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Question 1
The main action of the Etonogestrel implant is by:
A
Inhibiting Ovulation
B
Thickening the cervical mucus
C
Thinning the endometrium
D
Preventing implantation
Question 2
Women who have an implant should be followed up at:
A
4 months
B
12 months
C
24 months
D
None required
Question 3
Eight months after her implant was inserted, a woman presents at clinic concerned about persistent bleeding. After excluding risks of STIs, other pathology and pregnancy, which of the following best describes how this woman should be managed?
A
She should be advised that after 7 months of use her bleeding patterns are likely to remain as they are and the clinician should remove the implant
B
She should be advised that bleeding patterns can remain irregular with use of the implant and she can be offered a combined hormonal contraceptive method to manage her persistent bleeding.
C
She should be advised that bleeding patterns can remain irregular with use of the implant as she was advised of this before insertion and no action should be taken.
D
She should be advised that the bleeding patterns will settle down over time and that no action should be taken
Question 4
Which of the following is false?
A
No evidence that implant increase venous thromboembolism and stroke risk
B
Implant do not affect bone mineral density
C
The absolute risk of Ectopic is very low in Implant users.
D
Implant use is related to weight gain.
Question 5
A woman presents enquiring about the risk of Ectopic pregnancy associated with IUD. What is the single most appropriate advice to offer her?
A
Compared to no contraception, IUD increase the risk of Ectopic pregnancy.
B
Copper IUD decrease the risk of Ectopic pregnancy when a pregnancy occurs.
C
The LNG-IUS decrease the risk of Ectopic pregnancy when a pregnancy occurs
D
Overall the risk is Decreased with IUD but the risk is increased if a pregnancy occurs.
Question 6
Intrauterine Device Work Primarily by :
A
Destroying developing embryos
B
Inhibiting Ovulation
C
Preventing Fertilisation
D
Preventing Implantation
Question 7
A woman is diagnosed with a viable 8 weeks intrauterine pregnancy with Copper IUD in situ. What is the most appropriate advice?
A
The IUD should be left alone as removal will increase risk of miscarriage
B
The IUD should be remove if strings are visible to decrease risk of adverse pregnancy outcomes such as preterm labour, septic abortion, chorioamnionitis and spontaneous miscarriage.
C
The IUD should only be remove if its causing pregnancy complications
D
The IUD should only be remove if its partially expelled.
Question 8
Which of the following drugs has the potential to affect the contraceptive efficacy of the Implant?
A
Sodium valproate
B
Lamotrigine
C
Levetiracetam
D
Efavirenz
Question 9
A woman with a Cu IUD in situ presents with pelvic inflammatory disease. She wants to know if she should have the device removed. What is the single most appropriate advice?
A
Clinical outcomes are much worse if the device is removed
B
She can choose to keep her IUD whilst receiving treatment
C
Long Term clinical outcomes are better if the device is removed
D
Removal is recommended unless sex has occurred in the last 7 days.
Question 10
A woman who wishes to use IUD for long term contraception presents reporting multiple episodes of unprotected sexual intercourse ( UPSI) since her last period. The earliest episode was 10 days ago and the most recent was 3 days ago. She is on Day 18 of a regular 28 day cycle. What is the single most appropriate advice to offer her from the list below?
A
Advise that its too late to use emergency contraception and to return when she has her period
B
Advise that its too late to use EC and offer a bridging method.
C
Advise that she can have a CopperIUD inserted for EC and ongoing contraception.
D
Advise that she can have an LNG-IUS inserted for EC and ongoing Contraception
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