Contraception

Question 1

Cocp 1 pill missed

Answer 1

Take last pill even if it means taking 2 pills in same day
Then continue as usual

Question 2

Cocp 2or more pills missed in week 1

Answer 2

Take last pill even if it means taking 2 pills in same day
Use condoms/abstain
Emergency contraception if upsi

Question 3

Cocp 2 or more missed pills in week 2

Answer 3

Take last pill even if it means taking 2 pills in same day
Use condoms /abstain
No need for emergency contraception if upsi

Question 4

Cocp 2 or more missed pills in week 3

Answer 4

Take last pill even if it means taking 2 pills in same day
Condoms /abstain
Finish pills in current pack, omit pill free interval

Question 5

Absolute contraindications for cocp

Answer 5

Migrain with aura
Breastfeeding<6weeks post partum
Breast ca
35yrs+ 15cig/day
UNCONTROLLED HTN

Vascular disease/vte/ihd/stroke/valvilar and congenital heart diseass
Thrombogenic mutations/apla/raynudswithlupus
Hcc/hepatoma/severe cirrhosis

Question 6

Bmi more than 35 ukmec for cocp

Answer 6

3

Question 7

Controlled htn current gall bladder disease

Answer 7

Ukmec 3 for cocp

Question 8

Dm more than 20yrs ukmec for cocp

Answer 8

3or4 depending on secerity

Question 9

Breastfeeding 6weeks to 6months post partum COCP

Answer 9

Ukmec 2

Question 10

Contraceptives unaffected by eids

Answer 10

Ciud
Depo provera
Mirena ius

Question 11

Eid + cocp

Answer 11

Decreased effectivenes
Increase dose to 50mcg with no pill free interval or 4day interval +barrier methods

Question 12

Eid + pop or progesterone implant

Answer 12

Barrier

Question 13

Barrier contraception after using eid

Answer 13

After rifampicin and rifabutin, 8weeks
After others, 4weeks

Question 14

Contraception for women on anti epileptic (excpt lamotrigine

Answer 14

Ukmec 1 depo provera iud ius
2 implant
3 cocp pop

Question 15

Contraception for women on lamotrigine

Answer 15

Ukmec 1 pop implant depo iud ius
Ukmec 3 cocp

Question 16

Cocp in epilepsy

Answer 16

Ukmec 3

Question 17

Primary mode of action of iud

Answer 17

Prevention of fertilisation by causing decreased speem motility and survival

Question 18

Mode of action of ius

Answer 18

Prevents endo proliferation, cervical mucus thickening

Question 19

Ius reliability after

Answer 19

7 days

Question 20

Mirena concentration

Answer 20

20mcg/24hrs
8yrs
52mg

Question 21

Jaydess

Answer 21

Ius 3yrs 13.5mg

Question 22

Kyleena

Answer 22

Ius 5yrs 19.5mg

Question 23

Levonorgesteral as epill mode of action

Answer 23

Stop ovulation+inhibit implantation

Question 24

Dose of levo epill

Answer 24

1.5mg
Double for bmi more than 26 or wt over 70
Double if on eid

Question 25

Epill + vomiting

Answer 25

Within 3 hrs, take another

Question 26

Ellaone mode of action

Answer 26

Inhibit ovulation

Question 27

Contraception after ullipristal

Answer 27

5days

Question 28

Which emergency contraception should be used with caution in asthma

Answer 28

Ullipristal

Question 29

Breastfeeding after ullipristal

Answer 29

1week

Question 30

Contraception that can be continued beyond 50yrs

Answer 30

Implant pop ius

Question 31

When to stop implant pop or ius after 50

Answer 31

If amenorrhea, check fsh and stop after 1yr if fsh 30u/l Or at 55yrs

Question 32

Which contraception above 50 can also act as progesterone component of hrt

Answer 32

Ius

Question 33

Cocp or depo after 50

Answer 33

Switch to non hormonal or progesterone only

Question 34

Cocp increases risk of

Answer 34

BREAST CERVICAL CA

Question 35

Cocp protective against

Answer 35

Ovarian endo Colorectal

Question 36

Time until effective for pop

Answer 36

2 days

Question 37

Main mode of action of implant

Answer 37

Inhibit ovulation

Question 38

Most effective form of contraception

Answer 38

? implant

Question 39

Missed traditional pop

Answer 39

If less than 3 hours - no action If more than 3 hours- take 1 asap. Take next at usual time. Extra precautions until pill taking reestablished for 48h

Question 40

Missed cerazette/desogestrel

Answer 40

If less than 12 hours - no action If more than 12 hours- take 1 asap. Take next at usual time. Extra precautions until pill taking reestablished for 48h

Question 41

Implant time until effective

Answer 41

7days Unless taken within day 1-5

Question 42

When to discontinue cocp if planned for surgery

Answer 42

4weeks for major elective surgery or surgery to legs

Question 43

Main mode of action of pop

Answer 43

Inhibit ovulation

Question 44

Pop mode of action

Answer 44

Thickens mucous

Question 45

Ius primary mode of action

Answer 45

Prevents endometrial proliferation

Question 46

Evra patch delay greater than 48hrs in wk 1 or 2

Answer 46

Change immediately Barrier for next 7 days Emergency contraception

Question 47

Patch delayed at end of week 3

Answer 47

Remove asap, new patch even if withdrawal bleeding No additional contraception

Question 48

Which contraceptive associated with loss of bone mineral density

Answer 48

Depo provera

Question 49

Most common malignancy associated with acanthoses nigricans

Answer 49

Gastro adenocarcinoma