contraception Flashcards
- Woman who constantly forgets to take oral contraceptive pill. You should
a) consider she has dementia praecox…
b) consider she has covert intentions
c) change her from the 28 days pill
d) consider she secretly desire pregnancy
e) consider she has hidden guilt regarding contraception as a bad thing
c) change her from the 28 days pill
- Depo provera is noted for all except:
a) useful for those on phenytoin
b) no increased risk of VTE
c) no change in menstrual pattern
c) no change in menstrual pattern
With regards to the COCP, a woman of 35 years who is a non-smoker and has a serum cholesterol of 5.8 should:
a) cease and use alternative contraceptive methods
b) continue to 38yo then cease
c) continue to 40 yo
d) continue to 45 yo
e) continue to menopause
? c
-need more info, need to reassess other cardiovascular RF. Once have multiple RF then becomes cat 3 ( increased cholesterol is one of them)
- The contraceptive with greatest continuation at one year is:
a) progesterone only pill
b) mirena IUCD
c) Depo Provera
d) Norplant ( Implanon)
d
a) progesterone only pill - ??
b) mirena IUCD – 80%
c) Depo Provera – 56%
d) Norplant ( Implanon) – 84%
- Benefits of OCP are all except:
a) reduce menorrhagia
b) reduce PID
c) reduce benign breast disease
d) reduce ovarian cancer
e) reduce cervical cancer
e) reduce cervical cancer
Benefits of COCP: • Contraceptive: o Highly effective o Convenient o Reversible • Non-contraceptive: o Reduction in rate of most disorders of the menstrual cycle • Less heavy bleeding • Less anaemia • Less dysmenorrhoea • Regular bleeding, timing can be controlled • Fewer syms PMT • No ovulation pain o Less PID o Fewer ectopics o Less benign breast disease o Fewer functional ovarian cysts o Less need for hospital rx due to bleeding from or size of fibroids o Beneficial effect on some cancers, esp Ca ovary, endometrium, probably CRC • Miscellaneous: o Fewer sebaceous disorders, esp acne o No acute toxicity if OD o Protection from OP, control of climacteric syms in replacement therapy o Beneficial social effects (postphoning pregnancy) o Less endometriosis o Less trichomonal vaginitis o Maybe less toxic shock syn o Less thyroid disease o Mayble less RA o Fewer duodenal ulcers
- What is the least correct statement regarding contraception or MAP (they weren’t sure which)
a. RU486 plus misoprostol 400mg oral 48/24 later
b. RU 486 plus misoprostol 800 mg PV 48/24 later
c. Mifepristone had been approved for the use in the USA as contraception (or maybe TOP)
Mifepristone had been approved for the use in the USA as contraception (or maybe TOP)
- Regarding IUCD:
a. increased incidence of PID associated with increasing use
b. associated with unilateral tuboovarian abscess
c. leave in situ if pregnancy occurs due to risk or miscarriage if removed
d. increased failure rates of Cu IUCD after 2 yrs due to extrusion
b
a. increased incidence of PID associated with increasing use – F ( risk within 20 days of insertion )
b. associated with unilateral tuboovarian abscess
c. leave in situ if pregnancy occurs due to risk or miscarriage if removed - F
d. increased failure rates of Cu IUCD after 2 yrs due to extrusion - F
- which of the following has the highest risk of ectopic pregnancy if the women conceives?
a) Condoms
b) diaphragm
c) COCP
d) Progesterone only pill
e) No contraception
e) No contraception
- What is the cumulative pregnancy rate of a woman using norplant for 5 yrs?
a) <1%
b) 1%
c) 3%
d) 5%
e) 8%
a) <1% ( 0.3%)
- In a woman who has been using Depo for 2 yrs, what are her chances of being pregnant 15/12 following last injection with regular intercourse?
a. 40%
b. 50%
c. 65%
d. 75%
e. 85%
d. 75%
95% in 2 years.
50% pregnant 10 months after stopping depo
Ie. 12 months since end of last dose period
Return to fertility is slow, but complete
Mean time to conception 9 months after last injection
12 months post stopping – 75% conception rate
9 months – 65%
6 months – 55%
3 months – 30%
- Sex 24 hours ago but condom broke. Which is true?
a. ethynyl oestradiol plus norgestrel should be given within 96 hrs after unprotected sex
b. ethynyl oestradiol 5mg/day for 5 days within 96 hrs
c. after 1 unprotected midcycle intercourse, pregnancy rate about 15% can be expected
d. pregnancy rate after postcoital contraception is about 5%
e. 90% of women after postcoital hormone treatment get withdrawal bleed within 14 days
c. after 1 unprotected midcycle intercourse, pregnancy rate about 15% can be expected
- Epileptic woman on phenytoin, requesting OCP. What do you prescribe?
a) 30 mcg OCP
b) 50 mcg OCP
c) 80 mcg OCP
d) minipill
e) diaphragm
b) 50 mcg OCP
- Regarding contraception. Which is true?
a) principle action of POP is to suppress ovulation
b) more females using IUD have ectopics than females using no contraception
c) more females with Cu IUD have ectopics than inert IUD
d) epileptics can’t use OCP
e) mucus method has Pearl index < or equal to 5 preg/100 years if couple abstain 2 days prior to ovulation
f) unilateral tuboovarian abscess is associated with IUD
f) unilateral tuboovarian abscess is associated with IUD
- In regard to the OCP
a) older women (>35yo) are at increased risk of arterial thromboembolism regardless of whether they smoke
b) the principle action of the POP is to inhibit ovulation
c) Diane 35 is likely to take over as the most frequently used OCP in well asymptomatic young women
d) OCP containing the new progesterones gestodene and desogesteral have been shown to be more effective at preventing pregnancy than the older formulations
e) Phenytoin does not affect the efficacy of 30-35 microgram OCP formulations
a. older women (>35yo) are at increased risk of arterial thromboembolism regardless of whether they smoke
- A woman has a regular period every 28 days. She has spotting around day 14 of her cycle. Which of the following is correct?
a) oestrogen BTB
b) progesterone BTB
c) oestrogen withdrawal bleeding
d) progesterone withdrawal bleed
c) oestrogen withdrawal bleeding
