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Reproduction and Growth Quiz on Contraception , created by m p on 09/06/2015.

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Contraception

Question 1 of 44

1

There is no such thing as the perfect contraceptive. True or false?

Select one of the following:

  • True
  • False

Explanation

Question 2 of 44

1

Which of the following are examples of contraception which require ongoing action by the user?

Select one or more of the following:

  • Oral contraceptives

  • Female condoms

  • Contraceptive implants

  • Intrauterine devices

  • Male condoms

  • Diaphragms

  • Steralization

Explanation

Question 3 of 44

1

Which of the following are examples of non-contraceptive benefits of contraception?

Select one or more of the following:

  • Control of menstruation

  • Female equality

  • Improves sexual health

  • Controls women

  • Allows population growth

Explanation

Question 4 of 44

1

What are some risks of not providing contraception?

Select one or more of the following:

  • Economic risks

  • Increase rates of abortion

  • Increased rates of STIs

  • Iatrogenic problems

  • Decreased population growth

Explanation

Question 5 of 44

1

By what pattern is the combined oral contraceptive pill usually taken?

Select one of the following:

  • Taken for 3 weeks, then a 7 day break

  • Taken continuously

  • Taken for 4 weeks, then a 7 day break

  • Taken for 3 months, then a 1 month break

  • Taken for 2 weeks, then a 2 week break

Explanation

Question 6 of 44

1

Which hormones are in the combined oral contraceptive pill?

Select one or more of the following:

  • Oestrogen

  • Progesterone

  • GnRH

  • LH

  • FSH

  • Cortisol

Explanation

Question 7 of 44

1

Which of the following are contraceptive benefits of the combined oral contraceptive pill?

Select one or more of the following:

  • Easily reversible

  • Unrelated to sexual intercourse

  • Under the control of the woman

  • Alters the metabolism of hormones

  • Can be used to treat acne

Explanation

Question 8 of 44

1

Which of the following are non-contraceptive benefits of the combined oral pill?

Select one or more of the following:

  • Reduces the risk of endometrial cancer

  • Reduces the risk of colon cancer

  • Reduces the risk of breast cancer

  • Alters bodily response to insulin, leading to weight loss

  • Reduces the risk of venous thromboembolism

Explanation

Question 9 of 44

1

How does the combined oral contraceptive prevent ovulation?

Select one of the following:

  • Oestrogen levels are constantly high so the body is tricked into thinking its pregnant

  • The pill prevents LH surge mid-cycle so there is no stimulation of ovulation

  • Continually high progesterone tricks the body into thinking the corpus luteum is still functioning

  • The pill blocks FSH receptors on follicles which prevents follicle selection

  • Oestrogen causes the fallopian tubes to block the passage of oocytes

Explanation

Question 10 of 44

1

How does the combined oral contraceptive prevent sperm from entering the uterus?

Select one of the following:

  • It thickens the cervical mucous

  • It acts as a spermicide at the cervix

  • It causes the vagina to produce acidic secretions so that the sperm will be destroyed

Explanation

Question 11 of 44

1

The combined oral contraceptive causes thinning of the endometrium. How does this aid its contraceptive effects?

Select one of the following:

  • A fertilised egg would not be able to be laid down in the endometrium

  • It means the menses are much lighter

  • It causes increased contraction of the myometrial cells which would cause the products of contraception to be destroyed

  • It causes the uterus to shrink in size so it would be unable to support a growing foetus

Explanation

Question 12 of 44

1

Which hormone within the combined oral contraceptive pill causes the cervical mucous to thicken?

Select one of the following:

  • Oestrogen

  • Progesterone

Explanation

Question 13 of 44

1

At which sites within the body does the oestrogen in the combined oral contraceptive pill work?

Select one or more of the following:

  • Hypothalamus

  • Anterior pituitary

  • Endometrium

  • Ovary

  • Fallopian tubes

  • Cervix

Explanation

Question 14 of 44

1

Why is there increased clotting factors produced when the combined oral contraceptive pill is taken?

