Duke PA Pharmacology Contraception
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| primary mechanism of estrogen contraceptives | inhibits ovulation
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| primary mechanism of progestin contraceptives | promotes endometrium atrophy
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| drosperinone is an analogue of __ | spironolactone
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| OCP type: consistent E and P for 21 days | monophasic
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| OCP type: consistent E x 21 days, P increases on day 7 or 10 | biphasic
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| OCP type: E and P vary weekly x 21 days | triphasic
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| side effects of androgen excess | increased appetite, noncyclic weight gain, hirsutism, acne, oily skin, increased libido, pruritis
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| what is tricycling | when women continue to take the active dose of OCPs without taking a placebo dose
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| why would a woman use the tricycling method of taking OCPs | sever PMS or cyclic depression, endometriosis, cyclic headache, wish to avoid menses at a specific time
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| why would someone take the minipill | hx of thromboembolism, uncontrolled HTN, migraine worsened by EE, current liver impairment or tumor, current DVT, smoker>35 yo, breast feeding
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| break through bleeding | enough bleeding to need a tampon or pad
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| disadvantages of minipill | irregular menses, BTB, spotting, ectopic pregnancy risk, need for strict compliance
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| if a woman taking the minipill takes it >3 hours later than normal she should be advised to use backup method for __ hours | 48
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| what does the ACHES acronym stand for | Abdominal pain, Chest pain (SOB, hemoptysis), Headache, Eye problems, Severe leg pain
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| What does the ACHES acronym screen for | thrombo-embolic event
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| what should a patient do if she forgets to take a pill for one day | take the first pill when remembered and the second at the usual time, may be two pills at the same time, no need for back up
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| what should a patient do if she does not take the OCP at the normal time | take pill as soon as remembered
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| what should a patient do if she missess two days of OCP | take 2 pills the first dayn and two pills the next day and then resume pack. Back-up must be used for 7 days.
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| schedule of nuvaring | left in place for 3 weeks and removed for 1 week
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| many women discontinue use of nuvaring due to | foreign body sensation, coital problems, device expulsion
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| the nuvaring may be removed before intercourse but must be reinserted withing __ hours | 3
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| Mirena recommended for woman who have: | had 1 or more children
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| Mirena CI | acute PID or h/o PID
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