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 (D)</p> Signup and view all the answers

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

<p>Amethyst® (B)</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. (B)</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. (A)</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. (D)</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. (D)</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. (C)</p> Signup and view all the answers

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

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

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

<p>Copper IUD (B)</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) (C)</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 (D)</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 (B)</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 (B)</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 (C)</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 (C)</p> Signup and view all the answers

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

<p>Weight loss (C)</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 (D)</p> Signup and view all the answers

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

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

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

<p>May cause amenorrhea (D)</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 (A)</p> Signup and view all the answers

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

<p>Smokers (B)</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 (C)</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 (C)</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 (C)</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 (A)</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 (A)</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 (C)</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 (D)</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 (C)</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 (B)</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 (B)</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 (D)</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 (A)</p> Signup and view all the answers

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

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

What is contraindicated for using the Xulane patch?

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

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

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

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