Select one of the following:

  • Because the liver produces more clotting factors as it would when a woman is pregnant in preparation for partuition

  • Because there is increased blood volume and liver produces more clotting enzymes

  • Because oestrogen is able to act on liver receptors

  • Because oestrogen can be broken down into precursors of clotting factors

Explanation

Question 15 of 44

1

Which hormone increases the risk of venous thromboembolism?

Select one of the following:

  • Oestrogen

  • Progesterone

Explanation

Question 16 of 44

1

What effects does the progesterone in the combined oral contraceptive pill have on the cardiovascular system?

Select one of the following:

  • Can cause high blood pressure

  • Can cause venous thromboembolism

  • Can decrease cardiac output

  • Can cause mitral stenosis

Explanation

Question 17 of 44

1

The combined oral contraceptive pill can alter hormone metabolism. What can this subsequently cause?

Select one of the following:

  • Renal stones

  • Gallstones

  • Liver cirrhosis

  • Crohn's disease

  • Jaundice

Explanation

Question 18 of 44

1

How does the combined oral contraceptive pill cause weight gain?

Select one of the following:

  • It alters the metabolism of insulin

  • It increases insulin resistance

  • It reduces leptin levels

  • It decreases the amount of thyroxine produced from the thyroid gland

  • It increases the size of the uterus

Explanation

Question 19 of 44

1

Which drugs might the combined oral contraceptive pill interact with?

Select one or more of the following:

  • Broad spectrum antibiotics

  • Liver enzyme inducing drugs

  • Statins

  • Glucocorticoids

  • Thiazide diuretics

Explanation

Question 20 of 44

1

There is strong evidence which proofs that the combined oral contraceptive pill can cause cervical cancer. True or false?

Select one of the following:

  • True
  • False

Explanation

Question 21 of 44

1

Which of the following may mean a woman is unable to take the combined oral contraceptive?

Select one or more of the following:

  • A history of breast cancer

  • A history of migraines

  • A family history of thrombotic events, e.g. stroke

  • A history of depression

  • A busy lifestyle

  • Not having a long-term partner

Explanation

Question 22 of 44

1

What option can be given to women who would like to take the combined pill, but are not able to?

Select one of the following:

  • Progesterone only pill

  • Fertility awareness

  • Oestrogen only pill

Explanation

Question 23 of 44

1

The window for taking the combined pill is smaller than the window for taking the progesterone only pill. True or false?

Select one of the following:

  • True
  • False

Explanation

Question 24 of 44

1

How does the natural family planning method of contraception work?

Select one or more of the following:

  • By predicting when ovulation and fertility will occur

  • By taking the womans temperature to predict ovulation

  • By using the womans mood to predict fertility

Explanation

Question 25 of 44

1

Which of the following are advantages of the natural family planning method?

Select one or more of the following:

  • It can be used in third world countries

  • It can be used by women from religions which don't believe in contraception

  • It limits sexual activity and can therefore reduce the risk of STIs

  • It has a low failure rate

  • It is non-medical

Explanation

Question 26 of 44

1

What is the most effective form of contraception?

Select one of the following:

  • Male sterilization

  • Female sterilization

  • Contraceptive implant

  • Condoms

  • Combine oral contraceptive pill

Explanation

Question 27 of 44

1

Which type of intrauterine device can be used for a longer period of time?

Select one of the following:

  • Copper-bearing coil

  • Progesterone releasing coil

Explanation

Question 28 of 44

1

How do intrauterine devices work as emergency contraceptives?

Select one of the following:

  • Inflammatory response when the IUD is inserted will prevent implantation

  • The IUD contains methotrexate which will destroy any quickly dividing cells

  • The IUD covers the surface of the endometrium preventing implantation

  • The IUD will block the fallopian tubes

Explanation

Question 29 of 44

1

Which of the following could be considered disadvantages of the IUD?

