Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

MFSRH Part 2 (2023) > UKMEC Quiz > Flashcards

UKMEC Quiz Flashcards

1
Q

UKMEC for CHC in hepatocellular adenoma

A

4

[3 for progestogen-only methods]
[1 for Cu IUD]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

UKMEC for DMPA in SLE with positive antiphospholipid antibodies

A

2
[2 for all progestogen-only methods]
[4 for CHC]
[1 for Cu IUD]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

UKMEC for LNG IUD in focal nodular hyperplasia

A

2 (same for all hormonal methods, including CHC)

[1 for Cu IUD]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

UKMEC for POP in IBD

A

2 (due to absorption, therefore CHC is the same)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

UKMEC for CHC in Sickle cell disease

A

2 (higher VTE risk than patients without sickle cell disease)

[1 for progestogen-only methods]
[2 for Cu IUD due to possible anaemia]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

UKMEC for Cu IUD in thalassaemia

A

2
[because of anaemia]
[all other methods are UKMEC 1]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

UKMEC for CHC in benign focal nodular hyperplasia (liver tumours)

A

2 (same as all hormonal methods)

[1 for Cu IUD]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

UKMEC for CHC in SLE without antiphospholipid antibodies

A

2 (same as all progestogen only methods)

[becomes a 4 WITH antiphospholipid antibodies]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

UKMEC for DMPA in thyroid disorders

A

1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

UKMEC for CHC in medically treated but symptomatic gallbladder disease

A

3 (2 if treated with cholecystectomy or asymptomatic)

[all progestogen-only methods are a 2 regardless of symptoms or treatment]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

UKMEC for implant in asymptomatic gallbladder disease

A

2

[2 for all hormonal methods, including CHC]
[1 for Cu IUD]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

UKMEC for CHC in previous obstetric cholestasis

A

2 (1 for everything else)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

UKMEC for commencing CHC in someone who has an acute flare of viral hepatitis

A

3
But a 2 for continuing the method

[UKMEC 1 for all other methods with hepatitis, regardless of acuteness/chronicity]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

UKMEC for LNG-IUD in someone with severe (decompensated) liver cirrhosis

A

3
[3 for all progestogen-only methods]
[4 for CHC]
[1 for Cu IUD]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

UKMEC for implant in someone with past COC related cholestasis

A

2
[2 for all progestogen only methods]
[3 for CHC]
[1 for Cu IUD]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

UKMEC for initiating Cu IUD in someone with HIV who has a CD4 count <200

A

3 (but a 2 for continuining)
Same as LNG IUD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

UKMEC for initiating LNG IUD in someone with HIV who has a CD4 count >200

A

2 (same as Cu IUD)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

UKMEC for starting CHC in someone with pelvic tuberculosis

A

1
[all are 1 apart from IUCs - they are 4 for initiating, and 3 for continuing)
[all method are a 1 for non-pelvic TB]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

UKMEC for initiating Cu IUD in someone with pelvic tuberculosis

A

4
But a 3 for continuing
Same as LNG IUD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

UKMEC for DMPA in someone with nephropathy/retinopathy/neuropathy in a diabetic

A

2

[although clinically this patient probably also has vascular disease?? And UKMEC for DMPA in vascular disease with HTN is a 3]

[2 for all progestogen-only methods]
[3 for CHC]
[1 for Cu IUD]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

UKMEC for CHC in someone with vascular disease who has diabetes

A

3

[2 for progestogen only methods]
[1 for Cu IUD]

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

UKMEC for fitting a Cu IUD in someone with known uterine fibroids with distortion of the uterine cavity

