A patient has decided to use the NuvaRing vaginal contraceptive ...

[strangeaffliction]

A patient has decided to use the NuvaRing vaginal contraceptive ring as her method of contraception. Which statement suggests the patient needs further instruction?
 
  1. I do not need to be examined in order to determine the contraceptive ring size that is correct for me.
  2. Every three months, I will need to remove the contraceptive ring and replace it with a new one.
  3. When I store my replacement rings, I should keep them in my refrigerator.
  4. The contraceptive ring provides a sustained release of low-dose contraceptive.

Question 2

A patient comes to the clinic complaining of severe menstrual cramps. She has never been pregnant, has been diagnosed with ovarian cysts, and has had an intrauterine device (IUD) for two years. The most likely cause for the patient's complaint is:
 
  1. Primary dysmenorrhea.
  2. Secondary dysmenorrhea.
  3. Menorrhagia.
  4. Hypermenorrhea.

[InfiniteSteez]

Answer to Question 1

Correct Answer: 2
Rationale 1: One size of the NuvaRing fits virtually all women.
Rationale 2: The ring is left in place for 3 weeks and then removed for 1 week to allow for withdrawal bleeding.
Rationale 3: Replacement rings should be kept in the refrigerator to maintain integrity.
Rationale 4: The contraceptive ring provides a low-dose, sustained-release hormonal contraceptive.

Answer to Question 2

Correct Answer: 2
Rationale 1: Primary dysmenorrhea is defined as cramps without underlying disease.
Rationale 2: Secondary dysmenorrhea is associated with pathology of the reproductive tract and usually appears after menstruation has been established. Conditions that most frequently cause secondary dysmenorrhea include ovarian cysts and the presence of an intrauterine device.
Rationale 3: Menorrhagia is excessive, profuse flow.
Rationale 4: Hypermenorrhea is an abnormally long menstrual flow.

[strangeaffliction]

TYSM

[raenoj]

Excellent