Oral Contraceptives and Coexisting Medical Conditions
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Questions and Answers

What is a contraindication for using the Xulane® patch?

  • BMI > 30 kg/m2 (correct)
  • BMI > 40 kg/m2
  • BMI > 25 kg/m2
  • BMI > 35 kg/m2

    • Which oral contraceptive is used for premenstrual dysphoric disorder (PMDD) and acne?

  • Yasmin® (correct)
  • Nextstellis®
  • Jolessa®
  • Seasonique®

    • What is the regimen for Yaz® in terms of active pills and placebo days?

  • Continuous cycle
  • 21/7 day regimen
  • 24/4 day regimen (correct)
  • 28/0 day regimen

    • Which contraceptive may have decreased efficacy in individuals with a weight of 90 kg or more?

    <p>Xulane® patch</p> Signup and view all the answers

    Which contraceptive is indicated for continuous cycle use with no menses?

    <p>Amethyst®</p> Signup and view all the answers

    If a patient misses 2 doses of drospirenone minipill, what should they do?

    <p>Take the missed tablet as soon as remembered and continue with regular schedule.</p> Signup and view all the answers

    What is the recommended action if a patient misses an injection of Depo-Provera?

    <p>Get the injection as soon as remembered.</p> Signup and view all the answers

    What is the primary difference in action steps between missing a dose of norethindrone and drospirenone minipill?

    <p>Norethindrone requires additional contraception after a missed dose, while drospirenone does not.</p> Signup and view all the answers

    Which candidate is NOT suitable for injectable progestins according to the text?

    <p>A patient desiring contraception for only 6 months.</p> Signup and view all the answers

    What should a patient do if they are administered Depo-Provera after the 7th day of their cycle?

    <p>Use backup contraception for 1 week.</p> Signup and view all the answers

    In a patient with Wilson's Disease, what contraceptive method should be avoided?

    <p>Copper IUD</p> Signup and view all the answers

    For a patient with a BMI over 30, which contraceptive method should be avoided?

    <p>Copper IUD</p> Signup and view all the answers

    What contraceptive method is recommended for a patient who desires long-term contraception for up to 10 years?

    <p>Paragard (Copper IUD)</p> Signup and view all the answers

    In a patient with missed doses due to adherence problems, what contraceptive method is most suitable?

    <p>Estrogen-progestin transdermal patch</p> Signup and view all the answers

    If a patient wishes to avoid monthly menstrual cycles, what type of formulation should be used?

    <p>Extended or continuous formulation</p> Signup and view all the answers

    What should a patient do if they miss one dose of their contraceptive pill?

    <p>Take the missed pill as soon as remembered and the next pill at the regular time</p> Signup and view all the answers

    When is it necessary to use a backup contraception after starting a contraceptive pill?

    <p>When starting on any day other than the first day of menses</p> Signup and view all the answers

    What should a patient do if they miss two or more consecutive doses of their contraceptive pill?

    <p>Take the most recent missed pill as soon as possible and continue with the regular schedule</p> Signup and view all the answers

    Which of the following is NOT a side effect associated with contraceptive pills?

    <p>Weight loss</p> Signup and view all the answers

    Why is it important to avoid sexual intercourse until hormonal pills have been taken for 7 consecutive days?

    <p>To ensure contraceptive efficacy by establishing a consistent hormonal level</p> Signup and view all the answers

    What is the key advantage of progesterin-only contraceptives like 'the minipill'?

    <p>Rapid return of fertility</p> Signup and view all the answers

    What is a significant disadvantage of progesterin-only contraceptives like 'the minipill'?

    <p>May cause amenorrhea</p> Signup and view all the answers

    In the context of birth control, what does expelling the NuvaRing for more than 3 hours require?

    <p>Reinsertion with backup protection for 1 week</p> Signup and view all the answers

    What population group may benefit the most from using progesterin-only contraceptives?

    <p>Smokers</p> Signup and view all the answers

    What is a common issue associated with taking progesterin-only contraceptives that contain norethindrone?

    <p>Adherence problems due to daily intake requirement</p> Signup and view all the answers

    Which factor should be considered when evaluating the use of combined hormonal contraceptives (CHCs) in patients with Wilson disease?

    <p>Thrombogenic mutations</p> Signup and view all the answers

    What is a possible concern for patients with a BMI of 32 considering the use of CHCs?

    <p>Uncontrolled hypertension</p> Signup and view all the answers

    In the context of missed doses, what is a potential consequence for patients using progesterone-only contraceptives?

    <p>Early-cycle breakthrough bleeding</p> Signup and view all the answers

    Which adverse effect is more likely to be experienced by patients with hormonal contraceptives containing high estrogen?

    <p>Headache</p> Signup and view all the answers

    For a patient with a history of breast cancer, which type of oral contraceptive should be avoided due to contraindications?

    <p>High progestin</p> Signup and view all the answers

    Which contraceptive method is more likely to have an interaction with the patient's therapy?

    <p>Combined oral contraception</p> Signup and view all the answers

    What contraceptive method would be most beneficial for a 20-year-old woman with moderate acne and no medical conditions?

    <p>DMPA injection</p> Signup and view all the answers

    What should be recommended to a patient who missed a dose of OrthoMicronor?

    <p>Continue taking one pill daily</p> Signup and view all the answers

    Which contraceptive method may have decreased efficacy in individuals with a weight of 90 kg or more?

    <p>DMPA injection</p> Signup and view all the answers

    What alternative contraceptive methods are necessary for a patient who missed her birth control pills for one week?

    <p>These methods are necessary until her next menses</p> Signup and view all the answers

    What should be advised to a patient who forgot to bring her Ortho Novum 1/35 and was on the first week of her pill packet?

    <p>Resume taking pills on Monday and use backup contraception for 7 days</p> Signup and view all the answers

    Which contraceptive method is suitable for continuous cycle use with no menses?

    <p>DMPA injection</p> Signup and view all the answers

    What is contraindicated for using the Xulane patch?

    <p>$$BMI &gt; 30$$</p> Signup and view all the answers

    Which oral contraceptive is used for premenstrual dysphoric disorder (PMDD) and acne?

    <p>$$Yaz$$</p> Signup and view all the answers

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