Cervical cancer

Question 1

Moderate dyskaryosis on cervical smear managment

Answer 1

CIN II - refer for urgent colposcopy in 2 weeks

Question 2

Severe dyskariosis

Answer 2

CIN III - urgent colposcopy (within 2 weeks)

Question 3

Suspected invasive cancer on smear management

Answer 3

urgent colposcopy

Question 4

inadequate smear managment

Answer 4

repeat smear - if persistent (3 inadequate samples) assessment by colposcopy

Question 5

Which is the only contraceptive with an increases the risk of cardiovascular disease

Answer 5

COCP

UKMEC 2 < 35
UKMEC 4 >35 y/o >15 cig

Question 6

Which contraceptive with a increase risk of obesity and what is a complication of obesity for people on COCP?

Answer 6

COCP
UKMEC 2 - bmi 30-34

UKMEC 3 - BMI >35

Question 7

Migraine is contraindicated in which contraception

Answer 7

COCP ONLY as it will increase the risk of a stroke

rest of the contraceptions are UKMEC 2

Question 8

Epilepsy is contraindicated in which contaceptives

Answer 8

All epilepsy meds:
UKMEC 1 - Depot IUD IUS

UKMEC 2 - implant

UKMEC 3 - COCP and POP

For lamotrigine:
UKMEC 1 - POP implant depot IUS IUD
UKMEC 3 - COCP

Question 9

Difference between IUS and IUD

Answer 9

iUS hormonal one as it is hormonal needs 7 days to be effective contraception

Question 10

When is expulsion of IUD/IUS most likely

Answer 10

in the first 3 months and there is a 1 in 20 chance

Question 11

Disadvantages of the implant

Answer 11

Additional contraceptive needed for first 1-5 days of cycle

irregular heavy bleeding

progestogen effects : nausea headache breast pain

Question 12

The contraindications

Answer 12

UKMEC 3 - ihd/ stroke

UKMEC 4 - current breast ca

Question 13

What age group and characteristic is contraindicated for all hormonal contraception

Answer 13

BMI >35 and smoke 15 cigarettes a day

Question 14

Risk of COCP

Answer 14

VTE, breast and cervical cancer,

IHD and stroke and

headache nauseas breast tenderness

Question 15

pain meds for migraine Mx

Answer 15

1. paracetamol and aspirin

2. sumatriptan

Question 16

time till effective

IUD
POP
COC injection implant IUS

Answer 16

instant - IUD
2 days - POP only
7 days - homonal - POP

Question 17

What is the oral contaceptive protective against

Answer 17

ovarian and endo ca

Question 18

when should progesterone be measured to check ovulation

Answer 18

7 days before the regular menstrual cycle days of a women

Question 19

Which contraceptions thicken cervical mucus and inhibit ovulation

Answer 19

COCP
Desorgesterel only pill
injectable contraceptives
Impant

Question 20

How does IUS work

Answer 20

prevents endometrial proliferation and thickens mucus

Question 21

how do the emergency meds work

Answer 21

levorgesterel inhibits ovulation
ulipristol inhibits ovulations
IUD is toxic to sperm and ovum