Quiz

Long Acting Reversible (LARCs)

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Question 1

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 2

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

Question 3

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 4

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 5

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 6

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 7

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 8

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 9

Women who have an implant should be followed up at:

A	4 months
B	12 months
C	24 months
D	None required

Question 10

Intrauterine Device Work Primarily by :

A	Destroying developing embryos
B	Inhibiting Ovulation
C	Preventing Fertilisation
D	Preventing Implantation

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Long Acting Reversible (LARCs)

Long Acting Reversible

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