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Terms in this set (195)
At what age does cervical cancer 40-44
predominate?
When does HPV usually regress? 1-2 years
At what age should Pap smears be 21
started?
What cervical cancer screening is cytology every 3 years
done from age 21-29?
What cervical cancer screenings are cytology alone very 3 years or preferred co-testing
done at age 30-65? (HPV and pap) every 5 years
What is considered high-grade CIN 2 or 3
precancerous lesion?
What should you get patient's to sign an informed consent and disclosure sheet that covers
(especially younger patients) when possible side effects warning signs, drug interactions,
providing counseling on oral and what to do if you forget one or two pills
contraceptives?
What are warning signs for oral ACHES- Abd. pain (thrombosis), chest pain (PE or
contraceptives? MI), Headaches (stroke), eye problems (thrombosis),
or severe leg pain (thrombosis)
How long is a back-up method 7 days
recommended when starting oral
contraceptives?
,What are the most common side nausea and fatigue
effects of oral contraceptives?
When should OCs be started with a The Sunday following the start of menses
Sunday start?
What OC start method had the Quick start- start on the day of office visit.
highest continuation rate?
When should a urine preg test be if > 5 days since last menses and unprotected sex
done when using the quick start
method?
What patient education should be expect breakthrough bleeding, take at same time
done for the first 3-6 months on everyday, taking in the evening can minimize side
patients starting OC? effects
How often do women have menses on once every 3-12 months
an extended cycle pill?
Medication strength for combination 1/35 (progestin/estrogen)
pills should not be greater than what?
Patients with a family history of what clotting disorders (Factor V Leiden)
should get tested before beginning
oral contraceptives?
Patients with a family history of _____ CVD; 50
before age _____ need to be evaluated
by a specialist before starting OCPs
Patients with heavy bleeding should platelet function test to r/o bleeding disorder
get what test before OCP start?
What type of OCP should be progestin-only pills or combination pills with 20mcg
prescribed for women with estrogen of ethinyl estradiol
sensitivity?
, What usually causes premenstrual drop in estrogen
migraines?
When should OCPs be d'cd or with new or worsening headache or hx of migraines
avoided in relation to headaches? with aura
What is the most common reason breakthrough bleeding
women discontinue OCPs?
breakthrough bleeding is most low dose combination pills and progestin only pills,
common in which type of OCP? and extended use cycles
In whom does breakthrough bleeding overweight women and smokers
more commonly occur in?
What test should be ordered in a urine or serum hcg
patient who presents with
breakthrough bleeding?
If breakthrough bleeding occurs after increase to higher progestin activity pill
day 14 what should be done?
When can combination pills be after 3 weeks
started postpartum?
What type of ocp increases combination pills (also nexplanon)
angiotensin II and may cause fluid
retention?
What pills are best for obese patients? progestin only pills (or Mirena)
What type of ocp will most likely help moderate-high estrogen; (Yasmin (generic is Ocella),
with acne? Yaz, Cyclessa, Ortho Tri-Cyclen, Ovcon 35
Patients on accutane for acne will sign a form indicating two methods of contraception
need to do what?