Contraception
Obstetrics & Gynaecology · Topic 21
Source: NMC CBME Curriculum 2024 · Volume III · Obstetrics & Gynaecology · Topic 21 · combined PDF page 435
Practice questions
- Which statement best defines emergency contraception (EC) in the supplied guidance?
- A young adult seeks EC but has delayed care because she depends on family for transportation and is worried about privacy. Which interpretation is most consistent with the supplied EC guidance?
- Which approach most directly addresses the access concerns described for adolescents seeking emergency contraception?
- Which statement accurately reflects the supplied EC guidance about contraindications?
- According to the supplied Bayesian network meta-analysis, which intervention was the most effective emergency contraceptive overall?
- A clinician compares the network meta-analysis ranking of the copper IUD with the Cochrane review's direct comparison of mifepristone and copper IUD. Which conclusion best reconciles these findings?
- In the Cochrane review, how did low-dose mifepristone (<25 mg) compare with levonorgestrel for pregnancy risk when used as EC?
- A trial synthesis reports mid-dose mifepristone (25–50 mg) versus levonorgestrel with RR 0.67 (95% CI 0.49–0.91) for pregnancy. What is the best interpretation?
- Compared with the Yuzpe regimen, what pregnancy outcome was reported for mifepristone in the supplied systematic review?
- A patient asks about side effects when comparing mifepristone with the Yuzpe regimen for EC. Which finding is supported by the supplied review?
- Which menstrual change is particularly associated with mifepristone used for emergency contraception in the supplied evidence?
- When mid-dose mifepristone (25–50 mg) was compared with low-dose mifepristone (<25 mg), what pattern was reported for delayed menses?
- For the mifepristone-versus-copper-IUD comparison, what did the Cochrane review report about side effects and treatment satisfaction?
- What conclusion about mifepristone and ulipristal acetate is supported by the supplied Bayesian network meta-analysis?
- The network meta-analysis found a favorable efficacy signal for levonorgestrel combined with a COX inhibitor. What was its stated implication for clinical recommendation?
- Compared with delayed postpartum insertion, what effect of immediate postpartum LARC insertion was reported in the umbrella review?
- In the postpartum population, what did the umbrella review report about pregnancy at six months after immediate versus delayed LARC insertion?
- Which subgroup had a particularly increased risk of IUD expulsion after immediate postpartum insertion compared with delayed insertion?
- Which counseling statement best captures the trade-off with immediate postpartum IUD insertion described in the umbrella review?
- How did immediate postabortion LARC placement compare with delayed placement in the supplied umbrella review?
- After first-trimester medical abortion, what expulsion finding was reported for immediate IUD insertion compared with delayed insertion?
- When selecting contraception for a patient with gynecologic cancer, which factors are highlighted by the supplied guideline?
- A patient with gynecologic cancer has undergone fertility-sparing treatment. Which statement best reflects the supplied guideline's approach to contraceptive counseling?
- Which statement about adolescent contraceptive care is supported by the supplied American Academy of Pediatrics policy statement?
- A patient considering hormonal contraception asks whether she should start it solely to prevent an anterior cruciate ligament injury. Which response best reflects the supplied systematic review?
- In the ACL injury meta-analysis, the pooled risk ratio for hormonal contraceptive users versus nonusers was 0.88 (95% CI 0.77–1.01). What is the most appropriate interpretation?