Term
| Where do you place spermicide on a female condom? |
|
Definition
| On the outside of the closed end |
|
|
Term
| Wait ___ minutes before intercourse after inserting a spermicide |
|
Definition
|
|
Term
| What is the most widely available and commonly used barrier method in U.S.? |
|
Definition
|
|
Term
| Active ingredient and MoA of spermicides |
|
Definition
- Nonoxynol-9 (N-9)
- Destroys sperm cell membrane
|
|
|
Term
| Effectiveness of Male and Female Condoms |
|
Definition
- Male - 85% with typical use, 98% with perfect
- Female - 79% with typical use, 95% with perfect use
|
|
|
Term
| Effectiveness and Risks of Spermicides |
|
Definition
- 71% with typical use, 82% with perfect use
- Risks = Skin irritation (may increase risk of HIV or STI transmission)
|
|
|
Term
| Spermicide Contraindications |
|
Definition
| Recurrent UTI's; delivery within past 6 weeks;recent spontaneous or elective AB |
|
|
Term
| Characteristic appearance of Molluscum Contagiosum |
|
Definition
| White, pearly-gray, or flesh-colored papules with a central umbilication; can express a thick, creamy core |
|
|
Term
| How long do molluscum lesions last? |
|
Definition
| Without treatment - several months to several years |
|
|
Term
|
Definition
- Microscopic evidence that aids in diagnosis
- clusters of mature and incomplete viruses and cellular debris seen as cellular inclusions
|
|
|
Term
|
Definition
- Give it time - lesions will eventually clear on their own if left alone
- Mechanical - curettage, cryotherapy, laser ablation
- Chemical - topical agents such as Condylox, Aldara, potassium hydroxide
|
|
|
Term
|
Definition
- Secondary infection
- post-inflammatory hypopigmentation
- scarring
- Molluscum dermatitis
|
|
|
Term
| Routine Pap tests are not recommended for ________ |
|
Definition
Adolescents under 21 years of age
** testing them does not reduce rates of cervical CA, risks may outweigh benefits, protective effect of adolescent immune system |
|
|
Term
Screening with a Pap test is recommended every ____
years for women aged 21-29 |
|
Definition
|
|
Term
| How often do you screen women 30+ years old for cervical cancer? |
|
Definition
- Every 3 years once they have had 3 negative Paps
- Appropriate to add HPV typing to this age group
|
|
|
Term
| When can you discontinue Pap tests? |
|
Definition
At age 65 or 70 if:
- they have had 3 neg. Paps in a row
- NO abnormal results in past 10 yrs.
|
|
|
Term
| How long should you continue to screen women treated for CIN-2, CIN-3, or cancer? |
|
Definition
|
|
Term
| Can you discontinue Paps in women with a hysterectomy for benign reasons? |
|
Definition
| Yes as long as there is no hx of CIN-2 or worse |
|
|
Term
| When to get a colposcopy: |
|
Definition
- ASCUS, HPV+
- LGSIL
- ASC-H (atypical squamous cells, cannot exclude high grade)
- HGSIL
- AGC (atypical glandular cells)
|
|
|
Term
Pap results:
ASCUS
HPV-
What do you do? |
|
Definition
|
|
Term
Pap results:
ASCUS
HPV+
What do you do?
|
|
Definition
|
|
Term
Pap results:
LGSIL
HPV+
What do you do? |
|
Definition
|
|
Term
Pap results:
HGSIL
What do you do? |
|
Definition
|
|
Term
True or False:
Women who use spermicides for contraception should douche after intercourse |
|
Definition
|
|
Term
| The outer ring of the female condom should hang about ___ inch outside the vagina |
|
Definition
|
|
Term
| Best Patient Type for Condoms & Spermicides |
|
Definition
- Need contraception intermittently
- Breastfeeding
- No insurance
- Want to prevent STI's as well
- Back-up method when starting OC's or when pills are missed
- Want to avoid hormones
|
|
|
Term
|
Definition
- Protect against STI's
- Easily accessible
- Low cost
|
|
|
Term
| Benefits of female condoms |
|
Definition
- Don't require partner involvement
- No systemic effects
- Protect from STI's
|
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