Year 3 sem 2

Question 1

guidelines for risks before starting contraception

Answer 1

UKMEC 1: no restriction
2: benefits> risks
3: benefits< risks
4: contraindicated

Question 2

condition that contraindicates hormonal contraception

Answer 2

breast cancer

Question 3

contraception should be used in BC?

Answer 3

copper coil
barrier

Question 4

contraindication for all intrauterine systems (IUS)

Answer 4

cervical cancer
endometrial cancer

Question 5

avoid copper coil

Answer 5

Wilsons disease

Question 6

specific contraindications for COCP

Answer 6

hypertension >160/100
migraine + aura
VTE hx
age >35, smoking >15 cigs
major surgery
ischaemic HD
liver cirrhosis
SLE + APS

Question 7

contraception required after last period for women < 50?

Answer 7

2 years

Question 8

contraception required after last period for women >50?

Answer 8

1 year

Question 9

age limit for COCP?

Answer 9

50

Question 10

when should projesterone injection be stopped?

Answer 10

before 50 yrs, risk of osteoporosis

Question 11

contraceptives not recommended for women under 20?

Answer 11

progesterone only injection (BMD)
coils - expulsion

Question 12

women considered fertile after childbirth?

Answer 12

21 days

Question 13

contraceptive contraindicated in breastfeeding?g

Answer 13

COCP

Question 14

when can IUS be inserted after birth?

Answer 14

within 48 hours
OR
after 4 weeks

Question 15

MOA of COCP?

Answer 15

prevents ovulation
contains oestrogen + progesterone, suppress release of GnRH, LH, FSH

Question 16

first line COCP?

Answer 16

levonorgestrel
norethisterone

Question 17

first line for PMS?

Answer 17

Yasmin (drospirenone)

Question 18

COCP in BMI>35?

Answer 18

UKMEC3, risks>benefits

Question 19

post-coital contraception?

Answer 19

copper coil