Contraception

Topics in this chapter

• Combined Hormonal Contraception
• Progestin-Only Contraception
• Intrauterine Contraceptive Devices
• Barrier Methods and STI Prevention
• Natural and Lactational Contraception
• Emergency Contraception
• Contraceptive Safety and Pharmacology

Practice questions

1. Question 1Q-643BF1

   A 28-year-old postpartum woman who is exclusively breastfeeding her 6-week-old infant wishes to start hormonal contraception. She has no significant medical history. Which of the following is the most appropriate contraceptive choice at this stage?

   1. A.Combined oral contraceptive pills (COCs)
   2. B.Progestin-only pills (POPs)
   3. C.Medroxyprogesterone acetate initiated immediately
   4. D.Transdermal contraceptive patch
   See the answer and solution
2. Question 2Q-23E24D

   Which of the following emergency contraceptives can be effectively used up to 120 hours (5 days) following unprotected intercourse?

   1. A.Levonorgestrel 1.5 mg single dose
   2. B.Ulipristal acetate 30 mg single dose
   3. C.Yuzpe regimen (Ethinyl estradiol + Levonorgestrel)
   4. D.High-dose conjugated equine estrogens
   See the answer and solution
3. Question 3Q-18A303

   According to the US Medical Eligibility Criteria (US MEC) for Contraceptive Use, a patient with active deep vein thrombosis (DVT) on anticoagulant therapy is categorized under which WHO/US MEC category for the use of combined hormonal contraceptives (CHCs)?

   1. A.Category 1
   2. B.Category 2
   3. C.Category 3
   4. D.Category 4
   See the answer and solution
4. Question 4Q-841D07

   A 32-year-old multiparous woman requests long-acting reversible contraception. She has a history of heavy menstrual bleeding and dysmenorrhea. Which of the following intrauterine devices would provide the dual benefit of contraception and reduction of menstrual blood loss?

   1. A.Copper T 380A
   2. B.Levonorgestrel-releasing intrauterine system (LNG-IUS)
   3. C.Multiload 375
   4. D.Inert plastic loop (Lippes Loop)
   See the answer and solution
5. Question 5Q-115DDA

   Which of the following is the primary mechanism of action of the Copper-T 380A intrauterine device?

   1. A.Inhibition of the hypothalamic-pituitary-ovarian axis preventing ovulation
   2. B.Thickening of the cervical mucus to prevent sperm penetration
   3. C.Spermicidal and inflammatory endometrial reaction preventing fertilization and implantation
   4. D.Direct suppression of luteinizing hormone surge
   See the answer and solution