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Contraception

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Contraception lectures (2 lectures) given on the Monday morning of Week 2
Matthew Coulson
Quiz by Matthew Coulson, updated more than 1 year ago
Matthew Coulson
Created by Matthew Coulson over 5 years ago
32
2
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Resource summary

Question 1

Question
What is the most commonly utilised contraceptive method worldwide?
Answer
  • Condoms
  • The pill
  • Sterilisation
  • Coil
  • Implant
  • IUD

Question 2

Question
Sperm can live in the female reproductive tract for up to [blank_start]5[blank_end] days
Answer
  • 5
  • 2
  • 3

Question 3

Question
When in the menstrual cycle should a woman have sex in order to maximise her chances of pregnancy? I.e. when is she most fertile?
Answer
  • Days 2-6
  • Days 8-18
  • Days 24-28

Question 4

Question
How long does a single ovum survive in the female reproductive tract post ovulation?
Answer
  • Up to 24 hours
  • Up to 48 hours
  • Up to 72 hours

Question 5

Question
Which measurement is used to describe the effectiveness of contraceptive methods based on the number of contraceptive failures per 100 women per year? The [blank_start]Pearl[blank_end] Index
Answer
  • Pearl

Question 6

Question
Basal body temperature [blank_start]increases[blank_end] by approximately 1 degree Celsius around the time of ovulation.
Answer
  • increases
  • decreases

Question 7

Question
[blank_start]Lactational amenorrhea[blank_end] is the temporary postnatal infertility that occurs when a woman is and fully breastfeeding and amenorrhoeic
Answer
  • Lactational amenorrhoea

Question 8

Question
Lactational Amenorrhoea typically lasts for up to [blank_start]6 months[blank_end] post-natally
Answer
  • 6 months
  • 3 months
  • 2 months

Question 9

Question
A woman must be breastfeeding in order for lactational amenorrhoea to cause infertility.
Answer
  • True
  • False

Question 10

Question
The Pearl Index predicts that on average [blank_start]85[blank_end] per 100 women having sex will become pregnant in any given year if they use no contraception.
Answer
  • 85
  • 50
  • 65

Question 11

Question
The Pearl Index predicts that on average [blank_start]85[blank_end] per 100 women having sex will become pregnant in any given year if they use no contraception.
Answer
  • 85
  • 50
  • 65

Question 12

Question
The Pearl Index predicts that on average [blank_start]22[blank_end] per 100 women having sex will become pregnant in any given year if their male partner(s) use the withdrawal method.
Answer
  • 22
  • 45
  • 64

Question 13

Question
The combined oral pill contains which two hormones? (give in alphabetical order) [blank_start]Oestrogen[blank_end] and [blank_start]Progesterone[blank_end]
Answer
  • Progesterone
  • Oestrogen

Question 14

Question
What is the primary mechanism of the combined oral pill and the progesterone only pill?
Answer
  • Inhibition of ovulation
  • Causes thickening of cervical mucous
  • Causes changes in the endometrial structure making it 'unfavourable'
  • Inhibition of fallopian tube transport of the oocyte

Question 15

Question
What is the most widely used contraceptive mechanism in the UK?
Answer
  • Combined oral contraceptive pill
  • Progesterone only contraceptive pill
  • Oestrogen only contraceptive pill
  • Condoms
  • Intrauterine device

Question 16

Question
The contraceptive implant (surgically inserted into the upper arm) provides contraception for up to [blank_start]3 years[blank_end]
Answer
  • 3 years
  • 9 months
  • 18 months

Question 17

Question
Which hormone does the contraceptive implant and contraceptive injection utilise to prevent pregnancy?
Answer
  • Progesterone
  • Oestrogen
  • hCG

Question 18

Question
The Pearl index of the contraceptive implant is approximately …
Answer
  • 1 per 100
  • 0.5 per 100
  • 0.05 per 100
  • 5 per 100

Question 19

Question
The contraceptive injection must be given every [blank_start]13 weeks[blank_end]
Answer
  • 13 weeks
  • 8 weeks

Question 20

Question
Which is more effective, the contraceptive implant or the contraceptive injection?
Answer
  • Contraceptive implant
  • Contraceptive injection

Question 21

Question
After a contraceptive injection, a woman’s fertility may not return to normal for up to [blank_start]1 year[blank_end] after, and therefore this should not be given to patients who may wish to start a family in the near future.
Answer
  • 1 year
  • 6 months
  • 5 years

