Pharmacy.uconn.edu



Changing Perspectives on Contraceptives: The Pharmacist's Guide to Prescribing & Counseling on Birth ControlPHARMACY TECHNICIAN TEST QUESTIONSEDUCATIONAL OBJECTIVES:After participating in this activity, pharmacy technicians will be able to:Discuss the basic facts about hormonal birth controlAcquire reputable sources for patients who have questions about birth controlRecognize over-the-counter and prescription drugs that may affect birth control effectivenessInfer when to refer patients to the pharmacist for recommendations1. A patient is picking up her oral contraceptives and also purchasing other items. Which item would prompt you to refer the patient to the pharmacist for further counseling? a. Male latex condomsb. Acetaminophen/aspirin/caffeine tablets for migrainec. Antacids for acid reflux d. Hydrocortisone cream for itching2. A 16-year-old patient approaches your pharmacy and states she had unprotected sex about 48 hours ago. She is looking for emergency contraceptive; a friend told her she could get it at the pharmacy. What is the appropriate response? a. Apologize that you cannot sell her emergency contraceptive without a prescription due to her ageb. Advise her that it is too late; emergency contraceptive must be taken within 24 hours to be effectivec. Inform her that emergency contraceptives are by prescription only and offer to contact her physiciand. Sell her LNG 1.5mg for emergency contraceptive and refer her to the pharmacist for further counseling3. Which is true of the estrogen in combined hormonal contraceptives?a. Mestranol is the most common form found in COCsb. The dose range of ethinyl estradiol is 20-50mgc. It can slightly increase risk of venous thromboembolism d. Second-generation products cause the most side effects4. Which of the following progestins is most likely to cause acne?a. Norgestimateb. Drosperinonec. Norethindroned. Levonorgestrel5. Your patient is interested in using contraceptives, but she has trouble remembering to take daily medication. Which of the following options requires the least patient adherence?a. Intrauterine deviceb. Vaginal ringc. Transdermal patch d. DMPA injection6. A patient approaches the pharmacy consultation window with a spermicidal sponge for more information. Which is an appropriate counseling point?a. This wouldn’t happen; spermicidal sponges are prescription-only.b. The sponge should be in place 24 hours before the first sexual encounter.c. The sponge should be removed within one hour of intercourse. d. See a doctor if nausea, fever, rash, or dizziness occur.7. A patient is experiencing breakthrough bleeding on day 15 of her cycle. Which of the following can cause this adverse effect?a. Too much progestinb. Not enough progestinc. Too much estrogen d. Not enough estrogen8. You are making adherence outreach calls to follow up on patients who are late to refill their medications. One of your calls is regarding a prescription for norethindrone 0.35 mg. Upon talking with the patient, she states she has plenty left because she forgets to take her pill about once a week. What should you do?a. Explain that strict adherence to a POP is important, and refer her to the pharmacist for other optionsb. Suggest that she take emergency contraceptive, as she has likely gotten pregnantc. Refill the prescription for her and insist that she pick it upd. Tell her that you will leave the refill on file and advise her to call when she needs it9. A patient asks your advice for the best medical tape to use to hold on her transdermal contraceptive patch that keeps falling off. What do you recommend?a. Use tape only around the edges to secure the patch in placeb. Try sticking it to another area of the skin, it should stick on its ownc. If the patch is no longer sticky, it should not be used d. Wear the patch under a tighter piece of clothing to hold it in place10. A woman is buying the following items at the pharmacy pick-up counter. What two products would prompt a referral to the pharmacist for counseling?A refill of norethindrone 0.35mgLatex male condomsMiconazole vaginal antifungal creamTamponsAntacid tabletsa. Latex male condoms & norethindrone 0.35mgb. Miconazole vaginal antifungal cream & antacid tabletsc. Norethindrone 0.35mg & tamponsd. Latex male condoms & miconazole vaginal antifungal cream11. Which statement is true about the etonogestrel implant?a. It is inserted into the vagina and left in place for three yearsb. Fertility can be delayed six-12 months after removalc. It is long-acting, and can be used by women of all ages d. It is not likely to cause bleeding irregularities12. A patient on ethinyl estradiol 20 mcg/levonorgestrel 0.1 mg was prescribed penicillin for an acute illness. Why should you refer her to the pharmacist for counseling?a. Penicillin can increase estrogen levels in the bloodb. Penicillin can decrease birth control effectivenessc. It is especially important not to get pregnant while acutely ill d. Penicillin increases the risk of menorrhagia13. Which of the following is true of the ethinyl estradiol/norelgestromin transdermal patch?a. It is likely to cause breast discomfort b. It is more effective than oral contraceptives in obese patientsc. A patch is applied and left on for three weeks, then removed for one weekd. Patch placement should be consistent to the same area14. Where should you direct patients who are wondering what the most cost-effective birth control method may be for them?a. Office on Women’s Health websiteb. Planned Parenthood websitec. American College of Obstetricians and Gynecologists websited. Wikipedia: Birth Control15. A woman should place a diaphragm over the cervix _________ before intercourse, and should not remove it until at least _________ after.a. Up to six hours; 24 hoursb. 15-40 minutes; six hoursc. Up to six hours; 48 hours d. Up to six hours; six hours16. Your patient is picking up her combination oral contraceptive and a bottle of St. John’s wort. Why would you refer this patient to the pharmacist?a. St. John’s wort is unsafe in pregnancy, so she should take a test firstb. St. John’s wort can increase her birth control levels, leading to overdosec. St. John’s wort can make her birth control less effective d. There is no need to refer her to the pharmacist ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download