General Contraception

Question 1

Which is the only form of POP that requires 7 days of additional precautions (unless started on D1)?

Answer 1

DRSP

Question 2

Which method of contraception may reduce pain associated with sickle cell crisis?

Answer 2

DMPA

Question 3

How often should women be reviewed on DMPA?

Answer 3

Every 2 years

Question 4

Who is more likely to continue gaining weight on DMPA?

Answer 4

Women who gain more than 5% of their baseline body weight in the first 6 months of DMPA use

Question 5

How often should the norethisterone enantate (NET-EN) injection be given?

Answer 5

Every 8 weeks - can give as early as 6 weeks

Question 6

What structures define the upper arm sulcul line?

Answer 6

The groove between brachialis/biceps anteriorly and triceps posteriorly

Question 7

How does the implant effect dysmenorrhoea?

Answer 7

Most report an improvement, a few report worsening

Question 8

What type of copper IUD can be used form age 40 until menopause?

Answer 8

Surface area ≥300 mm2

Question 9

What is the initial, and then end of use LNG release rate (mcg/24hrs) for Benilexa?

Answer 9

Initial - 20.1
End of use - 8.6

Question 10

What is the initial, and then end of use LNG release rate (mcg/24hrs) for Levosert?

Answer 10

Initial - 20.1
End of use - 8.6

Question 11

What is the initial, and then end of use LNG release rate (mcg/24hrs) for Mirena?

Answer 11

Initial - 20
End of use - 9

Question 12

What is the initial, and then end of use LNG release rate (mcg/24hrs) for Kyleena?

Answer 12

Initial - 17.5
End of use - 7.4

Question 13

What is the initial, and then end of use LNG release rate (mcg/24hrs) for Jaydess?

Answer 13

Initial - 14
End of use - 5

Question 14

In those at risk of adrenal crisis, having a coil fitting, how should their steroids be managed?

Answer 14

Increase dose prior to and 24 hours after fitting

Question 15

When should IUC fitting take place in a hospital setting?

Answer 15

Pre-existing arrhythmia
Eisenmenger physiology
Single ventricle (or Fontan) circulation
Long QT syndrome
Impaired ventricular function
+/- PoTs if a Hx of postural syncope (ask cardiology advice)

Question 16

What are the recommended drugs for resucitation?

Answer 16

Adrenaline 1mg (=10ml 1:10,000) in a pre-filled syringe

Atropine 500 or 600mcg IV/IM (two doses)

Question 17

What is the routine F/U in PPIUC?

Answer 17

4-6 weeks after insertion

Question 18

What is the rate of end of license amenorrhoea with Jaydess?

Answer 18

11-12%

Question 19

What is the rate of end of license amenorrhoea with Kyleena?

Answer 19

23%

Question 20

What is the rate of end of license amenorrhoea with Mirena (or 52mg LNG-IUD)?

Answer 20

42%

Question 21

How long should you wait to refit after suspected/confirmed perforation?

Answer 21

6 weeks

Question 22

At what Tesla is MRI safe with the Jaydess and Kyleena and Cu-IUD?

Answer 22

1.5-3

Question 23

Which types of coil are not safe with MRI?

Answer 23

Those that contain stainless steel - e.g. the Chinese ring

Question 24

Which types of analgesia have EVIDENCE for pain relief prior to coil fitting?

Answer 24

Oral ketoprofen 150mg 1 hour pre-

Naproxen 550mg or tramadol 50mg 1 hour pre- prior (the effect was significantly greater with tramadol than with naproxen)

Question 25

How much lidocaine spray should be applied?

Answer 25

4 sprays 10% - allegedly more effective than lidocaine injection and cream

Question 26

If symptommatic suggestive of STI, but NEED Cu-IUD, can't be delayed, what should you do?

Answer 26

Fit - cover with prophylactic ABx according to what you think it is

Question 27

In whom does GnRH analogues improve final height in in CPP?

Answer 27

Girls <6y/o only

Question 28

Which nerve lies between the brachial artery and the basilic vein?

Answer 28

Median nerve

Question 29

When is a second post-vasectomy sample not required?

Answer 29

If azoospermic on the first

Question 30

How long must the diaphragm remain in place for for SI?

Answer 30

6 hours - no longer than 24 hours

Question 31

Which combine method of contraception provides the best bleeding control?

Answer 31

CVR

Question 32

What is the background incidence of unscheduled bleeding (in the pop not taking hormonal contraception)?

Answer 32

10-18% (the same as those using the COCP)

Question 33

Which acronym should be used to remember what is in the patch?

Answer 33

"33 in the patch, 203 is a match" "NORELief without the patch"

Question 34

What does the CVR contain?

Answer 34

15mcg EE 120mcg etonorgestrel

Question 35

How long is levosert licensed for HMB?

Answer 35

6 years

Question 36

On which method of CHC are you more likely to experience hormonal side effects?

Answer 36

CTP (but less likely to experience BTB than COC)

Question 37

When is CVD risk reduced in smoking?

Answer 37

1-2 years of stopping

Question 38

When is written consent needed before sterilisation at CS?

Answer 38

Always at least 2 weeks before

Question 39

After coming off hormonal contraception, only after how many cycles may you rely on FAM?

Answer 39

3/12

Question 40

What is the VTE risk in obese women compared to baseline?

Answer 40

2x

Question 41

What type of drug is griselofulvin?

Answer 41

Teratogenic AND enzyme inducer

Question 42

A diagnosis of APS requires what?

Answer 42

+ve plasma lupus anticoagulant on 2 occasions 12 weeks apart