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Exam Revision > Repro 1 > Flashcards

Repro 1 Flashcards

1
Q

mechanism of action of combined oral contraceptive pill

A

inhibits ovulation

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2
Q

which cancers does the COC protect against

A

ovarian, endometrial and colorectal

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3
Q

which cancers does the COC increase risk for

A

breast + cervical cancer

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4
Q

risks of COC

A

venous thromboembolism
breast + cervical cancer
hypertension

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5
Q

side effects of COC

A

breast tenderness, headache nausea

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6
Q

when can COC be started without need for additional contraception

A

first 5 days of cycle

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7
Q

advice if one COC is missed

A

take as soon as remembered
continue pack as normal
no emergency/ additional contraception is required

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8
Q

advice if >2 COC pills missed in 1st week

A

take last pill as soon as remembered
additional contraception for 7 days
emergency contraception if UPSI in pill free interval-1st week

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9
Q

advice if >2 COC pills missed in 2nd week

A

take last pill as soon as remembered

additional contraception for 7 days

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10
Q

advice if >2 COC pills missed in 3rd week

A

take last pill as soon as remembered + start next pack with no 7 day interval
additional contraception for 7 days

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11
Q

contraindication of COC

A

migraine with aura

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12
Q

how is the combined patch worn

A

3 weeks - changed weekly to suppress ovulation

1 week patch free - withdrawal bleed

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13
Q

main side effect of the patch

A

painful withdrawal bleed

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14
Q

delay in changing the patch <48 hours

A

change as soon as remembered

no additional method of contraception needed

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15
Q

delay in changing the patch >48 hours

A

change as soon as remembered
addiotnal contraception for 7 days
emergency contraception if UPSI in last 5 days

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16
Q

how does the vaginal ring work

A

ring placed in vagina for 21 days

ring free interval of 7 days

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17
Q

side effects of vaginal ring

A

acne
irritability
mood changes

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18
Q

mode of action of depo injection

A

inhibits ovulation + thickens cervical mucus

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19
Q

hormones in depo injection

A

progesterone only

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20
Q

side effects of depo injection

A

irregular bleeding
weight gain
osteoporosis

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21
Q

how frequently is depo injection given

A

every 13 weeks

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22
Q

which form of contraception causes s delay in return of fertility

A

depo provera injection

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23
Q

when can the depo injection be given without need for additional contraception

A

up to day 5 of cycle

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24
Q

what hormone does the implant release

A

progesterone

25
Q

how long does the implant last for

A

3 years

26
Q

main side effects of the implant

A

irregular / heavy periods
weight gain
acne
breast pain

27
Q

what is intrauterine contraceptive device also known as

A

copper coil

28
Q

mechanism of action of IUD/Copper coil

A

decreases sperm motility + survival

29
Q

side effects of copper coil

A

longer, heavier more painful periods

small chance of infection

30
Q

role of IUD in unprotected sex

A

immediately protective

can be inserted up to 5 days after UPSI

31
Q

What is intra uterine system also known as

A

mirena coil

32
Q

mechanism of action of mirena coil

A

prevents endometrial proliferation

contains progesterone only

33
Q

benefits of mirena coil

A

lighter less frequent unpainful periods

34
Q

side effects of mirena coil

A

irregular bleeding

35
Q

when does the mirena coil become protective

A

after 7 days

36
Q

contraindications of a uterine device

A

current pelvic infection
abnormal uterine anatomy
pregnancy
endometrial/cervical cancer

37
Q

mechanism of action of desogestel

A

inhibits ovulation + thickens cervical mucus

38
Q

main side effect of POP

A

irregular bleeding

39
Q

how are POP taken

A

every day at the EXACT same time

no pill free interval

40
Q

advice if POP <3 hours late

A

continue as normal

41
Q

advice if POP >3 hours late

or desogestel >12 hours late

A

take pill asap
continue as normal
condoms for 2 days

42
Q

interactions of POP

A

induce cytochrome P450 system

43
Q

1st line contraception in menorrhagia

A

IUS (mirena)

44
Q

2nd line contraception in menorrhagia

A

COC

45
Q

what type of drug is levonelle

A

high dose progestogen

46
Q

how long after unprotected sex can levonelle be given

A

up to 72 hrs

47
Q

what type of drug is Ella one

A

antiprogestogen

48
Q

how long after unprotected sex can Ella one be given

A

120 hrs

49
Q

how long after unprotected sex can IUD (copper coil) be inserted

A

up to 5 DAYS

50
Q

drugs given in termination of pregnancy

A

1) oral mifepristone

2) misoprostol

51
Q

what type of drug is mifepristone

A

anti-progesterone

52
Q

what type of drug is misoprostol

A

prostaglandin

53
Q

early TOP dates

A

up to 9 weeks

54
Q

mid trimester TOP dates

A

12-24 weeks

55
Q

late TOP dates

A

9-12 weeks

56
Q

how is misoprostol given

A

vaginally 24-48 hours after mifepristone

mid/late TOP have to take repeated doses ever 3 hours

57
Q

surgical TOP procedure performed in Scotland

A

vacuum aspiration 6-12 weeks

58
Q

mechanism IUD

A

decreases sperm motility + survival

59
Q

mechanism IUS

A

prevents endometrial proliferation

Exam Revision (32 decks)

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