Question 22

Question
After a contraceptive implant is removed, a woman will typically return to normal fertility rather quickly.
Answer
  • True
  • False

Question 23

Question
A common side effect of the contraceptive [blank_start]implant[blank_end] is amenorrhoea
Answer
  • implant
  • injection

Question 24

Question
Which metallic chemical is used in non-hormonal intrauterine devices to act as a spermicide?
Answer
  • Copper
  • Zinc
  • Iron
  • Magnesium

Question 25

Question
Permanent contraception for men whereby the vas deferens are interrupted surgically is called a [blank_start]vasectomy[blank_end]
Answer
  • vasectomy

Question 26

Question
Which structures are blocked in the female reproductive system surgically in a tubal occlusion? The [blank_start]Fallopian Tubes[blank_end]
Answer
  • Fallopian Tubes

Question 27

Question
Sterilisation has a 100% effectiveness in preventing pregnancy – the pearl index is 0 in 100.
Answer
  • True
  • False

Question 28

Question
The copper intrauterine device can be used as emergency contraception if necessary.
Answer
  • True
  • False

Question 29

Question
Emergency contraception is required when [blank_start]more than one oral contraceptive pill[blank_end] has been missed in a row
Answer
  • more than one oral contraceptive pill
  • more than two oral contraceptive pills
  • more than three oral contraceptive pills

Question 30

Question
There are currently 3 methods of emergency contraception available in the UK, one of which being the intrauterine copper device as previously discussed. The other two are emergency contraceptive pills: [blank_start]Levonorgestrel[blank_end] – Can be used up to 3 days after unprotected sex [blank_start]Ulipristal Acetate[blank_end] – Can be used up to 5 days after unprotected sex
Answer
  • Levonorgestrel
  • Ulipristal Acetate
  • Erlotinib Hydrochloride

Question 31

Question
A copper IUD can be fitted up to [blank_start]5 days[blank_end] after unprotected sex OR after [blank_start]5 days[blank_end] after likely ovulation in order to provide emergency contraception
Answer
  • 5 days
  • 2 days
  • 3 days
  • 5 days
  • 7 days
  • 10 days

Question 32

Question
In terms of the emergency contraceptive pills, they elicit their effects via: [blank_start]Levonorgestrel[blank_end] – High dose progesterogen [blank_start]Ulipristal Acetate[blank_end] – Anti-progesterogen
Answer
  • Levonorgestrel
  • Ulipristal Acetate

Question 33

Question
Emergency contraceptive pills typically do not work following ovulation.
Answer
  • True
  • False

Question 34

Question
A double dose of [blank_start]Levonorgestrel[blank_end] should be given for someone who is seeking emergency contraception and is over 70kg/BMI>26
Answer
  • Levonorgestrel
  • Ulipristal Acetate

Question 35

Question
Ulipristal acetate is contraindicated in patients with which respiratory condition? [blank_start]Asthma[blank_end]
Answer
  • Asthma

Question 36

Question
The combined oral contraceptive pill should be taken for [blank_start]21[blank_end] days before [blank_start]7[blank_end] days should be taken off to allow withdrawal bleeding.
Answer
  • 21
  • 7

Question 37

Question
The combined oral contraceptive is known to increase your chances of which cardiovascular disease?
Answer
  • Deep Vein Thrombosis
  • Cardiomegaly
  • Atrial Fibrillation
  • Left Ventricular Hypertrophy

Question 38

Question
Taking the combined oral contraceptive pill slightly raises the risk of contracting which 2 of the following cancers?
Answer
  • Breast cancer
  • Cervical cancer
  • Endometrial Cancer
  • Ovarian Cancer

Question 39

Question
Taking the combined oral contraceptive pill protects the individual against which 2 of the following cancers?
Answer
  • Breast cancer
  • Cervical cancer
  • Endometrial cancer
  • Ovarian cancer

Question 40

Question
The contraceptive pill is know to have a positive effect on which of the following dermatological conditions?
Answer
  • Acne Vulgaris
  • Rosacea
  • Eczema
  • Psoriasis
  • Seborrhoeic Dermatitis

Question 41

Question
Which method of contraception is the most effective for preventing menorrhagia?
Answer
  • Intrauterine System
  • Intrauterine Device
  • Oral Combined Contraceptive Pill
  • Contraceptive Injection
  • Contraceptive Implant
  • Progesterone Only Pill
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