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Pregunta 1
Pregunta
There is no such thing as the perfect contraceptive. True or false?
Respuesta
- True
- False
Pregunta 2
Pregunta
Which of the following are examples of contraception which require ongoing action by the user?
Respuesta
-
Oral contraceptives
-
Female condoms
-
Contraceptive implants
-
Intrauterine devices
-
Male condoms
-
Diaphragms
-
Steralization
Pregunta 3
Pregunta
Which of the following are examples of non-contraceptive benefits of contraception?
Respuesta
-
Control of menstruation
-
Female equality
-
Improves sexual health
-
Controls women
-
Allows population growth
Pregunta 4
Pregunta
What are some risks of not providing contraception?
Respuesta
-
Economic risks
-
Increase rates of abortion
-
Increased rates of STIs
-
Iatrogenic problems
-
Decreased population growth
Pregunta 5
Pregunta
By what pattern is the combined oral contraceptive pill usually taken?
Respuesta
-
Taken for 3 weeks, then a 7 day break
-
Taken continuously
-
Taken for 4 weeks, then a 7 day break
-
Taken for 3 months, then a 1 month break
-
Taken for 2 weeks, then a 2 week break
Pregunta 6
Pregunta
Which hormones are in the combined oral contraceptive pill?
Respuesta
-
Oestrogen
-
Progesterone
-
GnRH
-
LH
-
FSH
-
Cortisol
Pregunta 7
Pregunta
Which of the following are contraceptive benefits of the combined oral contraceptive pill?
Respuesta
-
Easily reversible
-
Unrelated to sexual intercourse
-
Under the control of the woman
-
Alters the metabolism of hormones
-
Can be used to treat acne
Pregunta 8
Pregunta
Which of the following are non-contraceptive benefits of the combined oral pill?
Respuesta
-
Reduces the risk of endometrial cancer
-
Reduces the risk of colon cancer
-
Reduces the risk of breast cancer
-
Alters bodily response to insulin, leading to weight loss
-
Reduces the risk of venous thromboembolism
Pregunta 9
Pregunta
How does the combined oral contraceptive prevent ovulation?
Respuesta
-
Oestrogen levels are constantly high so the body is tricked into thinking its pregnant
-
The pill prevents LH surge mid-cycle so there is no stimulation of ovulation
-
Continually high progesterone tricks the body into thinking the corpus luteum is still functioning
-
The pill blocks FSH receptors on follicles which prevents follicle selection
-
Oestrogen causes the fallopian tubes to block the passage of oocytes
Pregunta 10
Pregunta
How does the combined oral contraceptive prevent sperm from entering the uterus?
Respuesta
-
It thickens the cervical mucous
-
It acts as a spermicide at the cervix
-
It causes the vagina to produce acidic secretions so that the sperm will be destroyed
Pregunta 11
Pregunta
The combined oral contraceptive causes thinning of the endometrium. How does this aid its contraceptive effects?
Respuesta
-
A fertilised egg would not be able to be laid down in the endometrium
-
It means the menses are much lighter
-
It causes increased contraction of the myometrial cells which would cause the products of contraception to be destroyed
-
It causes the uterus to shrink in size so it would be unable to support a growing foetus
Pregunta 12
Pregunta
Which hormone within the combined oral contraceptive pill causes the cervical mucous to thicken?
Respuesta
-
Oestrogen
-
Progesterone
Pregunta 13
Pregunta
At which sites within the body does the oestrogen in the combined oral contraceptive pill work?
Respuesta
-
Hypothalamus
-
Anterior pituitary
-
Endometrium
-
Ovary
-
Fallopian tubes
-
Cervix
Pregunta 14
Pregunta
Why is there increased clotting factors produced when the combined oral contraceptive pill is taken?
Respuesta
-
Because the liver produces more clotting factors as it would when a woman is pregnant in preparation for partuition
-
Because there is increased blood volume and liver produces more clotting enzymes
-
Because oestrogen is able to act on liver receptors
-
Because oestrogen can be broken down into precursors of clotting factors
Pregunta 15
Pregunta
Which hormone increases the risk of venous thromboembolism?
Respuesta
-
Oestrogen
-
Progesterone
Pregunta 16
Pregunta
What effects does the progesterone in the combined oral contraceptive pill have on the cardiovascular system?
Respuesta
-
Can cause high blood pressure
-
Can cause venous thromboembolism
-
Can decrease cardiac output
-
Can cause mitral stenosis
Pregunta 17
Pregunta
The combined oral contraceptive pill can alter hormone metabolism. What can this subsequently cause?
Respuesta
-
Renal stones
-
Gallstones
-
Liver cirrhosis
-
Crohn's disease
-
Jaundice
Pregunta 18
Pregunta
How does the combined oral contraceptive pill cause weight gain?
Respuesta
-
It alters the metabolism of insulin
-
It increases insulin resistance
-
It reduces leptin levels
-
It decreases the amount of thyroxine produced from the thyroid gland
-
It increases the size of the uterus
Pregunta 19
Pregunta
Which drugs might the combined oral contraceptive pill interact with?
Respuesta
-
Broad spectrum antibiotics
-
Liver enzyme inducing drugs
-
Statins
-
Glucocorticoids
-
Thiazide diuretics
Pregunta 20
Pregunta
There is strong evidence which proofs that the combined oral contraceptive pill can cause cervical cancer. True or false?
Respuesta
- True
- False
Pregunta 21
Pregunta
Which of the following may mean a woman is unable to take the combined oral contraceptive?
