Contraception

Question 1

which form of contraception prevents against STIs

Answer 1

barrier contraception e.g. condoms

Question 2

give an example of an sti that barrier contraception can protect against

Answer 2

chlyamydia and gonorrhoea

Question 3

what are the 2 forms of hormonal contraception

Answer 3

combined methods

progesterone only methods

Question 4

how does the combined hormone contraception work?

1. prevents ovulation and inhibits cervical mucus thickening
2. prevents ovulation and increases cervical mucus thickening ONLY
3. prevents ovulation, increases cervical mucus thickening and inhibits endometrial proliferation
4. increases cervical mucus thickening and inhibits endometrial proliferation ONLY

Answer 4

3. prevents ovulation, increases cervical mucus thickening and inhibits endometrial proliferation

Question 5

What does the combined hormonal contraception contain

1. oestrogen
2. progesterone
3. no oestrogen or progesterone
4. both oestrogen and progesterone

Answer 5

4. both oestrogen and progesterone

Question 6

What does the progesterone hormonal contraception contain

1. oestrogen only
2. progesterone only
3. no oestrogen or progesterone
4. both oestrogen and progesterone

Answer 6

2. progesterone only

Question 7

how is the COCP taken

1. take tablets consecutively for 14 days then stop for 14 days
2. take tablets for 21 days then stop for 7 days
3. take tablets for 7 days then stop for 21 days
4. take tablets for 14 days the stop for 7 days

Answer 7

2. take tablets for 21 days then stop for 7 days

Question 8

what are the 2 types of COCP pills

Answer 8

monophasic pills

phasic pills

Question 9

where can the transdermal patch (contraception) be placed? List 3 areas

Answer 9

arm
abdomen
buttock
back

Question 10

how often does the transdermal patch (contraception) have to changed?

Answer 10

every 7 days for 3 weeks

then free for 7 days

Question 11

how does the transdermal patch (contraception) work

1. prevents ovulation and inhibits cervical mucus thickening
2. prevents ovulation and increases cervical mucus thickening ONLY
3. prevents ovulation, increases cervical mucus thickening and inhibits endometrial proliferation
4. increases cervical mucus thickening and inhibits endometrial proliferation ONLY

Answer 11

3. prevents ovulation, increases cervical mucus thickening and inhibits endometrial proliferation

Question 12

what is the ultimate aim for contraception

Answer 12

prevent the implantation of a the oocyte

Question 13

what type of contraception is the vaginal ring

1. combined
2. progesterone only

Answer 13

1. combined

Question 14

how often does the vaginal ring sit in the vagina for

Answer 14

21 days then removed for 7 and insert a new one

Question 15

how does the contraceptive vaginal ring work

1. prevents ovulation and inhibits cervical mucus thickening
2. prevents ovulation and increases cervical mucus thickening ONLY
3. prevents ovulation, increases cervical mucus thickening and inhibits endometrial proliferation
4. increases cervical mucus thickening and inhibits endometrial proliferation ONLY

Answer 15

3. prevents ovulation, increases cervical mucus thickening and inhibits endometrial proliferation

Question 16

list 3 side effects of using the contraceptive vaginal ring

Answer 16

headaches
breast tenderness
mood changes

Question 17

what are you at increased risk of developing with the contraceptive vaginal ring (list 3)

Answer 17

venous thromboembolism 
MI 
strokes 
breast and cervical cancer 
HTN

Question 18

list 3 contraindications of the contraceptive vaginal ring

Answer 18

BMI >35 
smoking >35 yrs 
HTN 
migraine 
prolonged immobility, surgery, disability
FHx venous thromboembolism

Question 19

list 2 forms of emergency contraception

Answer 19

intrauterine device

morning after pill

Question 20

how does the morning after pill work

Answer 20

inhibits ovulation

Question 21

how long does the morning after pill inhibit ovulation for

Answer 21

5-7days

Question 22

how long after sex can the morning after pill be used

1. 72 hrs
2. 120 hrs

Answer 22

1. 72 hrs

Question 23

give an example of the morning after pill (name)

Answer 23

Levonorgrestel

Question 24

give an example of a malabsorption disease the morning after pill wont work in

Answer 24

crohns

Question 25

which contraception method is 99% effective

Answer 25

intrauterine device

Question 26

how long after unprotected sex can the intrauterine device be inserted 1. 7 days 2. 3 days 3. 5 days 4. 1 day

Answer 26

3. 5 days

Question 27

how does the intrauterine device work

Answer 27

toxic to the sperm inflammatory responce

Question 28

what are women at increased risk of developing when on the intrauterine device

Answer 28

ectopic pregnancy

Question 29

what symptoms would indicate ectopic pregnancy in a women with the intrauterine device

Answer 29

period >5 days late reduced bleeding severe lower abdo pain

Question 30

how long can the intrauterine device remain in situ for

Answer 30

5-10 yrs

Question 31

list 3 adverse effects of the intrauterine device

Answer 31

pelvic pain bleeding pelvic infections

Question 32

where can the implant be inserted

Answer 32

upper arm

Question 33

what type of contraception is the implant 1. combined 2. progesterone

Answer 33

2. progesterone

Question 34

how long can the implant remain in situ for

Answer 34

3 yrs

Question 35

how does the implant work 1. prevents ovulation and inhibits cervical mucus thickening 2. prevents ovulation and increases cervical mucus thickening ONLY 3. prevents ovulation, increases cervical mucus thickening and inhibits endometrial proliferation 4. increases cervical mucus thickening and inhibits endometrial proliferation ONLY

Answer 35

3. prevents ovulation, increases cervical mucus thickening and inhibits endometrial proliferation