A 27-Year-Old Woman Comes to the Office for Advice Regarding

question 164

Multiple Choice

A 27-year-old woman comes to the office for advice regarding contraception.  The patient has been using condoms consistently but now wants something more reliable.  She has regular monthly menses, typically with 6 days of bleeding that requires wearing both a pad and a tampon simultaneously to prevent blood from getting on her clothing.  Last year, the patient's mother was diagnosed with a pulmonary embolus and found to be a heterozygous factor V Leiden carrier.  At that time, the patient also underwent screening and was also found to be a heterozygous factor V Leiden carrier.  She has no personal history of venous thromboembolism and no other medical conditions.  The patient does not use tobacco, alcohol, or illicit drugs.  Blood pressure is 120/76 mm Hg and pulse is 70/min.  BMI is 20 kg/m².  Physical examination is normal.  Laboratory results are as follows: Which of the following is the most appropriate contraceptive option for this patient?

• A)Copper-containing intrauterine device
• B)Diaphragm and spermicide
• C)Estrogen-progestin oral contraceptives
• D)Estrogen-progestin vaginal ring
• E)Progestin-releasing intrauterine device

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Definitions:

Front-Line Nursing Home

Direct care and service providers in nursing homes who are the primary caregivers and interact most frequently with the residents.

Family Members

Individuals related by blood, marriage, or adoption who typically share close personal relationships and may cohabit or support one another.

Training

The process of teaching or learning a skill or behavior through practice and instruction.

Pay

Pay refers to the compensation or salary received by an employee from an employer in exchange for work performed.