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Gynae & Obs disorders > Contraception > Flashcards

Contraception Flashcards

1
Q

which form of contraception prevents against STIs

A

barrier contraception e.g. condoms

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2
Q

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

A

chlyamydia and gonorrhoea

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3
Q

what are the 2 forms of hormonal contraception

A

combined methods

progesterone only methods

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4
Q

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
A
  1. prevents ovulation, increases cervical mucus thickening and inhibits endometrial proliferation
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5
Q

What does the combined hormonal contraception contain

  1. oestrogen
  2. progesterone
  3. no oestrogen or progesterone
  4. both oestrogen and progesterone
A
  1. both oestrogen and progesterone
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6
Q

What does the progesterone hormonal contraception contain

  1. oestrogen only
  2. progesterone only
  3. no oestrogen or progesterone
  4. both oestrogen and progesterone
A
  1. progesterone only
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7
Q

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
A
  1. take tablets for 21 days then stop for 7 days
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8
Q

what are the 2 types of COCP pills

A

monophasic pills

phasic pills

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9
Q

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

A

arm
abdomen
buttock
back

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10
Q

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

A

every 7 days for 3 weeks

then free for 7 days

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11
Q

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
A
  1. prevents ovulation, increases cervical mucus thickening and inhibits endometrial proliferation
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12
Q

what is the ultimate aim for contraception

A

prevent the implantation of a the oocyte

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13
Q

what type of contraception is the vaginal ring

  1. combined
  2. progesterone only
A
  1. combined
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14
Q

how often does the vaginal ring sit in the vagina for

A

21 days then removed for 7 and insert a new one

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15
Q

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
A
  1. prevents ovulation, increases cervical mucus thickening and inhibits endometrial proliferation
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16
Q

list 3 side effects of using the contraceptive vaginal ring

A

headaches
breast tenderness
mood changes

17
Q

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

A 
venous thromboembolism 
MI 
strokes 
breast and cervical cancer 
HTN
18
Q

list 3 contraindications of the contraceptive vaginal ring

A 
BMI >35 
smoking >35 yrs 
HTN 
migraine 
prolonged immobility, surgery, disability
FHx venous thromboembolism
19
Q

list 2 forms of emergency contraception

A

intrauterine device

morning after pill

20
Q

how does the morning after pill work

A

inhibits ovulation

21
Q

how long does the morning after pill inhibit ovulation for

A

5-7days

22
Q

how long after sex can the morning after pill be used

  1. 72 hrs
  2. 120 hrs
A
  1. 72 hrs
23
Q

give an example of the morning after pill (name)

A

Levonorgrestel

24
Q

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

A

crohns

25
Q

which contraception method is 99% effective

A

intrauterine device

26
Q

how long after unprotected sex can the intrauterine device be inserted

  1. 7 days
  2. 3 days
  3. 5 days
  4. 1 day
A
  1. 5 days
27
Q

how does the intrauterine device work

A

toxic to the sperm

inflammatory responce

28
Q

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

A

ectopic pregnancy

29
Q

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

A

period >5 days late
reduced bleeding
severe lower abdo pain

30
Q

how long can the intrauterine device remain in situ for

A

5-10 yrs

31
Q

list 3 adverse effects of the intrauterine device

A

pelvic pain
bleeding
pelvic infections

32
Q

where can the implant be inserted

A

upper arm

33
Q

what type of contraception is the implant

  1. combined
  2. progesterone
A
  1. progesterone
34
Q

how long can the implant remain in situ for

A

3 yrs

35
Q

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

Gynae & Obs disorders (11 decks)

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