NBME Step 2 CK Form 8 Switch to a different method of contraception (NBME Answers)

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Retired NBME Step 2 CK Form 8 Answers

step2ck_form8/Block 3/Question#5 (reveal difficulty score)
A 23-year-old woman comes to the physician ...
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tags: repro inc

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submitted by cloroxveins(13)

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Diaphragm & spermicide disrupt the vaginal flora thus leading to increased risk of UTI.

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azibird UTD: "Diaphragm use has been associated with UTI in some individuals [1,33,34]. The mechanism is believed to be nonoxynol-9-induced changes in vaginal flora [35-38]." https://www.uptodate.com/contents/pericoital-contraception-diaphragm-cervical-cap-spermicides-and-sponge. Also apparently they're reusable :( +1

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submitted by ∗step_prep(148)

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Condoms/diaphragms are associated with increased risk of UTIs in young woman because they lead to increased friction
Key idea: Two other common methods of decreasing UTI risks are included in question stem (postcoital voiding, increased fluid intake)

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