A

3 (same for LNG IUD)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

UKMEC for fitting an LNG IUD in someone with a previous history of PID

A

1 (same as Cu IUD)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

UKMEC for fitting a Cu IUD in someone with current PID

A

4
(but a 2 for continuing)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
UKMEC for fitting an LNG IUD in someone with symptomatic chlamydia infection
4 (but a 2 for continuing, and a 3 if asymptomatic)
26
UKMEC for fitting a Cu IUD in someone who has purulent cervicitis or gonorrhoea
4 (but a 2 for continuing) [GC the UKMEC is 4 regardless of symptoms, CT the UKMEC changes based on symptoms - 4 for symptomatic, 3 for asymptomatic]
27
UKMEC for fitting an LNG-IUD in someone with vaginitis (including TV and BV)
2 (same as Cu IUD)
28
UKMEC for fitting an LNG IUD in someone with CIN
2 [but 1 for Cu IUD] [also a 2 for DMPA and CHC] [but a 1 for imp and POP]
29
UKMEC for giving DMPA in someone with cervical cancer awaiting treatment
2 [1 for POP only] [2 for imp and CHC - although personally would argue the VTE risk of having cancer would rule out CHC] [4 for initiating IUCs, 2 for continuing IUCs]
30
UKMEC for fitting a Cu IUD in someone who has had a radical trachelectomy for cervical cancer
3 (same as LNG IUD) [POP is the only UKMEC 1] [DMPA, Imp, CHC are UKMEC 2]
31
UKMEC for continuing someone's CHC if they have an undiagnosed breast mass / breast symptoms
2 (3 for initiating) [2 for progestogen only methods - does not specify difference between continuing or initiating] [1 for Cu IUD]
32
UKMEC for CHC in family history of breast cancer
1
33
UKMEC for CHC in someone who is a known carrier of BRCA gene
3 [2 for progestogen only methods] [1 for Cu IUD]
34
What is the only UKMEC 1 method in current breast cancer
Cu IUD
35
UKMEC for continuing someone's Cu IUD after they have been diagnosed with endometrial cancer
2 [UKMEC 4 for initiating]
36
UKMEC for CHC in someone with previous ovarian cancer
1
37
UKMEC for CHC in someone with idiopathic intracranial hypertension
2 [1 for everything else]
38
UKMEC for DMPA in someone with unexplained vaginal bleeding (suspicious for serious condition) before evaluation
3 (same as implant)
39
UKMEC for Cu IUD in someone with endometriosis
2 (due to increased risk of dysmenorrhoea and IMB/HMB)
40
UKMEC for LNG IUD in someone with benign ovarian tumours, including cysts
1
41
UKMEC for Cu IUD in someone with GTD but has decreasing hCG levels
3 (same as LNG IUD) [UKMEC 1 for all other methods]
42
UKMEC for CHC in someone with malignant GTN
1 (?? are these patients at increased risk of VTE though)
43
UKMEC for CHC in uncomplicated valvular / congenital heart disease
2 (4 when complicated) [1 for all other methods]
44
UKMEC for DMPA in someone with complicated valvular or congenital heart disease (i.e. pulmonary HTN or bacterial endocarditis)
1 (same as POP and imp) [2 for both IUDs] [4 for CHC]
45
UKMEC for LNG IUD in someone with complicated valvular or congenital heart disease (i.e. pulmonary HTN or bacterial endocarditis)
2 (same as Cu IUD) - Doesn't differentiate between initiation or continuation [4 for CHC] [2 for other progestogen-only methods]
46
UKMEC for CHC in cardiomyopathy with impaired cardiac function
4 (2 if normal cardiac function) [UKMEC 2 for everything else with impaired function, UKMEC 1 for everything else with normal function]
47
UKMEC for CHC in AF
4 [2 for all progestogen only methods] [1 for Cu IUD]
48
UKMEC for DMPA in someone with AF
2 (same as imp, POP, IUS)
49
UKMEC for initiating Cu IUD in someone with AF
1 (but 2 for LNG-IUD)
50
UKMEC for initiating LNG IUD in someone with known long QT syndrome
3 (a 1 for continuing) - same as Cu IUD [DMPA and CHC are a 2, IMP and POP are a 1]
51
UKMEC for continuing CHC in someone with severe non-migrainous headaches
2 (would be a 1 for initiating)
52
UKMEC for continuing CHC in someone with migraine without aura
3 (would be a 2 for initiating) [POP and Cu IUD are the only ones that are a 1, but POP becomes a 2 for continuing]
53
UKMEC for CHC in someone who used to have migraines with aura (>5 years ago)
3 (would be a 4 if current / more recent)
54
UKMEC for DMPA in someone with a current VTE on anticoagulants
2 (same for POP, imp, IUS)
