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Contraception and Sterilization

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Which of the following poses the highest risk of death in fertile women aged 35 to 44 years?

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a. Pregnancy

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b. Oral contraceptive use

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c. Intrauterine device (IUD) use

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d. Surgical tubal sterilization procedure

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Which of the following is a second-tier contraceptive method with an expected failure rate of 3 to 9 percent per 100 users during the first year?

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a. Spermicide

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b. Withdrawal

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c. Intrauterine device

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d. Oral contraceptive pills

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Your patient delivered a healthy infant 2 weeks ago and wishes to initiate use of a contraceptive method during the next few weeks. She is breastfeeding exclusively. For which of the following is there strong evidence that use decreases the quantity and quality of breast milk?

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a. Progestin-only pills

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b. Depot medroxyprogesterone acetate

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c. Combination hormonal contraceptives

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d. None of the above

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A 16-year-old nulligravida is requesting a contraceptive method. She plans to become sexually active with her boyfriend soon. Which of the following is legally required in most states prior to prescribing hormonal contraception for adolescents below the age of consent?

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a. Parental consent

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b. Pelvic examination

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c. Cervical cancer screening

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d. None of the above

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Which of the following conditions is NOT listed by the manufacturer as a contraindication of this contraceptive method?

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a. Acute liver disease

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b. Heavy menses due to coagulation disorder

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c. Increased susceptibility to pelvic infection

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d. Uterine anomaly with distortion of the uterine cavity

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Your patient is a 26-year-old multipara who presents ...

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