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Nap RxP Contraception
NAPLEX
32
Pharmacology
Post-Graduate
03/11/2018

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Cards

Term
Serious side effects of oral contraception
Definition
ACHES

Abdominal pain
Chest pain
Headache
Eye
Severe leg pain
Term
If DVT/PE history; then what option should be avoided?
Definition
estrogen
Term
1rst gen Combined Hormonal Contraceptives (CHCs) contain:
Definition
Norethindrone
Norethindrone acetate
Ethynodiol
Term
2nd gen Combined Hormonal Contraceptives (CHCs) contain:
Definition
Norgestrel
Levonorgestrel
Term
3rd gen Combined Hormonal Contraceptives (CHCs) contain:
Definition
Desogestrel
Norgestimate
Term
4th gen Combined Hormonal Contraceptives (CHCs) contain:
Definition
DroSPIRenone
Term
1rst gen Combined Hormonal Contraceptives (CHCs) side effects
Definition
Highest risk for spotting/unscheduled bleeding
Term
2nd gen Combined Hormonal Contraceptives (CHCs) side effects
Definition
less bleeding; more androgenic (facial hair)
Term
3rd gen Combined Hormonal Contraceptives (CHCs) side effects
Definition
less androgenic; more VTE
Term
4th gen Combined Hormonal Contraceptives (CHCs) side effects
Definition
Least androgenic; highest VTE; Potassium-sparing (spironolactone-based)
Term
Which progestin-only contraception is known as the "Mini pill"
Definition
Norethindrone
Term
How many hours constitute a missed dose for a "mini pill"
Definition
@ 27 hours dos is missed
Term
Progesterone is available in what dosage forms?
Definition
IM - Depo-Provera; Q12-13mo
PO - Oral; Qday
SQ - Nexplanon; Q3yrs
LNG/IUS - Skyla/Mirena; Q3-5yrs
Term
Which birth control ingredient causes acne?
Definition
Levonorgestrel
Term
Which birth control ingredient causes nausea?
Definition
Ethinyl estradiol
Term
Which birth control ingredient causes breakthrough bleeding?
Definition
Norethindrone
Term
Which birth control ingredient causes thromboembolism?
Definition
Ethinyl estradiol &
Drospirenone
Term
OTC Emergency contraceptives contain what drug?
Definition
Levonorgestrel 1.5mg up to 72h after sex
Term
OTC Emergency contraceptive brands
Definition
Plan B
Next Choice
Term
RX emergency contraceptive
Definition
Ulipristal (Ella) 30mg upt 120h after sex
Term
Medical emergency contraceptive
Definition
Copper IUD; insert w/in 120h after sex. Most effective
Term
CHC pill missed dose plan for One missed dose
Definition
Take missed doe immediately
Term
CHC pill missed dose plan for TWO missed doses
Definition
1. Take most recently missed dose
2. Use backup for 7 days
3. Skip placebo pills if missed dose last week of active pills
4. Emergency contraception if pills missed in first week of active pills + unprotected sex in past 5 days
Term
Most vulnerable time for missing CHC pills?
Definition
First week
Term
CHC patch missed dose plan for one day late
Definition
Apply patch
Term
CHC patch missed dose plan for TWO days late
Definition
1. Apply new patch
2. Backup contraception for 7days
3. Skip patch free week if error was in week 3
4. Emergency contraception if 1rst week missed and unprotected sex in past 5 days
Term
CHC ring is good for how many days
Definition
35
Term
Forgot to place CHC ring
Definition
1. Insert new ring
2. Backup for 7 days
3. EC
Term
POP pill missed dose plan (>3hr overdue)
Definition
1. Take missed dose
2. Backup for 48h
3. EC
Term
Progesterone only missed injection (>13wk since last inj):
Definition
1. Preg test
2. Backup for 7 days
Term
Which contraception product has a weight limit?
Definition
Ortho Evra - Zulane - 198lbs
Term
Which contraceptive can cause bone density problems?
Definition
Depo-provera
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