Brand/ Generic
Generic Name for NuvaRing
What is Ethinyl Estradiol and Etonogestrel Ring?
This hormone stabilizes endometrial lining and provide cycle control, modulate secretion of gonadotropins, LH, and FSH
What is the MOA of Estrogen?
RG is a healthy 22-year-old woman seeking contraception and does not currently take any medications. She swims regularly on a swim team. She is seeking a contraceptive that she does not need to remember everyday and that cannot be seen while swimming. Which contraceptive would be the best option to recommend?
What is NuvaRing?
This daily oral contraceptive should be taken at the same time each day to maximize effectiveness.
What is a combination oral contraceptive (COC) or progestin-only pill (POP)?
This type of daily contraceptive should be stored at room temperature and kept in a dry place, away from direct sunlight and moisture.
What are oral contraceptive pills (OCPs)?
A patient takes a monophasic oral contraceptive. Which of the following is an accurate description of this pill?
It contains estrogen only
It contains progesterone only
It contains continuously active pills with no breaks, which suppresses bleeding
The dose of estrogen and progesterone remains stable throughout the pack
The dose of estrogen remains stable throughout the pack but the progesterone dose decreases from weeks 1 to 3.
What is the dose of estrogen and progesterone remains stable throughout the pack?
Brand Name for Progesterone
What is Prometrium?
This hormone inhibits secretion of pituitary gonadotropins, which prevents follicular maturation and ovulation; causes endometrial thinning
What is the MOA of Progestin?
RB is a 27-year-old who does not want to use hormonal contraception or an intrauterine device. She has been using over-the-counter spermicide (nonoxynonol-9) with external condoms as a form of contraception. Recently, she has developed an allergy to over-the-counter spermicide. What might be an alternative spermicide for her to use?
What is Phexxi contraceptive vaginal gel?
This long-acting reversible contraceptive is injected intramuscularly or subcutaneously every 12 weeks for pregnancy prevention.
What is medroxyprogesterone acetate (Depo-Provera)?
This hormonal vaginal ring should be stored in the refrigerator before dispensing but can be kept at room temperature for up to 4 months before use.
What is the NuvaRing (ethinyl estradiol/etonogestrel vaginal ring)?
AC is a 28 yr old female with chronic kidney disease. Her renal function has declined, and her creatinine clearance is currently estimated at 23 mL/minute. Her serum potassium is 4.8 mEq/L. Her medications include lisinopril 10 mg twice daily, methotrexate once weekly, a vitamin D supplement and simvastatin. Which of the following contraceptive options should be avoided in AC?
Mirena intrauterine device
Condoms and foam
Junel
Loestrin
Yasmin
What is Yasmin?
Brand Name for Estradiol (Oral)
What is Estrace?
This combination oral contraceptive works by inhibiting ovulation, thickening cervical mucus, and altering the endometrial lining to prevent pregnancy
What is the MOA of Ethinyl estradiol/levonorgestrel?
CS is a 36-year-old woman who admits to smoking 1 pack of cigarettes per day. She is getting married and would like to start hormonal contraception. Which class of contraception products is most appropriate for CS?
What are Progesterone-Only Contraceptives?
This vaginal ring should be inserted for three weeks and removed for one week before inserting a new one.
What is the ethinyl estradiol/etonogestrel ring (NuvaRing)?
This non-oral contraception has instructions to keep at room temperature until dispensing it to the user, do not refrigerate
What is Annovera?
Which of the following contraception formulations would have a higher risk of clotting than the Loestrin Fe 1/20 formulation? (Select ALL that apply)
Xulane
Yaz or Yasmin
35 mcg ethinyl estradiol/ 1 mg norethindrone
The mini-pill POP
Condoms and foam
What are Xulane, Yaz or Yasmin, and 35 mcg ethinyl estradiol/ 1 mg norethindrone?
Generic Name for Depo-Provera
What is Medroxyprogesterone?
Ethinyl estradiol in combined oral contraceptives suppresses this hormone from the anterior pituitary, preventing follicular development
What is follicle-stimulating hormone (FSH)?
AP is a 32-year-old woman who has a history of migraine with aura. She has a positive family history of stroke (mother at age 35). She seeks to start a long-term contraceptive product. What is the best option for AP?
What is Micronor?
This contraceptive patch should be applied once weekly for three weeks, followed by a patch-free week.
What is the ethinyl estradiol/norelgestromin patch (Xulane or Twirla)?
This contraceptive injection should be refrigerated before use but can be stored at room temperature for up to 30 days if kept below 77°F (25°C).
What is Depo-SubQ Provera 104 (medroxyprogesterone acetate)?
A pharmacist is filling a prescription for Clomiphene for a woman who is attempting pregnancy. Which of the following statements regarding Clomiphene are correct? (Select ALL that apply)
This medication can cause hot flashes, which can make the user feel sweaty and flushed
Unlike oral contraceptive, clomiphene does not increase the risk of thrombosis
This medication is a selective estrogen receptor modulator
This medication is a synthetic form of estradiol
This medication can increase the chances of multiple birth
What are This medication can cause hot flashes, which can make the user feel sweaty and flushed, This medication is a selective estrogen receptor modulator, and This medication can increase the chances of multiple birth?
List 5 brand names for Estradiol Transdermal Patch
What is Alora, Climara, Minivelle, Menostar and Vivelle-DOT?
While combination oral contraceptives are effective, they may increase the risk of thrombosis by increasing the production of these liver-derived clotting factors.
What are factors II, VII, IX, and X?
QS is a 32-year-old woman who suffers from migraines without aura during her menses every time she takes the placebo pills in her oral contraceptive pack. The physician recommends that she switch to an extended cycle oral contraceptive to reduce the placebo pill weeks and number of menses to 4 per year. What is the appropriate number of active tablets contained in an extended cycle oral contraceptive product to recommend for QS for her to have four menses per year?
What is 84?
This copper-containing intrauterine device can be used as emergency contraception if inserted within five days of unprotected intercourse and remains effective for up to 10 years for contraception.
What is the Paragard (copper IUD)?
This emergency contraceptive, which contains ulipristal acetate, must be stored at room temperature (68-77°F or 20-25°C) and differs from levonorgestrel-based options because it is less effective when exposed to higher temperatures over time.
What is Ella (ulipristal acetate)?
If a woman takes levonorgestrel emergency contraception (EC) while pregnant, what is expected to happen?
The EC would cause infertility
The EC will terminate the pregnancy
The EC could cause birth defects
The EC will not cause birth defects, terminate an established pregnancy or affect her future fertility
She is not pregnant; EC can cause false positive pregnancy test
What is The EC will not cause birth defects, terminate an established pregnancy or affect her future fertility?