55
UKMEC for CHC in family history of VTE (first-degree relative age <45 years)
3 Would be a 2 if 45 years or older
56
UKMEC for CHC in someone having major surgery with prolonged immobilisation
4 (is a 2 without prolonged immobilisation)
57
UKMEC for implant in someone having major surgery with prolonged immobilisation
2 (same for IUS, POP, DMPA)
58
UKMEC for CHC in a long-term wheelchair user
3
59
UKMEC for CHC for someone with superficial venous thrombosis
2
60
UKMEC for CHC in someone with protein C deficiency
4 (any known thombogenic mutations) [2 for all progestogen only methods] [1 for Cu IUD]
61
UKMEC for DMPA for someone with factor V leiden
2 (same as all hormonal methods apart from CHC)
62
UKMEC for CHC for BMI 32 with recent bariatric surgery
2 (just depends on their current BMI. Take into account any oral malabsorption issues though)
63
UKMEC for initiating LNG IUD in someone with a complicated organ transplant
3 (would be a 2 for continuing) - same as Cu IUD UKMEC 2 if uncomplicated organ transplant
64
UKMEC for CHC in someone with an uncomplicated renal transplant
2 (would be a 3 if complicated) UKMEC 2 for all contraceptives in uncomplicated organ transplants
65
UKMEC for DMPA in someone who smokes, is obese, and has diabetes
3 (i.e. multiple risk factors for CVD) - The other contraceptive this would be a 3 for is CHC - The rest hormonal options are UKMEC 2 - Cu IUD is UKMEC 1
66
UKMEC for DMPA in someone with adequately controlled HTN
2 (1 for other progestogen-only methods, 3 for CHC)
67
UKMEC for CHC in someone with BP >160/100
4 [UKMEC 2 for DMPA] [UKMEC 1 for everything else]
68
UKMEC for DMPA in someone with known peripheral vascular disease (under the HTN section)
3 - Would be UKMEC 2 for imp, POP, IUS - UKMEC 1 for Cu IUD - UKMEC 4 for CHC
69
UKMEC for CHC in someone with known vascular disease
4 [3 for DMPA] [2 for POP, imp, LNG IUD] [1 for Cu IUD]
70
UKMEC for CHC in someone with previous history of high BP during pregnancy
2
71
UKMEC for LNG IUD in someone with a history of IHD
2 for initiating 3 for continuing
72
UKMEC for implant in someone with a history of TIA
2 for initiating 3 for continuing (Same as IHD. Same as POP)
73
UKMEC for DMPA in history of TIA
3 (same as IHD) DMPA is the only progestogen-only method where it is a 3 for both initiating AND continuing
74
UKMEC for CHC in someone with known dyslipidaemia
2 (same as all hormonal contraceptives)
75
UKMEC for Cu IUD in someone who is 27 days post partum
3
76
UKMEC for CHC in a smoker who is 32 years old
2 (any number of cigarettes)
77
UKMEC for CHC in someone who is 36 and only smokes 2 a day
3 (would be 4 if smokes more than 15 a day)
78
UKMEC for CHC in someone who is 40 but stopped smoking 18 months ago
2 (becomes a 2 when stopped ≥1 year ago. Is a 3 if stopped <1 year ago)
79
UKMEC for CHC based on BMI
- BMI ≥30-34 = UKMEC 2 - BMI ≥35 = UKMEC 3
80
UKMEC for CHC in someone who is 5 weeks post partum and breastfeeding
4 (turns to 2 once over 6 weeks and still breastfeeding, and turns to a 1 once 6 months post partum)
81
UKMEC for DMPA in someone who is 5 weeks post partum and breastfeeding
2
82
UKMEC for CHC who is 5 days post partum but VTE score of 0 and not breastfeeding
3 (turns to a 4 if any additional VTE risk factors)
83
UKMEC for CHC in someone who is 4 weeks post partum but VTE score of 0 and not breastfeeding
2 (would be a 3 if additional VTE risk factors) - If NOT breast feeding, and no VTE risk factors, and >3 but <6 weeks post-partum, UKMEC 2 - If NOT breast feeding, but VTE risk factors, and >3 but <6 weeks post-partum, UKMEC 3 - UKMEC 1 once over 6 weeks and NOT breastfeeding
84
UKMEC for DMPA in someone who is 4 weeks post partum and has a VTE score of 3 but is not breastfeeding
2 (would be a 1 without additional VTE risk factors)
85
List the UKMEC 4s for POP
Current breast cancer
86
List the UKMEC 3s for POP
- Hepatocellular adenoma - Hepatocellular carcinoma - Severe (decompensated) liver cirrhosis - Past breast cancer - Continuation of with stroke / IHD
87
List the UKMEC 4s for progestogen only injection
Current breast cancer
88
List the UKMEC 3s for progestogen only injection
- Hepatocellular carcinoma - Hepatocellula adenoma - Severe (decompensated) liver cirrhosis - Past breast cancer - Unexplained vaginal bleeding (suspicious for serious pathology) - Stroke - IHD - Vascular disease - Multiple risk factors for CVD
