Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Repodction > Contraception > Flashcards

Contraception Flashcards

1
Q

In a standard 28 day cycle, when is a woman most fertile?

A

Days 8 to 18

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

3 criteria for using breast feeding as contraception?

A
  • Exclusively breastfeeding
  • less than 6/12 post natal
  • amenorrhoeic
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

UK MEC1

A

no restriction for the use of contraception method

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

UK MEC2

A

Where the advantages of using the method generally outweigh the theoretical or proven risks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

UK MEC3

A

A condition where the theoretical or proven risks generally outweigh the advantages

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

UK MEC4

A

A condition which represents unacceptable risk if the contraceptive method is used

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

If you prescribe contraception, how often do you need to check it?

A

Annually

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Give an example of LARC

A

Depo injection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Give 3 examples of VLARC

A
  • implant
  • IUD
  • IUS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How does depo work?

A

Inhibits ovulation

(also effects:

  • cervical mucous
  • endometrium)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What checks must you do before giving depo?

A
  • check BMI and BP
  • check smear status if relevant
  • consider risk factors for osteoporosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

When can depo be started?

A

Up to and including day 5 of the cycle without the need for additional contraception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What happens if a woman wants to start depo after day 5?

A

Can start depo after day 5, as long as she is ‘reasonably certain’ she is not pregnant and uses condoms/abstinence for 7 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

A woman wants to start depo after having a baby, when can she start it?

A

Up to 21 days after having baby with immediate cover

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

A woman wants to start depo after a TOP, when can she start it?

A

Up to day 5 since TOP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Side effects of depo?

A
  • weight gain
  • delay in return of fertility
  • irregular bleeding
  • possible risk of osteoporosis!
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is depo and how long does it work for?

A
  • injection similar to progesterone

- works for 12 weeks

18
Q

Gold standard IUD

A

380mm^2 copper

19
Q

IUD primary mode of action

A

Prevents fertilisation

Inflammatory response in endometrium

20
Q

How long is an IUD licenced for?

A

5-10 years

21
Q

IUS primary mode of action?

A

Effect on implantation

also effect on cervical mucous and pre-fertilisation effects

22
Q

Contraindications to IUD/IUS

A
  • Current pelvic infection
  • Abnormal uterine anatomy
  • Pregnancy!
  • Sensitivity to any of the constituents
  • Gestational trophoblastic disease when BHCG levels are abnormal
  • Endometrial ca
  • Cervical ca awaiting treatment
23
Q

What checks must you do before giving IUD/IUS?

A

PV to check uterine size/position

BP and pulse if condition indicates

24
Q

Can an IUD be used as emergency contraception?

25
Q

Can an IUS be used as emergency contraception?

26
Q

How long is the 52mg LNG-IUS licenced for?

27
Q

How long is the 13.5mg LNG-IUS licenced for?

28
Q

How long is the rod licenced for?

29
Q

How does the rod work?

A

Inhibits ovulation

-also effect on cervical mucous and endometrium

30
Q

When can an implant be fitted?

A

Within first 5 days of cycle

31
Q

You want to switch from depo to implant, is this okay?

A

Yes, if last depo within 14 weeks

32
Q

You want to switch from the pill to the implant, is this okay?

A

Yes, fit after last active pill in packet taken

33
Q

You want to switch from COC/patch/vaginal ring to the implant, is this okay?

A

Yes if you fit during weeks 2-3 of COC/patch/vaginal ring

34
Q

You want to switch from POP to implant is this okay?

A

Need to use protection for the first 7 days

35
Q

You want to switch from the LNG-IUS to the implant, is this okay?

A

Need to use protection for the first seven days

36
Q

This contraception improves the quality if breast milk postpartum

37
Q

Why does depo improve quality of breast milk?

A

Depo has high levels of pregestogens which improve milk production

38
Q

Recognised treatment of mennorhagia in smokers over the age of 35

A

Mirena coil (IUS)

  • releases minimal doses of levonorgestrel every day
  • slims down the endometrium thereby reducing menstrual loss over a time span of 4-9 months
39
Q

This contraception is contra-indicated in smokers over 35 years of age

A

COC

contains synthetic oestrogens and these increase risk of cardiovascular effects

40
Q

Progesterone effect on the GI tract

A

Delays gastric emptying

Case example from pastest, not really contraception related:

“a 25 year old woman who has been on methadone for the past 3 weeks has a convulsion, why?” Answer: drug and alcohol withdrawal
-since gastric emptying is delayed due to the progesterone effect on the GI tract, insufficient drug levels in the plasma may be the cause for convulsion

Repodction (52 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions