Exam (elaborations)
2024 MTM CONTRACEPTIVE EXAM WITH CORRECT ANSWERS
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2024 MTM CONTRACEPTIVE EXAM WITH CORRECT ANSWERS
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2024 MTM CONTRACEPTIVE EXAMWITH CORRECT ANSWERS
Conception may occur up to - CORRECT-ANSWERSto 5 days prior to
ovulation-ovulation
Highest risk 1 day before ovulation
Menstruation - CORRECT-ANSWERSLast phase of the menstrual cycle in
which the lining of the uterus along with blood and the unfertilized ovum are
discharged through the vagina.
Counseling for Transdermal Patch - CORRECT-ANSWERSAdverse Effects due
to higher exposure to estrogen (~20mcg)
VTE risk (clot)
Site irritation from patch
If off for <24hr= reapply the patch
If patch off >24hr open new pack and start a new Day 1, back up method
used for at least 1 week
Application site:
Upper torso (excluding breasts)
Buttock
Upper outer arm
Abdomen
Vaginal Ring (NuvaRing®) - CORRECT-ANSWERSIntravaginal administration
15 mcg ethinyl estradiol/120 mcg etonogestrel
Storage considerations(fridge) & expiration date 4 mounth
Adverse Effects
Decreased libido (8%)
Breast tenderness (4%)
Device-related events (2.5-5%)
Vaginal discomfort and secretions (2.5%)
Irregular bleeding (1.5-5%)
Counseling for Vaginal Ring - CORRECT-ANSWERSInsert vaginal ring into
vagina and leave for 3 weeks.
Week 4 remove ring and menses will occur
Can be used as Continuous use
Do not remove during intercourse
May be worn with tampon for breakthrough bleeding
, <3 hours: rinse with cool to lukewarm water and reinsert as soon as possible
>3 hours during weeks 1 & 2: reinsert and use a back up method until ring
has been used continuously for 7 days.
During week 3, either replace ring or wait 7 days to insert a new ring (if ring
was used for 7 days prior to removal/expulsion
Adverse Effects - CORRECT-ANSWERSNausea, vomiting
Bloating, edema
Irritability
Cyclic weight gain
Cyclic headache
Hypertension
Breast fullness, tenderness
Progestin
Adverse Effects - CORRECT-ANSWERSHeadaches
Increased appetite
Increased weight gain
Depression, fatigue
Changes in libido
Androgenic adverse effects
Hair loss, hirsutism, acne, oily skin
Serious Adverse Effects - CORRECT-ANSWERSA: Abdominal pain (severe):
possible liver damage or tubal pregnancy
C: Chest pain (sharp pain/heaviness), SOB, coughing up blood: possible
myocardial infarction or pulmonary embolism (PE)
H: Headaches (severe), vomiting, dizziness, fainting, or one sided
weakness/numbness: possible stroke
E: Eye problems (blurred vision, flashing lights): possible optic neuritis,
stroke, clots
S: Sudden severe leg pain, warm to the touch, with or without swelling: deep
vein thrombosis (DVT)
Counseling - CORRECT-ANSWERSProper use
Take 1 tablet once daily at the same time every day
Adherence
When taken every day at the same time, effectiveness was found to be
99.7% (perfect use), typical use (about 93%)
Adverse effects
Nausea: mostly due to estrogen
Usually subside after 3 months
Recommend mealtime or bedtime administration of pill
Start Methods - CORRECT-ANSWERSMenses Start
Start taking an active pill the first day of menses
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