60 Questions
Which contraceptive method mentioned in the text has the same effectiveness as female sterilization?
Intrauterine devices (IUD)
What is emphasized as important when discussing contraceptive options with patients?
Tailoring the method to the patient and partner
Which organization published eligibility criteria for contraceptive use according to the text?
WHO (World Health Organization)
What is described as 'not as popular anymore' in terms of contraceptive methods?
Diaphragm
In discussing contraceptive options, why is it important to inform patients about the risks and benefits of each method?
To help patients make informed decisions
What type of contraceptive method is Essure?
Female sterilization
What method involves using a spermicidal jelly or foam placed inside the diaphragm and then inserted over the cervix?
Diaphragm method
Which method was mentioned to be back on the market, alongside condoms and spermicides?
Sponge
What percentage of reliability is associated with the withdrawal method?
22%
Which method requires a pelvic exam for insertion, unlike other contraceptive methods?
IUD
Which organization developed the MEC app, which helps in deciding the safest contraception method for patients?
CDC
What should healthcare professionals focus on during contraceptive planning with patients?
Shared decision-making
Which type of contraceptives can have a negative effect on blood pressure according to the text?
Estrogen and combined hormonal contraceptives
Which contraceptive method does NOT require a pelvic exam to start, except if opting for IUD insertion?
Male condom
"You can insert it several hours before intercourse" - this statement refers to which contraceptive method?
Diaphragm method
"It is 22% reliable, which is not much, but better than nothing." - This relates to which contraceptive method reliability according to the text?
Withdrawal method
Which type of contraceptive pills are typically encouraged to be taken with lunch to ensure better efficacy?
Progestin-only pills
What is a common side effect associated with progestin-only pills mentioned in the text?
Breakthrough bleeding
Which contraceptive method allows for a period-free month by cycling for four weeks?
Patch
What is a unique feature of the vaginal ring compared to other contraceptive methods?
Left in during intercourse
Which contraceptive method allows the patient to have a period-free month by leaving it in for an extra week?
Placebo pills
What is the purpose of using a four-day placebo pack in contraceptive pills?
Allowing for a period-free month
Which characteristic makes the patch similar to oral contraceptives, besides containing hormones?
'Patch-free' week interval
What is the purpose of hormonal contraceptives affecting the thickness of cervical mucus?
To create a barrier for sperm to swim through
Which hormone component in hormonal contraceptives prevents the luteinizing hormone surge?
Progestin
What is one of the side effects associated with estrogen in hormonal contraceptives, especially dangerous for patients with coagulation problems?
Breast tenderness
Which condition would be a contraindication for providing hormonal contraceptives?
Breast cancer
How do progestins in hormonal contraceptives affect the endometrium?
They thin it out
Which method of birth control primarily prevents egg recruitment by affecting luteinizing hormone and follicle stimulating hormone levels?
Hormonal contraceptives
What effect does estrogen have on the thickness of the endometrium?
Increases it
Which side effect can progestins in hormonal contraceptives cause that resembles changes during pregnancy?
Increased appetite
What impact does a history of STD have on a patient's eligibility for an IUD?
It does not affect whether a patient can have an IUD or not.
When screening patients for STDs, what is the current protocol regarding IUD removal upon a positive result?
IUD removal is not required unless the patient has PID symptoms.
What procedure might a healthcare provider use to measure the depth of the uterus before IUD insertion?
Uterine sound
In what scenario does a patient consult with a gynecologist regarding an IUD?
When they experience symptoms of PID
What device is used to remove an IUD from a patient?
Ring forceps
What method might be considered for allowing patients to remove the IUD themselves according to recent studies?
Self-removal with ring forceps guidance
What is the purpose of a quick start method for combined hormonal contraceptives?
To initiate pill usage on the same day of the clinical visit if certain criteria are met
Why might Sunday start be recommended for some individuals?
To provide period-free weekends for certain activities
What is the primary reason for recommending a first day start approach?
To align with the start of the patient's menstrual period
What do LARCs stand for in the context of contraceptive methods?
Long Acting Reversible Contraceptives
Why are progestin-only methods like Depo-Provera not ideal for individuals who prefer regular periods?
They often cause amenorrhea or irregular bleeding
What characteristic makes the ring a discreet contraceptive option according to the text?
It remains inside and is challenging to detect externally
Which method allows patients to start birth control next Sunday if their pregnancy test is negative and based on their sexual history they are not likely to be pregnant?
Sunday start
What is a hepatic adenoma?
A benign liver tumor influenced by estrogen
Why should patients with hepatic adenomas avoid hormonal-based contraception?
To avoid worsening of the adenoma
What is a significant risk factor for clotting issues in patients over 35 years old?
Smoking
What should patients report if they develop abdominal pain, chest pain, headaches, and severe leg pain after starting hormonal contraception?
Eye problems or visual changes
What does COC stand for in the context of contraceptives?
Combined Oral Contraceptive
What does CHC refer to in the context of contraceptives?
Combined Hormonal Contraceptive
What is recommended for patients using Depo-Provera to help improve reversible bone density changes after stopping the agent?
Supplemental calcium and daily weight bearing exercise
For how long are progestin-loaded rods like Nexplanon approved for use in the US?
Three years
What is the recommended training time for healthcare professionals to learn to insert and remove Nexplanon rods effectively?
2-3 hours
Which method of contraception is praised for its privacy due to the fact that no one needs to know the patient has it except for the healthcare provider and the patient herself?
IUDs
What is a common side effect associated with progestin-based IUDs due to the release of progestin into the endometrium?
Amenorrhea and irregular bleeding
Which statement is true about copper-based IUDs?
Act as a spermicide and cause heavier periods
Why might a patient opt for a copper-based IUD over hormonal methods?
Contraindications to hormonal methods or a preference for a non-hormonal option
What effect does copper have in copper-based IUDs?
Acts as a spermicide and makes the uterine lining unstable
What is a potential risk associated with copper-based IUDs?
Heavier periods and cramping
What type of patients can use IUDs according to common myths?
Patients who have never given birth but can have it inserted through the os
This quiz discusses the reversible bone density changes associated with progestin-only contraceptives like Depo-Provera and Nexplanon. It emphasizes the importance of using supplemental calcium and weight-bearing exercise to improve bone health post-contraceptive use.
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