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1. Which of the following is a contraindication to estrogen/progestin-containing methods (combined oralcontraception [COC], patch [Ortho Evra], or ring[NuvaRing])?A. mother with a history of breast cancerB. personal history of hepatitis A at age 10 yearsC. presence of factor V Leiden mutationD. cigarette smoking one pack per day in a 22-year-old
1. C.
2. A 22-year-old woman taking a 35-mcg ethinyl estradiolCOC calls after forgetting to take her pills for 2 consecutivedays. She is 2 weeks into the pack. You adviseher to:A. take the last pill missed immediately, even if thismeans taking 2 pills today.B. discard two pills and take two pills today.C. discard the rest of the pack and start a new pack withthe first day of her next menses.D. continue taking one pill daily for the rest ofthe cycle.
2. A.
3. When counseling a woman about COC use, you advisethat:A. long-term use of COC is discouraged because thebody needs a “rest” from birth control pills fromtime to time.B. fertility is often delayed for many months afterdiscontinuation of COC.C. there is an increase in the rate of breast cancer afterprotracted use of COC.D. premenstrual syndrome symptoms are oftenimproved with use of COC.
3. D.
4. Noncontraceptive benefits of COC use include adecrease in all of the following except:A. iron-deficiency anemia.B. pelvic inflammatory disease (PID).C. cervicitis.D. ovarian cancer.
4. C.
5. Which of the following women is the best candidate forprogestin-only pill (POP) use?A. an 18-year-old woman who frequently forgets to takeprescribed medicationsB. a 28-year-old woman with multiple sexualpartnersC. a 32-year-old woman with adequately-controlledhypertensionD. a 26-year-old woman who wants to use the pillto help “regulate” her menstrual cycle
5. C.
6. The most common reasons for discontinuing oralcontraception use is breakthrough bleeding and:A. nausea/vomiting.B. inconvenience of use.C. cost.D. high failure rate.
6. B.
7. A 38-year-old nulliparous woman who smokes twoand a half packs a day is in an “on-and-off” relationship.The woman presents seeking contraception. Whichof the following represents the most appropriatemethod?A. contraceptive ring (NuvaRing)B. COCC. contraceptive patch (Ortho Evra)D. vaginal diaphragm
7. D.
8. Due to an increased risk of blood clots, an alternativeto the contraceptive ring (NuvaRing) or patch(Ortho Evra) is preferred in all of the followingwomen except:A. a 42-year-old nulliparous woman.B. 31-year-old woman with history of naturallyoccurring multiple gestation pregnancyC. 28-year-old who smokes one pack per day.D. 33-year-old woman with a family history of venousthrombosis.
8. B.
9. Which of the following statements is true concerningvaginal diaphragm use?A. When in place, the woman is aware that the diaphragmfits snugly against the vaginal walls.B. This is a suitable form of contraception for womenwith recurrent urinary tract infection.C. After insertion, the cervix should be smoothly covered.D. The device should be removed within 2 hours ofcoitus to minimize the risk of infection.
9. C.
10. According to the U.S. Medical Eligibility Criteria forContraception Use, which of the following is a clinicalcondition in which use of a copper-containing IUDshould be approached with caution?A. uncomplicated valvular heart diseaseB. AIDS-defining illnessC. hypertensionD. dysmenorrhea
10. B.
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