CONTRACEPTION

1. Currently, what is the most effective contraceptive method?

A. Oral contraceptive pills
B. Etonorgesterel implants
C. Injectable depot medroxyprogesterone acetate
D. Levonorgesterel-releasing IUCD
E. Copper IUCD
2. A 28 y.o non-smoking woman comes for family planning. She requests a
contraceptive which is not a/w weight gain. She plans not to have children for
the next few years. Her menses are regular, but heavy and painful since she
was 15y.o. for a week before her menses begins, she is uncharacteristically
tearful, irritable, and depressed. Her BP 110/75mmhg, BMI 22. There is
moderate acne on her face and neck.
Which is the most appropriate c/captive method for her?
A. Tubal ligation
B. Drosperinone and oestrogen combination pill
C. Progesterone-releasing IUD
D. Depo-provera every 3 months
E. Condoms
3. A 21 y.o sexually active woman with multiple sexual partners, request for
contraception. She is well but she has family history of breast cancer. Select
the most appropriate contraception for her:
A. IM Depo-Provera
B. IUCD
C. Levonorgestrel
D. Condom
E. Combined Oral Contraceptives
4. An 18-year-old female presents to her GP as she has missed one of her
Microgynon 30 pills yesterday morning. She has taken Microgynon for the
past 2 years and is currently 4 days into a packet of pills. She had sexual
intercourse last night and is unsure what to do. She took yesterday's pill and
today's pill this morning. What is the correct management?
A. Advice condome use for the next 7 days
B. Perform a pregnancy test
C. Omit pill break at end of pack
D. No action needed
E. Emergency contraception should be offered
5. A 25 year old G2P1 at 38weeks presents for routine antenatal check. Her
pregnancy is uncomplicated and currently not in labour. Her past medical
history is significant for chlamydia and was treated 1 year ago. She is
otherwise healthy and very excited about the arrival of the baby and planning
to breastfeed. She would like to discuss options for post partum birth control.
Which is the most appropriate contraception for this lady?
A. Combined OCP
B. Progesterone only pills
C. IUCD
D. No birth control is necessary as patient is planning to breastfeed
E. Calendar rhythm method (periodic abstinence)

6. A 31 yo lady is diagnosed with pulmonary tuberculosis ans is currently on

intensive phase of treatment. She is currently on combine oral contraceptive
pills. She has no other medical illness. What is the best contraception option
for her?
A. Change to POP
B. Combine COC with barrier method
C. Continue current COC
D. Take COC with higher dose of progesterone
E. Take COC with higher dose of estrogen
7. An early intrauterine pregnancy is confirmed in a 33 yo G5P4 with an IUCD in
place. The patient expresses a strong desire for the pregnancy to be
continued. On examination, the string of IUCS is noted to be protruding from
the cervical os. Which of the following is the most appropriate course of
action?
A. Remove the IUCD immediately
B. Leave the IUCD in place and continue prophylactic antibiotic throughout
pregnancy
C. Leave the IUCD in place without any treatment
D. Terminate the pregnancy because of high risk of infection
E. Perform laparoscopy to rule out heterotopic pregnancy