Finall Exam:l NU664B/l NUl 664Bl (Latestl
2025/l 2026l Update)l Primaryl Carel ofl Familyl Il Reviewl |l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l Regis
Q:l goodl candidatesl forl estrogen/l progesteronel combo
Answer:
dysmenorrhea/PMS mittelschmerz-l painl associatedl withl ovulationl endometriosisl (endometriall tissuel growingl outsidel thel uterus) acne/hirtuism perimenopausall bleeding ovarianl cyst-l monophasicl pilll best FHl ovarianl cancerl (keepsl ovariesl inl anl inactivel state) menstruall migraine-l BUTl contraindicatedl ifl visuall aura ****SHOULDl NOTl BEl TAKENl IFl HAVEl VISUALl MIGRAINE=l ISCHEMICl STROKE
Q:l Poorl candidatesl forl E/P
Answer:
activel thrombophebitisl orl venousl thromboemboliticl disorder acutel orl chronicl obstructivel liverl diseasel withl elevatedl liverl enzymel levelsl orl compromisedl liverl functionl (processedl throughl thel liverl knownl orl suspectedl breastl cancer undiagnosedl genitall bleeding womenl overl 35l whol smokel cigarettes knownl orl suspectedl pregnancyl arteriall thrombosis/ischemicl heartl disease migrainesl withl focall neurologicl signs clottingl disorder
Q:l orall contraceptives
Answer: 1 / 4
advantages:l safe,l effective,l cyclel control,l dysmenorrhea,l ovarianl cysts,l acne,l mittelschmez,l anemia,l reversible,l preentsl ovarianl andl endometriall cancer,l BMD,l PMDD dysadvantages:l expensive,l daily,l BTB,l glucosel intolerance,l galll bladderl disease
SE:l BTB,l N/V,l H/A,l breastl tenderness,l moodl changes
MOA:l inhibitsl ovulation,l decreasedl ovuml transport,l earlyl luteolysis,l thickensl cervicall mucous,l altersl endometrium
types:l monophasic,l biphasic,l triphasic
majorl complications:l clot,l CVD,l cancerl (hepatocellularl adenoma)
interactions:l rifampin,l vitaminl C,l anti-convulsantsl abx(reducesl normall floral inl git),l St.l John'sl Wort,l shouldl usel condomsl 1wkl postl treatment
Q:l orall contral adminl instructions
Answer:
-firstl dayl orl Sundayl startl (periodl freel weekend) -missedl pills
-ASCHES
-backl upl methodl forl STX/HIVl andl firstl month smokingl cessation 3-6l monthl f/u
reassurel re:l sidel effects
Q:l nexplanaon
Answer:
usuallyl requirel insurancel approval singlel rodl subdermall contraceptionl withl 68mgl ofl etonegestrell goodl forl 3l years advatages:l 3l years,l nol estrogen,l okayl withl breastfeeding,l immediatelyl reversible,l amenorrheal 20%
disadvantages:l irregularl bleedingl 6-12l month,l cost,l painl orl scaringl atl insertionl site,l possiblel smalll weightl gain,l headache,l acne,l ovarianl cysts,l moodl changes contra:l preg,l allergyl tol etonogestrel,l liverl tumors,l undxl vaginall bleeding,l severel liverl disease,l beforel 6l weeksl postpartum
Q:l neplanonl insertion
Answer:
locall anestheticl tol innerl sidel ofl arml betweenl bicepl andl tricepsl muscle insertionl intol thel subdermall tissuel withl al al needlel likel applicatorl thatl advancesl rod bandagel onl sitel forl 24l hours removall afterl 3l yearsl withl al smalll incisionl andl usel forceps 2 / 4
Q:l IUD
Answer:
types:l copperl versusl progesterone,l levonogesterel
MOA:l immobilizesl sperml andl interferesl withl sperml migratiion,l speedsl ovuml transport,l endometriall effects advantages:l safe,l highlyl effective,l longl acting,l rxl ashermann'sl (increasingl scaringl onl uterinel cavity)l disadvantages:l PIDl (bestl forl monogamousl relationships),l dysmenorrhea,l menorrheagia,l expulsionl (vaginall dishcrage,l pain,l irregularl bleeding,l stringl change)l pregl complications,l uterinel rupture
Q:l hormonall versusl nonhormonall IUD
Answer:
hormonal:Mirena,l Kyleena,l Liletta,l Skyla
preventsl fertilizationl byl damagingl orl killingl sperm,l thickensl cervicall mucus,l thinsl thel uterusl (endometrium),l makingl thel liningl difficultl forl al fertilizedl eggl tol implantl andl grow,l preventsl ovulation
copperl IUD:l paragard
-copperl isl toxicl tol sperm,l thel uterusl andl fallopianl tubesl producel fluidl thatl killsl sperm
Q:l goodl candidatesl forl IUD
Answer:
womenl withl onel sexuall partners,l womenl atl lowl riskl forl STDs,l womenl withl menorrhagia,l perimenopausall bleeding,l estrogenl isl contraindicated
Q:l whol shouldl notl getl IUD
Answer:
pregnant,l allergyl tol copper,l havel al uterusl thatl isl shorterl orl smallerl thanl thel IUDl (skylal orl kyrenal bestl forl womenl whol havel notl hadl children),l artificiall heartl (increasel infectionl risk),l atl riskl forl gettingl al sexuallyl transmittedl disease,l avel al recentl hxl ofl pelvicl inflammatoryl diseasel orl STDs,l havel cervical,l endometrial,l orl ovarianl cancerl thatl needsl tx
Q:l Copperl Tl 38A
- / 4
Answer:
paraguard,l efficacyl 10l yearrs,l advantagesl longl term,l nol hormones
Q:l progesteronel IUD
Answer:
levoenoregtrel mirenal 20mg kyleenal 17mg,l Skylal 13.5mg,l Lylettal 52mg skylal 3l years,l otherwisel 5l years advantages:l decreasel menstruall flowl (flowl mayl bel heavierl atl first)l andl pain,l amenorrhea
disadvatnages:l increasedl ectopicl pregnancy
Q:l tuball ligation
Answer:
bilaterall tuball ligation
advantages:l permanent,l effective
disadvantages:l permanent,l nol STD/HIVl protection,l reversall isl difficult,l riskl ofl surgeryl andl anesthesia,l mortality/l morbidityl higherl thanl vasectomy,l increasel ectopic
Q:l essure
Answer:
transcervicall sterilization 96.5%l inl 3l months,l 100%l 6l months-l needsl HSGl (dyel study)l tol confirml occulsion
advtages:l incisionl free,l locall anesthesia,l inl officel orl hospitall
disadvataged:l notl immediate,l needl forl backl upl forl 6l months,l doesl notl improvel heavyl bleeding,l can'tl usel IUDl orl IUSl atl thel samel time.l mayl needl morel thanl onel insertion
Q:l vasectomy
Answer:
advantages:l safe,l effective
startl 3l monthsl afterl vasectomy,l semenl doesn'tl containl sperm bleeding,l infection,l permanent,l regret,l nol STDl protection reversall 16-79%,l averagel 50%
Q:l factsl aboutl abortion
Answer:
- / 4