contraceptive methods

Question 1

Implanon, a contraceptive implant:

a. is just as effective as the oral contraceptive pill
b. is associated with Deep Vein Thrombosis
c. requires annual replacement
d. contains oestrogen

Answer 1

a. is just as effective as the oral contraceptive pill

b. COCP
c. lasts for 3 years
d. contains progesterone

Question 2

In which situation is the progesterone only pill preferred to COCP (containing oestrogen)?

a. lactation
b. family history of osteoporosis
c. non smoker
d. age less than 30 years

Answer 2

a. lactation

oestrogen can inhibit milk production

Question 3

how long does Mirena IUD last for?

Answer 3

5 years

Question 4

how long does depo-provera last for?

Answer 4

3 months

Question 5

how long does implanon last for?

Answer 5

3 years

Question 6

how long does nuvaring last for?

Answer 6

3 weeks

Question 7

how long does copper IUD last for?

Answer 7

5 or 10 years (depending on type chosen)

Question 8

which contraceptive method decreases the risk of endometrial and ovarian cancer?

Answer 8

COCP and nuvaring (similar to COCP)

Question 9

which contraceptive method has the slowest return to fertility?

Answer 9

depo-provera (12 months)

Question 10

which contraceptive method has the highest effectiveness?

Answer 10

implanon (99.95%)

Question 11

which of the following contraceptive method is contraindicated in patients with migraine with aura?

a. progesterone-only pill
b. copper IUD
c. COCP
d. mirena

Answer 11

c. COCP

Question 12

Which of the following contraceptive methods can cause painful periods?
a) Oral Contraceptive Pill
b) Mini Pill
c) Copper IUD
d) Depo Injection

Answer 12

c. copper IUD

Question 13

what contraceptive method is contraindicated in hypertension?

Answer 13

COCP and nuvaring (intravaginal ring)

Question 14

what contraceptive must be inserted during day 1-5 of menstrual cycle?

Answer 14

implanon

Question 15

if pill missed >24h, take contraceptive and use condom for next 7 days
what contraceptive method is this?

Answer 15

COCP

Question 16

if pill missed >3h, take contraceptive and use condom for next 48h
what contraceptive method is this?

Answer 16

Progesterone only pill

Question 17

Rachel Phong is a 32‐year‐old woman who gave birth to her second child 8 months ago. She is here to discuss contraceptive options with her general practitioner. Which of the following statements
is TRUE?

A. As Rachel has had heavy periods in the past, the Copper IUD (non‐hormonal intrauterine device) is a good choice.
B. Rachel does not need contraception as she is still breast feeding.
C. As Rachel is breast feeding she should not be prescribed Implanon® (contraceptive implant).
D. Given Rachel had a deep vein thrombosis 3 years ago, she should not be prescribed Mirena® (hormonal intrauterine device).
E. As Rachel wishes to try for another baby in 3 years, the ESSURE procedure is not recommended.

Answer 17

E. As Rachel wishes to try for another baby in 3 years, the ESSURE procedure is not recommended

Question 18

Eighteen‐year‐old Ella Jacobs presents to the GP requesting a prescription for the oral contraceptive pill. After taking a further history, the GP decides to prescribe a combined oral contraceptive pill. Which of the following statements would the GP include in their discussion with Ella about the combined oral contraceptive pill?

A. The effectiveness with typical use is 99.7%.
B. The pill must be started on the last day of bleeding.
C. If the pill is taken more than 3 hours late, there is an increased risk of pregnancy.
D. The pill may be affected by drugs that treat epilepsy.
E. The pill increases the chance of uterine and ovarian cancer.

Answer 18

D. The pill may be affected by drugs that treat epilepsy.

a. perfect use: 99.7%
e. risk of breast and cervical cancer