Emergency Postcoital Contraception - Case studies (7) 22/03/24

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1) A 25-year-old woman presents to the clinic seeking emergency postcoital contraception. She reports having had unprotected intercourse last night. Her last menstrual period was three weeks ago, and her cycles are typically regular. She is concerned about the possibility of pregnancy and wants to take immediate action. Which of the following options is the most appropriate emergency postcoital contraception for this patient? *

1 point

a. Levonorgestrel (Plan B)

b. Ulipristal acetate (Ella)

c. Combined oral contraceptive pills

d. Copper intrauterine device (IUD)

e. Misoprostol

2) A 20-year-old woman presents to the emergency department requesting postcoital contraception. She reports having had unprotected intercourse last night. Her last menstrual period was two weeks ago. She has a history of irregular menstrual cycles and is unsure of her exact ovulation date. Which of the following options is the most appropriate emergency postcoital contraception for this patient?
*

1 point

a. Levonorgestrel

b. Ulipristal acetate

c. Combined oral contraceptive pills

d. Copper intrauterine device

e. Misoprostol

3) A 30-year-old woman presents to the clinic requesting emergency postcoital contraception. She reports having had unprotected intercourse last night. Her last menstrual period was six weeks ago, and she has regular 28-day cycles. She is not currently using any form of contraception. Which of the following options is the most appropriate emergency postcoital contraception for this patient?
*

1 point

a. Levonorgestrel

b. Ulipristal acetate

c. Combined oral contraceptive pills

d. Copper intrauterine device

e. Misoprostol

4) A 20-year-old woman presents requesting emergency contraception. She had unprotected intercourse 2 days ago. She states that she absolutely cannot have a child and needs contraception immediately. She is currently not using any contraception. On physical examination, she is nervous and stressed. She is concerned about the adverse effects of medications and would like to know them before deciding which one to take. Which adverse effects are commonly reported by women taking oral emergency contraceptive pills? *

1 point

a. Ectopic pregnancy

b. Diarrhea

c. Nausea and vomiting

d. Abdominal cramps

5) A 30-year-old woman presents with a history of unprotected intercourse multiple times during her vacation. She was taking combined oral contraceptive pills (COC) and took her last pill 5 days ago and has forgotten to pack her pills for the trip. She does not want to have children for a few years. Which is the best contraceptive in her situation? *

1 point

a. A single dose of levonorgestrel

b. Two tablets of combined estrogen and progesterone contraceptive now and again 12 hours after the first dose

c. A copper intrauterine device

d. A selective progesterone receptor modulator

6) A 28-year-old woman is interested in a levonorgestrel-releasing intrauterine device. She heard that it can cause cancer and wants to know more information about side effects. What is the most common side effect of this drug? *

1 point

a. Menstrual abnormalities

b. Cervical intraepithelial neoplasia

c. Alopecia

d. Breast carcinoma

7) A 35-year-old woman presents to her provider because she is worried that she might be pregnant. She states that she took Levonorgestrel emergency contraceptive the other night, but she took it 36 hours after single unprotected intercourse and is worried that it didn’t work. Within how many hours is this medication considered to be the most effective? *

1 point

a. 72 hours

b. 84 hours

c. 96 hours

d. 112 hours

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