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EMERGENCY CONTRACEPTION: AN UPDATE4. Which of the following statements bestdescribes the effectiveness of levonorgestrelEC regimens?A. Efficacy is increased by initiating EC as soonas possible after unprotected intercourseB. Studies have shown a 30% reduction in the riskof pregnancy when EC is taken within 72 hoursof unprotected intercourseC. The products have demonstrated efficacy whentaken up to 7 days after unprotected intercourseD.The products are as effective as barrier methodsof contraception5. The FDA approved regimen forPlan B One-Step is:A. One tablet to be taken within 120 hours afterunprotected intercourseB. Two doses of one tablet taken 12 hours apart,started within 72 hours of unprotectedintercourseC. One tablet to be taken within 72 hours ofunprotected intercourseD.Two doses of one tablet taken 12 hours apart,started within 120 hours of unprotectedintercourse6. The most common side effects resulting fromthe use of levonorgestrel for EC include:A. Severe headache or eye painB. Mild nausea and fatigueC. Increased risk of blood clotsD.All of the above7. The use of levonorgestrel for EC between 72and 120 hours after unprotected intercourse:A. Has been shown to be ineffectiveB. Is less effective than when used within 72 hoursand has not been approved by the FDAC. Has been shown to cause more side effects thanuse within 72 hoursD.Is not permitted in the U.S.8. Medical contraindications to the use oflevonorgestrel-based emergency contraceptioninclude:A. A history of migraine headachesB. An established pregnancyC. Age over 35 yearsD.All of the above9. Outcomes reported in studies evaluatingadvanced provision of EC include:A. A reduction in the use of other contraceptivemethodsB. An increase in the frequency of unprotectedintercourseC. An increase in the use EC after unprotectedintercourseD.An increased rate of sexually transmittedinfections10. Which statement best describes requirementsfor nonprescription sales of EC in a pharmacy?A. Only one package can be sold at a time toconsumers without a prescriptionB. Plan B but not Plan B One-Step can besold to menC. EC can be provided to a 17-year-old withouta prescriptionD.EC products can be kept on shelves with otherOTC products for women11. Pharmacy staff members able to sellnonprescription EC to eligible consumersinclude:A. A licensed pharmacistB. A pharmacy technicianC. A pharmacy clerk working behind thepharmacy counterD.All of the above12. When selling EC without a prescriptionto a man, pharmacists:A. Need to check for proof that he is at least 17years of ageB. Must limit sales to one packageC. Must ask for the name and age of the womanwho will be taking the productD.Keep a log with his name and signature at thepoint of purchase13. Which of the following is appropriatefor a pharmacist to say to a woman askingto purchase nonprescription EC?A. Have you had unprotected intercourse?EC can only be sold after a contraceptiveemergencyB. It is important to take a pregnancy test beforeusing ECC. You may not purchase more than one packageat a timeD.Do you have any questions about the useof this product?14. Nonprescription sale of EC requires:A. The purchaser to present proof that he/she is atleast 17 years of ageB. The person who will be taking the medicationto come to the pharmacyC. The purchaser’s signature on a registry keptin the pharmacyD.Consultation by the pharmacist78U.S. Pharmacist • November 2009 • www.uspharmacist.com
Examination Answer SheetCredits: 2.0 hours (0.20 ceu)Expires: November 30, 2011This exam can be taken online at www.uspharmacist.com. Upon passing, you can printout your statement immediately and view your test history. Alternatively, you can mailthis answer sheet to the address below. Please contact CE Customer Service at (800)825-4696 or cecustomerservice@jobson.com with any questions.Emergency Contraception:An Update of Clinical and Regulatory ChangesDirections: Select one answer for each question in the exam and completely darkenthe appropriate circle. A minimum score of 70% is required to earn credit. An identifieris required to process your exam. This is used for internal processing purposes only.Mail to: U.S. Pharmacist–CE, PO Box 487,Canal Street Station, New York, NY 100131. A B C D2. A B C D3. A B C D4. A B C D5. A B C D6. A B C D7. A B C D8. A B C D9. A B C D10. A B C D11. A B C D12. A B C D13. A B C D14. A B C D15. A B C D16. A B C D17. A B C D18. A B C D19. A B C D20. A B C DSupported by an educational grant fromTeva Women’s Health.1 = Excellent 2 = Very Good 3 = Good 4 = Fair 5 = PoorRate the effectiveness of how well the activity:21. Met objective 1:*22. Met objective 2:*23. Met objective 3:*24. Met objective 4:*25. Met objective 5:*26. Related to your educational needs:27. The active learning strategies(questions, cases, discussions) wereappropriate and effective learning tools:28. Avoided commercial bias:29. How would you rate the overallusefulness of the material presented?30. How would you rate the quality of the faculty?31. How would you rate the appropriatenessof the examination for this activity?32. Comments on this activity:1111111111122222222222333333333334444444444455555555555* Also applies to pharmacy technicians.Please retain a copy for your records. Please print clearly.You must choose and complete ONE of the following three identifier types:1 SS # - -✁EMERGENCY CONTRACEPTION15. Which of the following may be barriersfor consumers to access EC?A. The requirement to keep EC behind thepharmacy counterB. Embarrassment about asking the pharmacy stafffor the productC. Misinformation about when to use ECD.All of the above16. Which of the following actions shouldbe taken when a woman requests EC, but thepharmacy is out of stock?A. Tell her you will order the medication and sheshould come back in a couple of daysB. Direct her to a nearby pharmacy where themedication is availableC. Tell her you are out of stockD.A and C only17. Which of the following emergencycontraceptive products contains a single doseof 1.5 mg levonorgestrel?A. Plan BB. Plan B One-StepC. Next ChoiceD.All of the above18. Pharmacists can improve access to EC by:A. Placing emergency contraceptive products in aneasy to see location in the pharmacyB. Educating the pharmacy staff about ECC. Being available to answer consumer questionsD.All of the above2 Last 4 digits of your SS # and date of birth -3 State Code and License #(Example: FL12345678)First NameLast NameE-MailThe following is your: Home Address Business AddressBusinessNameAddressCityState19. In states with Pharmacist Accessprograms for EC, the participatingpharmacist is able to:A. Provide Plan B or Plan B One-Step to menof all agesB. Initiate a prescription for Plan B to those withoutproof of age or who need a prescription forinsurance purposesC. Provide women of any age with routine hormonalcontraceptionD.Test women for STIs in the pharmacyZIPTelephone # - -Fax # - -Profession: Pharmacist Pharmacy Technician OtherBy submitting this answer sheet, I certify that I have read the lesson in its entirety andcompleted the self-assessment exam personally based on the material presented.I have not obtained the answers to this exam by any fraudulent or improper means.SignatureDatePostgraduate Healthcare Education, LLC is accredited by theAccreditation Council for Pharmacy Education as a providerof continuing pharmacy education.®0430-0000-09-027-H01-PLesson 106417 Type of Activity: Knowledge 0430-0000-09-027-H01-T20. Which of the following statement(s) areimportant for consumer education regardingthe use of EC?A. Taking EC as soon as possible may increase itseffectivenessB. EC is not intended to replace your other methodsof birth controlC. Taking EC reduces the risk of pregnancy but notthe risk of sexually transmitted infectionsD.All of the above79U.S. Pharmacist • November 2009 • www.uspharmacist.com
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