Mer Scott
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PHCY320 (Reproductive and Sexual Health) Quiz on L11 Pharmacist prescribing of the ECP and OC, created by Mer Scott on 26/09/2019.

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L11 Pharmacist prescribing of the ECP and OC

Question 1 of 12

1

Pharmacists can sell up to 6 months’ OC supply to a woman who: (select ALL)

Select one or more of the following:

  • Has been prescribed the same type of OC within the last 3 yrs from the date of an original prescription

  • Has been prescribed the same type of OC within the last 12 months from the date of an original prescription

  • Has not developed risk factors

  • Is over 16

  • Is under 39 for COC

  • Is under 52 for POP

  • Is under 40 for COC

  • Is under 50 for POP

  • If they have completed PSNZ’s OC training programme

Explanation

Question 2 of 12

1

You cannot switch between OCs except in cases where the patient may be from overseas and their usual formulation is not available.

Select one of the following:

  • True
  • False

Explanation

Question 3 of 12

1

If a patient is breastfeeding & wanting postpartum contraception, they can be supplied a COC & are to be referred to their medical practitioner.

Select one of the following:

  • True
  • False

Explanation

Question 4 of 12

1

Which of these is NOT an absolute contraindication for OCs?

Select one of the following:

  • Breast cancer (current or past)

  • Severe cirrhosis

  • Active hepatitis

  • Undiagnosed vaginal bleeding

  • Family history of cardiac disease

  • Migraines with aura at any age

  • Smoker (>15 cigarettes/day) AND over 35

Explanation

Question 5 of 12

1

Under section 44(m) of the Med Regs, pharmacists can supply a prescription medication at the request of a patient in an emergency. It must have been previously prescribed by a NZ prescriber in last months. It can be 72 hours worth or the minimum size ie 1 month's for COC.

Drag and drop to complete the text.

    3
    pack

Explanation

Question 6 of 12

1

Which of these is not a common early side effect of OCs?

Select one of the following:

  • Nausea

  • Breakthrough bleeding

  • Breast tenderness

  • Weight gain

  • Migraines

  • Acne

  • Weight loss

Explanation

Question 7 of 12

1

Women can access funded ECP without a prescription from their pharmacist.

Select one of the following:

  • True
  • False

Explanation

Question 8 of 12

1

Fertility:
• Sperm survival – maximum
• Egg survival –
• Full suppression of ovulation with COC, if the hormone free week is extended – risk of ovulation after about

Drag and drop to complete the text.

    7 days
    12 – 24 hours
    8 or 9 days

Explanation

Question 9 of 12

1

Copper intrauterine device (IUD)
• The copper IUD is the most form of emergency contraception (almost 100% effective)
• Works up to days after unprotected intercourse
• Efficacy is not affected by body mass index or
• Copper IUD has contraindications
• Can be left in situ to provide future contraception
• Must be fitted by an expert (GP or family planning clinic)

Drag and drop to complete the text.

    effective
    five
    weight
    few

Explanation

Question 10 of 12

1

Emergency contraceptive pill (ECP)
• Postinor-1 is the funded brand – contains
• Does not provide contraception
• may delay next period
• can cause in some users (rare)
• Efficacy is similar up to day for but only registered up to

Drag and drop to complete the text.

    levonorgestrel
    future
    nausea and vomiting
    72 hours

Explanation

Question 11 of 12

1

Pharmacists are prevented by law from supplying the ECP, nor providing contraceptive advice, to people under the age of 16 years.

Select one of the following:

  • True
  • False

Explanation

Question 12 of 12

1

ECP Counselling…
• If adverse effects occur, generally & will subside within 24 hrs.
• Repeat the dose if within 3 hrs of taking ECP.
• Next period may be early or late.
• Increased pregnancy post-ECP as it can delay ovulation.
• Seek medical attention ASAP if any lower abdominal pain occurs b/c this could be an ectopic pregnancy.
• Perform a pregnancy test in wks, if the next menstrual bleed is abnormally light, heavy or brief, or is absent, or if she is otherwise concerned.
• Refer for STI counselling, continuous contraception, sexual assault?

Drag and drop to complete the text.

    mild
    vomiting
    risk
    3 - 4

Explanation

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