Respuesta
-
A history of breast cancer
-
A history of migraines
-
A family history of thrombotic events, e.g. stroke
-
A history of depression
-
A busy lifestyle
-
Not having a long-term partner
Pregunta 22
Pregunta
What option can be given to women who would like to take the combined pill, but are not able to?
Respuesta
-
Progesterone only pill
-
Fertility awareness
-
Oestrogen only pill
Pregunta 23
Pregunta
The window for taking the combined pill is smaller than the window for taking the progesterone only pill. True or false?
Respuesta
- True
- False
Pregunta 24
Pregunta
How does the natural family planning method of contraception work?
Respuesta
-
By predicting when ovulation and fertility will occur
-
By taking the womans temperature to predict ovulation
-
By using the womans mood to predict fertility
Pregunta 25
Pregunta
Which of the following are advantages of the natural family planning method?
Respuesta
-
It can be used in third world countries
-
It can be used by women from religions which don't believe in contraception
-
It limits sexual activity and can therefore reduce the risk of STIs
-
It has a low failure rate
-
It is non-medical
Pregunta 26
Pregunta
What is the most effective form of contraception?
Respuesta
-
Male sterilization
-
Female sterilization
-
Contraceptive implant
-
Condoms
-
Combine oral contraceptive pill
Pregunta 27
Pregunta
Which type of intrauterine device can be used for a longer period of time?
Respuesta
-
Copper-bearing coil
-
Progesterone releasing coil
Pregunta 28
Pregunta
How do intrauterine devices work as emergency contraceptives?
Respuesta
-
Inflammatory response when the IUD is inserted will prevent implantation
-
The IUD contains methotrexate which will destroy any quickly dividing cells
-
The IUD covers the surface of the endometrium preventing implantation
-
The IUD will block the fallopian tubes
Pregunta 29
Pregunta
Which of the following could be considered disadvantages of the IUD?
Respuesta
-
It has to be fitted by a trained medical professional
-
It doesn't offer protection against STIs
-
It can be used long-term
-
It cannot be used in nulliparous women
Pregunta 30
Pregunta
Some evidence suggests that the IUD may increase bleeding during menstruation. How could this data be explained?
Respuesta
-
The bleeding on the IUD is heavier than bleeding on the combined oral contraceptive pill because the pill thins the endometrium
-
The IUD causes an inflammatory response which increases bleeding
-
This is a very hard variable to measure because it is so objective
-
The progesterone in the IUD causes the endometrium to proliferate
Pregunta 31
Pregunta
There is an increased risk of which of the following with the IUD?
Respuesta
-
Ectopic pregnancy
-
Miscarriage
-
Thromboembolic event
-
Gallstones
-
Endometrial carcinoma
Pregunta 32
Pregunta
Which of the following are contraindications to the IUD?
Respuesta
-
Current vaginal infection
-
History of vaginal infection
-
Current pelvic inflammatory disease
-
Suspected pregnancy
-
History of menorrhagia
-
Being nulliparous
Pregunta 33
Pregunta
Why will insertion of a IUD be more painful for a nulliparous woman?
Respuesta
-
Because her cervix is smaller
-
Because her uterine corpus is smaller
-
Because she is not ovulating
-
Because she has a thinner endometrium
-
Because she has a thinner myometrium
Pregunta 34
Pregunta
Which of the following are advantages of the male condom?
Respuesta
-
Prevents transmission of STIs
-
Easily available
-
Contain spermicide
-
Are hypoallergenic
-
Do not interfere with sexual intercourse
Pregunta 35
Pregunta
How do female condoms work?
Respuesta
-
They are inserted into the vagina to block sperm entering the cervix or uterus
-
They suck up to the cervix to prevent sperm entering
-
They stick to the walls of the vagina and attract sperm to prevent it reaching the cervix and uterus
Pregunta 36
Pregunta
What is one advantage of the female condom, which is not an advantage of the male condom?
Respuesta
-
They do not require a male erection to work
-
They are easily accessible
-
They are easy to use
-
They do not interrupt sexual intercourse
Pregunta 37
Pregunta
Contraceptive diagphragms are used alongside spermicide. True or false?
Respuesta
- True
- False
Pregunta 38
Pregunta
Which of the following are disadvantages of the contraceptive diaphragm?
Respuesta
-
They increase the risk of STIs
-
They increase the risk of candida
-
They increase the risk of UTIs
-
The require teaching to be used correctly
-
They have to be put in in advance
Pregunta 39
Pregunta
Why can't cervical caps be used by everyone?
Respuesta
-
Because they require a particular shaped cervix
-
Because they require the woman to be multiparous
-
Because many women are allergic to them
Pregunta 40
Pregunta
Which of the following are advantages of cervical caps?
Respuesta
-
They are very unobtrusive
-
They can be used in women with poor pelvic floors
-
The reduce the risk of candida
-
They do not need to be used with spermicide
Pregunta 41
Pregunta
What is the critical time period for the use of emergency contraception?
Respuesta
-
12 hours
-
24 hours
-
48 hours
-
72 hours
Pregunta 42
Pregunta
Which of the following are side effects of the emergency contraceptive pill?
Respuesta
-
Nausea
-
Vomiting
-
Migraines
-
Fatigue
-
Heavy menstruation
Pregunta 43
Pregunta
Which of the following conditions would contraindicate the emergency contraceptive pill?
Respuesta
-
Migraines
-
Chlamydia
-
Endometriosis
-
Gastritis
Pregunta 44
Pregunta
What is another term for the progesterone only pill?
Respuesta
-
Mini pill
-
Single pill
-
Alternative contraceptive pill
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