Harvluck B8 W2

Question 1

What is the hormone produced by IUS?

Answer 1

Levonorgestrel

Question 2

Examinations before prescribing contraceptive

Answer 2

BP and BMI

Question 3

Caution for intrauterine contraception

Answer 3

Firboids, cervical/endometrial cancer, pelvic infection, cardiac disease

Question 4

Antibiotics and combined contraceptive

Answer 4

Diarrhoea, vomiting which causes loss of pregnancy protection

Question 5

Contraception in form of pill, injectable or implant

Answer 5

Progesterone-only

Question 6

Principles of use for combined hormonal contraceptives

Answer 6

Use for 7 days then 7 day free bleed

Question 7

Formation of uterus

Answer 7

Paramesonephric ducts meet in the midline to fuse

Question 8

Where does the pudendal vein drain?

Answer 8

Into vesicle plexous around urinary bladder

Question 9

Salpingectomy

Answer 9

Removal of the fallopian tube

Question 10

Where is damage likely to occur in childbirth?

Answer 10

Superficial transverse perineal muscle

Question 11

Whuch emergency contraceptive can work after ovulation?

Answer 11

IUD

Question 12

Difference between Bartholin gland and vestibular gland

Answer 12

No difference

Question 13

Combined oral contraceptive

Answer 13

99% effective with consistent use of one tablet daily. Avoid taking with UPA.

Question 14

Advantages of progesterone injectable

Answer 14

Reduced bleeding, pain of endometriosis

Question 15

External os

Answer 15

Opening of cervix into vagina

Question 16

Criteria for lactational amenorrhea method

Answer 16

Less than 6-12 months post partum, amenorrhoea, full breastfeeding

Question 17

Disadvatnage of progesterone injectable

Answer 17

Causes weight gain, delatyed fertility, increased osteopororsis risk and breasta and cervical cancer

Question 18

Risk of combined hormonal contraception

Answer 18

Risk of venous thromboembolism, stroke, MI, breast and cervical cancer

Question 19

Disadvantages of progesterone implant

Answer 19

Irregular bleeding, risk of fitting

Question 20

What is the standard days method?

Answer 20

12 day fertile window for avoiding sex

Question 21

Indicators of fertility for fertility awareness method

Answer 21

Temp, cervical secretions, calender standard days method

Question 22

Cautions for progesterone contraception

Answer 22

Unexplained vaginal bleeding, breast cancer, cardiovascular disease

Question 23

Cautions for combined contraceptive?

Answer 23

Smoking, history of blood clots, breast cancer, high BP or BMI

Question 24

Advantages of combined contracpetive

Answer 24

Menstruation, heavy bleeding, reduced risk of endometrial and ovarian cancer

Question 25

Which muscle overlies the vestibule bulbs?

Answer 25

Bulbospongous muscle

Question 26

Drug interaction cautions for progesterone-only implant

Answer 26

UPA and liver enzyme inducers

Question 27

Liver enzyme inducers

Answer 27

Anti-epileptics, anti-bacterial such as rifampicine, anti-retroviral eg ritonavir and anti-depressant like St John’s wort

Question 28

Bulbs of vestibule

Answer 28

Formed of corpus spongiousum

Question 29

Mean survival of sperm

Answer 29

1.47

Question 30

Vagina from paramesonephric duct

Answer 30

Proximal 1/3

Question 31

Contraceptive that have risk of perforation

Answer 31

Intrauterine system