NAPLEX MULTIPLE CHOICE QUESTIONS AND
ANSWERS COMPLETE RATED A.
Which oral contraceptive is appropriate to use while breast-feeding?
A. Lo Lonstein FE
B. Necon 7/7/7
C. Micronor
D. Depo-Provera
Correct Answer -C. Micronor
Progesterone only products are appropriate for breast feeding women for
contraception.
Depo-Provera is appropriate, but the question asks for oral and Depo-
Provera is an injection.
A and B have Estrogen which can deplete milk supply
Which of the following is a subdermal implant?
A. Paragard
B. Mirixa
C. Nexplanon
D. Skyla
Correct Answer -C. Nexplanon
,Nexaplon is a subdermal progestin-releasing implant, effective up to 3
years
A,B, and D are all Intrauterine devices (IUD)
Paraguard (copper)
Mirena,Skyla (levonorgesterol)
Drospirenone activity includes which of the following?
A. Progestogenic
B. Antiandrogenic
C. Antimineralcorticoid
D. All of the above
Correct Answer -D. All of the above
Estrogen MOA for pregnancy prevention
A. Prevents development of a dominant follicle by inhibiting FSH, but
does not block ovulation
B. Prevents development of a dominant follicle by inhibiting FSH, but
does block ovulation
C.Prevents development of a dominant follicle by inhibiting LH, but does
not block ovulation
,D. Prevents development of a dominant follicle by inhibiting FSH, but
does block ovulation
Correct Answer -A. is the correct answer
High estrogen >>>> low FSH.
It does NOT block ovulation
Progestin MOA for pregnancy prevention
A. Contributes to production of thick and impermeable cervical mucus
and does block ovulation
B. Contributes to production of thick and impermeable cervical mucus
and does not block ovulation
C. Contributes to production of thin and semi-permeable cervical mucus
and does block ovulation
D.Contributes to production of thin and semi-permeable cervical mucus
and does not block ovulation
Correct Answer -A. is the correct answer
Progestin DOES block ovulation
Can also lead to atrophy of the endometrium
, Most common adverse effects associated with oral contraceptives. Select
all that apply
A. Nausea/Vomiting
B. Breakthrough bleeding
C. Melasma (hyperpigmentation of skin)
D. Headache
E. Severe acne
Correct Answer -A,B,C,D all are common (mainly by estrogen)
E. Acne can improve with OC use.
Adverse effects of too much progestin. Select all that apply
A. Breast tenderness
B. Oily scalp
C. Hypotension
D. Weight gain
E. Hypermenorrhea
Correct Answer -A,B, and D
C. does not occur
E. can happen with too little progestin
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