Contraception, C49 M3, Ex1

Question 1

1. All of the following are the functional phases of the menstrual cycle except:

A. Follicular
B. Ovulatory
C. Implantation
D. Menstrual

Answer 1

C

Question 2

2. Rapid return of fertility would be least likely to occur upon discontinuation of which of the following contraceptives:

A. NuvaRing
B. Depo-Provera
C. Yasmin
D. Ortho Evra

Answer 2

B

Question 3

3. COCs work by inhibiting ovulation. The progestin component of COCs works mainly by suppressing which of the following hormones:

A. Gonadotropin-releasing hormone (GnRH)
B. Luteinizing hormone (LH)
C. Follicle-stimulating hormone (FSH)
D. Growth hormone (GH)

Answer 3

B

Question 4

4. Potential risks associated with the use of oral contraceptives include all of the following except:

A. Venous thromboembolism
B. Hypertension
C. Gallbladder disease
D. Breast cancer

Answer 4

D

Question 5

5. Which of the following is considered to be an absolute contraindication to the use of COCs?

A. Smoking 10 cigarettes per day
B. History of migraine headache disorder without aura
C. Postpartum 2 weeks following delivery
D. Uterine fibroids

Answer 5

C

Question 6

6. If a woman has breakthrough bleeding or spotting that continues beyond her normal menses, what would be the most appropriate suggestion to decrease this side effect?

A. Increase progestin dose
B. Decrease progestin dose
C. Increase estrogen dose
D. Decrease estrogen dose

Answer 6

C

Question 7

7. Which of the following COCs is FDA-approved for the treatment of PMDD?

A. Yaz
B. Yasmin
C. Seasonique
D. Loestrin 24 Fe

Answer 7

A

Question 8

8. Unlike COCs, which of the following risks has not been associated with progestin-only pills?

A. Hypertension
B. Venous thromboembolism
C. Headaches
D. Acne

Answer 8

B

Question 9

9. Which of the following medications may increase metabolism of COCs, decreasing their efficacy?

A. Phenytoin
B. Alprazolam
C. Prednisone
D. Tetracycline

Answer 9

A

Question 10

10. Select the agent most likely to have its metabolism increased by a COC.

A. Theophylline
B. St. John’s wort
C. Rifampin
D. Lamotrigine

Answer 10

D

Question 11

11. The use of oral contraceptives has been linked (either directly or indirectly) to a decrease in the risk for which of the following types of cancer?

A. Endometrial cancer
B. Cervical cancer
C. Hepatocellular cancer
D. Breast cancer

Answer 11

A

Question 12

12. Which of the following oral contraceptives is available by prescription only?

A. Plan B One Step
B. My Way
C. ella
D. Next Choice One Dose

Answer 12

C

Question 13

13. Which of the following is not an example of an extended-cycle contraceptive?

A. Loestrin 24 Fe
B. Seasonique
C. Yasmin
D. Lybrel

Answer 13

C

Question 14

14. The most effective fertility awareness–based contraceptive method is thought to be the:

A. Calendar (rhythm) method
B. Temperature method
C. Cervical mucous method
D. Symptothermal method

Answer 14

D

Question 15

15. Contraceptives that can prevent both pregnancy and STIs include:

A. Diaphragms
B. Condoms
C. Intrauterine devices
D. Both A and B

Answer 15

B