 pill pack: Lo Loestrin Fe


triphasic formulations of contraceptives - answer Ortho Tri-Cyclen
Lo, Tri-Sprintec

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