30 Questions
What is the complication of uterine perforation with IUCD that leads to inflammatory reaction?
Perforation into bladder or broad ligament
What is the risk of abortion if the IUCD threads are accessible and removed immediately?
25%
What is the highest risk factor for expulsion of IUCD?
Immediate postpartum insertion
What is the presentation of uterine perforation with IUCD in some cases?
Asymptomatic
What is the primary mechanism of action of Lactation Amenorrhea Method (LAM) in preventing pregnancy?
Nipple stimulation during suckling inhibits GnRH secretion
What is the primary advantage of Lactation Amenorrhea Method (LAM)?
Universally available to all breastfeeding women
What is the diagnosis of pregnancy in IUCD users?
Pregnancy test + ultrasound
What increases the risk of preterm labor in IUCD users?
Use of IUCD
What is the criteria for using Lactation Amenorrhea Method (LAM)?
Fully or at nearly fully breastfeeding, and within 6 months postpartum
What is the method failure rate of a contraceptive method calculated by?
Both Pearl index and life table analysis
What type of contraceptives are Progesterone only pills (POPs) and Progesterone only injectable contraceptives (PICs)?
Progesterone only hormonal contraceptives
What is the purpose of the WHO Medical Eligibility Criteria (MEC) wheel?
To determine the contraindications for certain contraceptives
What should be done if a woman misses one pill and has more than seven pills left in the pack?
Take the missed pill as soon as remembered and keep taking the remaining pills on schedule.
What is a non-contraceptive use of combined estrogen and progesterone therapy?
To treat spasmodic dysmenorrhea.
What is an advantage of combined estrogen and progesterone therapy as a contraceptive method?
It reduces the risk of endometrial and ovarian cancer.
What should be done if a woman misses two pills and has less than seven pills left in the pack?
Start another pack and use a backup method for seven days.
What is a contraindication for the use of combined estrogen and progesterone therapy as a contraceptive method?
Women with a history of endometrial cancer.
What is a possible side effect of combined estrogen and progesterone therapy?
Increased risk of benign breast diseases.
What is the primary mechanism of action of progesterone-only pills?
Thick cervical mucus not suitable for sperm penetration
When can progesterone-only pills be initiated in a breastfeeding woman?
6 weeks after birth
What is the schedule for taking progesterone-only pills?
Take 1 pill every day until all pills in pack are finished
What should a breastfeeding woman do if she misses a pill within the first 6 months?
Take the missed pill as soon as remembered and use a backup method for 48 hours
What is an advantage of progesterone-only pills?
They are accepted by most couples
Which method of emergency contraception is highly effective when inserted within 5 days after intercourse?
Copper IUCD
What is the total dose of LNG taken in the POPs regimen of emergency contraception?
750 µg
What is the effect of progesterone-only pills on tubal motility?
It decreases tubal motility
What is the mechanism of action of Mifepristone (RU486) in emergency contraception?
Having an anti-progesterone effect
What is the primary concern for delaying COCs until 3 weeks after birth in non-breastfeeding women?
Risk of DVT
What is the recommended timing for taking the first dose of emergency contraception in the POPs regimen?
As soon as possible, but not more than 72 hours after coitus
What is the first choice method of contraception for breastfeeding women?
Non-hormonal methods
Test your knowledge on various types of contraceptive methods, including hormonal pills, injectables, implants, and surgical contraception. Understand the differences between method failure and use failure, and assess your understanding of contraceptive efficacy.
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