Select one or more of the following:

  • It has to be fitted by a trained medical professional

  • It doesn't offer protection against STIs

  • It can be used long-term

  • It cannot be used in nulliparous women

Explanation

Question 30 of 44

1

Some evidence suggests that the IUD may increase bleeding during menstruation. How could this data be explained?

Select one of the following:

  • The bleeding on the IUD is heavier than bleeding on the combined oral contraceptive pill because the pill thins the endometrium

  • The IUD causes an inflammatory response which increases bleeding

  • This is a very hard variable to measure because it is so objective

  • The progesterone in the IUD causes the endometrium to proliferate

Explanation

Question 31 of 44

1

There is an increased risk of which of the following with the IUD?

Select one or more of the following:

  • Ectopic pregnancy

  • Miscarriage

  • Thromboembolic event

  • Gallstones

  • Endometrial carcinoma

Explanation

Question 32 of 44

1

Which of the following are contraindications to the IUD?

Select one or more of the following:

  • Current vaginal infection

  • History of vaginal infection

  • Current pelvic inflammatory disease

  • Suspected pregnancy

  • History of menorrhagia

  • Being nulliparous

Explanation

Question 33 of 44

1

Why will insertion of a IUD be more painful for a nulliparous woman?

Select one of the following:

  • Because her cervix is smaller

  • Because her uterine corpus is smaller

  • Because she is not ovulating

  • Because she has a thinner endometrium

  • Because she has a thinner myometrium

Explanation

Question 34 of 44

1

Which of the following are advantages of the male condom?

Select one or more of the following:

  • Prevents transmission of STIs

  • Easily available

  • Contain spermicide

  • Are hypoallergenic

  • Do not interfere with sexual intercourse

Explanation

Question 35 of 44

1

How do female condoms work?

Select one of the following:

  • They are inserted into the vagina to block sperm entering the cervix or uterus

  • They suck up to the cervix to prevent sperm entering

  • They stick to the walls of the vagina and attract sperm to prevent it reaching the cervix and uterus

Explanation

Question 36 of 44

1

What is one advantage of the female condom, which is not an advantage of the male condom?

Select one of the following:

  • They do not require a male erection to work

  • They are easily accessible

  • They are easy to use

  • They do not interrupt sexual intercourse

Explanation

Question 37 of 44

1

Contraceptive diagphragms are used alongside spermicide. True or false?

Select one of the following:

  • True
  • False

Explanation

Question 38 of 44

1

Which of the following are disadvantages of the contraceptive diaphragm?

Select one or more of the following:

  • They increase the risk of STIs

  • They increase the risk of candida

  • They increase the risk of UTIs

  • The require teaching to be used correctly

  • They have to be put in in advance

Explanation

Question 39 of 44

1

Why can't cervical caps be used by everyone?

Select one of the following:

  • Because they require a particular shaped cervix

  • Because they require the woman to be multiparous

  • Because many women are allergic to them

Explanation

Question 40 of 44

1

Which of the following are advantages of cervical caps?

Select one or more of the following:

  • They are very unobtrusive

  • They can be used in women with poor pelvic floors

  • The reduce the risk of candida

  • They do not need to be used with spermicide

Explanation

Question 41 of 44

1

What is the critical time period for the use of emergency contraception?

Select one of the following:

  • 12 hours

  • 24 hours

  • 48 hours

  • 72 hours

Explanation

Question 42 of 44

1

Which of the following are side effects of the emergency contraceptive pill?

Select one or more of the following:

  • Nausea

  • Vomiting

  • Migraines

  • Fatigue

  • Heavy menstruation

Explanation

Question 43 of 44

1

Which of the following conditions would contraindicate the emergency contraceptive pill?

Select one of the following:

  • Migraines

  • Chlamydia

  • Endometriosis

  • Gastritis

Explanation

Question 44 of 44

1

What is another term for the progesterone only pill?

Select one of the following:

  • Mini pill

  • Single pill

  • Alternative contraceptive pill

Explanation

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