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Contraception Flashcards | StudBud
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Contraception
Contraception
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WOMENS HEALTH
Flashcards
31 cards
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Practice quiz
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Questions
31
Answers
1
Freda presents 28 hrs after UPI. You advise her the most effective emergency contraceptive is
Oral levonorgestrol
Copper IUD
Ulipristal acetate
Levonorgestrel IUD
2
27 year old G0P0 Emily is on sodium valproate(Epilim) for epilepsy. What would be a good contraceptive for her?
Depot provera
COCP
Minipill
Mirena IUD
3
16yr old Steph is now sexually active. Recommended contraceptives for her are
Minipill
Mirena IUD
COCP
Implanon
4
23 year old Bree (BMI 37) requires a double dose of the COCP for it to be effective.
True
False
5
Serial FSH measurements are reliable measurements in the perimenopause in deciding contraceptive requirements.
False
True
6
48 year old May needs contraception
For 1 year after her last period
Until she is 55
Until she is 51
For 2 years after her last period
7
What year was "The PILL " released in Australia?
1960
1962
1963
1961
8
POP(progestogen only pill) for Judy with controlled hypertension is considered to be
MEC 1
MEC 2
MEC 3
MEC 4
9
An IUD is contraindicated in a nulliparous woman
False
True
10
Lee is seeking advice as she forgot yesterday's COC pill. ie <48 hours since her last pill.
Need to use condoms for the rest of the cycle
Take missed pill straight away & the next at normal time (2 pills/day ok)
Needs emergency contraception
Discard rest of the packet and start again next cycle.
11
Pam had sex last night and missed the first COC pill in her new packet after a withdrawal bleed
No action as still covered
Take missed pill straight away & the next at normal time (2 pills today)
Continue the packet and use condoms for the rest of the cycle
Needs emergency contraception
12
Which of the following have been used as a contraceptive?
Crushed Juniper berries
Elephant dung
Cling film and coke
Lemon halves
13
At 160 cms tall, how much weight would Bree need to lose to go from MEC 3 to MEC 2
4 kgs
8 kgs
6 kgs
10 kgs
14
Ella missed the 5th last COC pill in her current packet. What would you advise?
Use condoms for the rest of the cycle
May need emergency contraception
Take most recently missed pill plus today's pill and skip inactive pills
No action as still covered
15
COCP for Judy aged 39 yrs with controlled hypertension is considered to be
MEC 3
MEC 2
MEC 4
MEC 1
16
Nijah presents 12 hrs after UPI. She doesn't want an IUD. You advise her the most effective emergency contraceptive is
Ulipristal acetate
Oral levonorgestrol
Levonorgestrel IUD
Jumping on a trampline
17
Suitable contraception for 48 year old May (BMI 25), still having regular light menses and requiring contraception is
Levonorgestrel IUD
Depot medroxyprogesterone acetate
COCP
Barrier method
18
COCP is MEC 4 in the following clinical situations
PH of pulmonary embolism
Smoker 20 cigs per day over 35 years
0-6 weeks post partum
Past history of ectopic pregnancy
19
COCP for Bree (BMI 34) would be considered to be
MEC 1
MEC 4
MEC 3
MEC 2
20
The best form of contraception is
Condoms
The pill
Abstinence
IUD
21
Kay has had a Mirena for 4 years and recently had a positive pregnancy test (for symptoms of early pregnancy)
Do nothing as it is quite safe to leave
Remove the IUD if the string is visible
Ultrasound to assess gestation
Discuss pregnancy options re continuation/termination
22
48 yr old Barbara has breast cancer. Which of the following contraceptive methods is considered safe.
Progesterone only pill
Levonorgestrol IUD
Etonorgestrol implant (Implanon)
Copper IUD
23
Freya aged 28 had an IUD inserted 2 months ago and can no longer feel the string. She had sex 2 nights ago.
Hysteroscopy to locate string
Pregnancy test
Ultrasound to confirm position of the IUD
Consider emergency and ongoing contraception until position established
24
COCP for Bree (BMI 37) would be considered to be
MEC 1
MEC 2
MEC 4
MEC 3
25
Jia aged 53 had a Mirena inserted for contraception 5 years ago. She is on no other meds and is sexually active.
Leave in situ for 5 years
Remove it Immediately
Leave in situ for 2 years
Replace it immediately
26
Implanon is effective immediately only if inserted in the first 7 days of the menstrual cycle
True
False
27
Following UPI, levonorgestrel EC is probably best taken within
24hrs
24 - 72 hours
up to 96 hrs
up to 120 hrs
28
What does MEC stand for in the contraceptive world?
MEDICAL ELIGIBILITY CRITERIA
MEDICAL EXECUTIVE CRITERIA
MEDICAL EDUCATION COMMITTEE
MEMBERS of the EXECUTIVE COUNCIL
29
The following contraceptive methods are not recommended for women on liver enzyme-inducing drugs
IUD
Combined oral contraceptive pill
Etonorgestrol implant (Implanon)
Barrier methods
30
Jia now aged 54 (Mirena in 6 yrs) is now on estrogen patches for hot flushes. What is the best course of action?
Leave Mirena in situ for 5 years
Leave Mirena for 2 years
Replace Mirena immediately
Remove Mirena Immediately
31
54 year old June is still having periods and needs contraception for how long?
For the next 12 months only
For 12 months after her last period
For 24 months after her last period
Not at all. She's too old.