89
UKMEC for LNG IUD insertion in under 20s
- 2 if <20 - 1 if ≥20 - Same for Cu IUD
90
UKMEC for DMPA by age
- menarche to <18 = UKMEC 2 - 15-45 = UKMEC 1 - >45 = UKMEC 2 [and advise a woman over 50 stop DMPA, although not in UKMEC specifically]
91
UKMEC for age in CHC
- Menarche to <40 = 1 - ≥40 = 2 [and advise someone over 50 to stop CHC, although not in UKMEC specifically]
92
UKMEC for IUDs in nulliparous women
UKMEC 1
93
UKMEC for IUD in past ectopic pregnancy
1
94
UKMEC for IUC in history of pelvic surgery
1
95
List the UKMEC 4s for implant
Current breast cancer
96
List the UKMEC 3s for implant
- Continuing if has IHD or stroke whilst using it - Unexplained vaginal bleeding suspicious for serious condition - Past breast cancer - Severe (decompensated) liver cirrhosis - Hepatocellular adenoma - Hepatocellular carcinoma
97
List the UKMEC 4s for CHC
- Breastfeeding and <6 weeks post partum - Not breast feeding, under 3 weeks post partum with VTE risk factors - Age ≥35 and smokes ≥15 cigarettes a day - BP ≥160/100 - Vascular disease with HTN - History IHD or stroke - History / current VTE - Major surgery with prolonged immobilisation - Known thrombogenic mutations - Complicated valvular and CHD - Cardiomyopathy with impaired cardiac function - Migraine with aura, any age - Current breast cancer - Severe, decompensated liver cirrhosis - Hepatocellular adenoma - Hepatocellular carcinoma - SLE with positive antiphospholipid antibodies - Positive antiphospholipid antibodies
98
List the UKMEC 3s for CHC
- Not breast feeding, no VTE risk factors, but under 3 weeks post partum - Not breast feeding, has VTE risk factors, 3-6 weeks postpartum - Age ≥35 and smokes <15 cigarettes a day - Age ≥35 and stopped smoking <1 year ago - BMI ≥35 - Complicated organ transplant - Multiple risk factors for CVD - Adequately controlled HTN - BP >140/90 - First degree relative FH VTE <45 - Immobility (wheelchair use e.g.) - Continuing if develops migraine without aura - History (≥5 years ago) migraine with aura - Initiating with undiagnosed breast mass/symptoms - BRCA carrier - Past breast cancer - Nephropathy/retinopathy/neuropathy secondary to diabetes - Other vascular disease secondary to diabetes - Medically treated / current gallbladder disease - Past COC related cholestasis - Initiating in acute flare of viral hepatitis
99
List the UKMEC 4s for Cu IUD
- Postpartum sepsis - Post-abortion sepsis - Unexplained vaginal bleeding suspicious for serious condition (initiation) - Persistently elevated hCG levels or GTN - Awaiting treatment for cervical cancer (initiation) - Endometrial cancer (initiation) - PID (initiation) - Symptomatic CT (initiation) - GC or purulent cervicitis (initiation) - Pelvic TB (initiation)
100
List the UKMEC 3s for Cu IUD
- 48 hours - <4 weeks post partum - Initiating with complicated organ transplant - Initiating with prolonged QT - Decreasing hCG levels (GTD) - Post radical trachelectomy for cervical cancer - Distortion of uterine cavity (fibroids or anatomical abnormalities) - Asymptomatic chlamydia - Initiating HIV CD4 count <200 - Continuing in pelvic TB
101
List the UKMEC 4s for LNG IUD
- Postpartum sepsis - Post abortion sepsis - Initiating in unexplained vaginal bleeding suspicious for serious condition - Persistently elevated hCG levels / malignant GTN - Initiating cervical cancer awaiting treatment - Current breast cancer - Initiating current endometrial cancer - Initiating current PID - Initiating symptomatic CT - Initiating GC or purulent cervicitis - Initiating pelvic TB
102
List the UKMEC 3s for LNG IUD
- 48 hours to <4 weeks post partum - Initiating in complicated organ transplant - Continuing if IHD/stroke occurs during use - Initiating in prolonged QT - Decreasing hCG levels (GTD) - Post radical trachelectomy for cervical cancer - Past breast cancer - Distortion of uterine cavity (fibroids or anatomical abnormality) - Asymptomatic chlamydia infection - HIV CD4 count <200 (initiating) - Continuing pelvic TB - Severe, decompensated liver cirrhosis - Hepatocellular adenoma - Hepatocellular carcinoma

MFSRH Part 2 (2023) (22 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions