Contraception in Special Populations — Flashcards

Flashcard 1: Absolute contraindications to combined oral contraceptive use: Undiagnosed _____ bleeding

Answer: vaginal

Flashcard 2: The woman needs to use barrier contraception or abstain in the first _____ days post-insertion of norplant

Answer: 7

Flashcard 3: _____ (LNG - 20) contains 52 mg of levonorgestrel, releasing 20 mcg daily

Answer: Mirena

Flashcard 4: Oral contraceptive pills (OCP) protect against _____ cancer.

Answer: ovarian

Flashcard 5: Combined oral contraceptives are contraindicated in patients with _____ or breast cancer

Answer: migraine with aura

Extra: Absolute contraindications for COCs include: - Migraine with aura - History of thromboembolism (VTE, PE, Stroke, or CAD) - Current breast cancer - Smoker ≥35 years old (≥15 cigarettes/day) - Severe hypertension (≥160/100) - Liver disease (cirrhosis or tumors) Note: COCs are **protective** against endometrial and ovarian cancer. Their use is associated with a significantly reduced risk of these malignancies.

Flashcard 6: _____ has a life of 10 years

Answer: Cu-T 380

Flashcard 7: What is the formula for the Pearl Index?

Answer: Pearl Index = (Total number of accidental pregnancies × 1200) / Total months of exposure

Flashcard 8: What is the following method of tubal ligation called as? _____

Answer: Pomeroy's method

Flashcard 9: What is the following method of tubal ligation called as? _____

Answer: Madlener method

Flashcard 10: What are the indications and contents of the **White Kit** (Kit 3) used in the syndromic management of STIs? Is partner treatment required?

Answer: Indication: **Non-herpetic genital ulcers** (Syphilis, Chancroid) Contents: 1. **Inj. Benzathine Penicillin G** (2.4 million units, IM after sensitivity testing) 2. **Tab. Azithromycin** (1 g, oral) **Partner treatment**: Yes, required.

Extra: NACO Syndromic Management Kits: - **Kit 1 (Grey)**: Urethral/Cervical discharge (Cefixime + Azithromycin) - **Kit 2 (Green)**: Vaginal discharge (Secnidazole + Fluconazole) - **Kit 3 (White)**: Non-herpetic ulcer (Penicillin + Azithromycin) - **Kit 4 (Blue)**: Non-herpetic ulcer if Penicillin allergic (Doxycycline + Azithromycin) - **Kit 5 (Red)**: Herpetic ulcer (Acyclovir) - **Kit 6 (Yellow)**: PID (Cefixime + Doxycycline + Metronidazole) - **Kit 7 (Black)**: Inguinal bubo (Doxycycline + Azithromycin)