AGPCNP MEGA REVIEW Questions and
answers, Graded A. updated Version
What is the most common estrogen preparation? - ✔✔ESTRODIOL
Combined contraceptive pills alter the doese of what during the cycle? - ✔✔Estrogen & Pr
...
AGPCNP MEGA REVIEW Questions and
answers, Graded A. updated Version
What is the most common estrogen preparation? - ✔✔ESTRODIOL
Combined contraceptive pills alter the doese of what during the cycle? - ✔✔Estrogen & Progestin
Are progenstin-only (min pills) as effective as combination pills? - ✔✔NO
What are 4 estrogenic effects of contraceptives? - ✔✔1. Ovulation inhibited by suppression of FSH/LH
2. Implantation inhibited by alteration of the endometrium
3. Ovum transport accelerated
Leutolysis as progesterone levels fall
What are 5 progestational effects of contraceptives? - ✔✔1. Thick cervical mucus interrupts sperm
transport
2. Capacitiation may be inhibited
3. Ovum tranport may be slowed
4. Inplantation is hampered by suppression of the endometrium
5. Ovulation inhibited by hypothalmic-pituitary-ovarian disturbance
Advantages of oral contraception? - ✔✔Excellent protection against pregnancy
Safe for most women
Excellent reversibility
May provide protection againd endometrial CA, PID, ovarian cysts, fibroids etc...
3 non-contraceptive benefits of OCs? - ✔✔1. Decreased menstrual cramps
2. Less menstrual blood flow
3. Improvement in facial acne
Disadvantages of OCs? - ✔✔Mood changes
No HIV protection
Rare circulatory complications
Must be take every day
SE of N/V, HA, breakthrough bleeding
Excessive estrogen effects? - ✔✔CVA
DVT
PE
Hepatic tumors
Cholasma
cervical changes
Estrogen deficiancy effects? - ✔✔POST-MENOPAUSE
Decreased duration in menstrual bleeding
Continuous spotting
Breakthrough bleeding DOC 1-9
Atrophic Vaginitis
Excess progesterone effects? - ✔✔HTN
DEPRESSION
INCREASED APPETITE
Progesterone deficiency effects? - ✔✔Breakthrough bleeding DOC 10-21
Delayed menses
Ecessive androgenic effects? - ✔✔Hirsuitism
Acne
Oily skin
Edema
Increased libido
What is a major absolute contraindications to OC's? - ✔✔UNDIAGNOSED UTERINE BLEEDING
Where to begin with OC's? - ✔✔Low-dose COMBINED or multi-phasic (35mcg or less)
Which OC to use in hx of migraines? - ✔✔Progestin-only
What to do for missed pills with OC's? - ✔✔Miss ONE day - Take 2 pills use backup
Miss TWO days - Take 2 X 2 and use backup
Miss THREE days - Throw out and restart next cycle with backup
What to do with abnormal bleeding with OCs? - ✔✔May need higher dose
Should breast CA hx take OC's? - ✔✔NO
HTN on OC's? - ✔✔Look at changing contraception first
What to do with weight gain, depression, etc... on OC's? - ✔✔May need to lower dose
Should heavy smokers be on OC's? - ✔✔NO
What can decrease the effectiveness of OC's? - ✔✔Antibiotics and anticonvulsants
What do OC's decrease the effectiveness of? - ✔✔Warfarin
Insulin
Certain oral hypoglycemics
What does the Nuva Ring use? - ✔✔Synthetic Estrogen and Progestin (similar to OC's)
Contraindications of Nuva Ring - ✔✔>35y
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