An 18-year-old woman requests emergency contraception after having unprotected vaginal intercourse approximately 18 hours ago. Today is day 12 of her
... [Show More] normally 27- to 29-day menstrual cycle and she has no contraindications to the use of any currently available forms of emergency contraception. You advise her that:
A. emergency hormonal contraception use reduces the risk of pregnancy by approximately 33%.
B. all forms of emergency contraception must be used
within 12 hours after unprotected intercourse.
C. the likelihood of conception is minimal.
D. insertion of a copper-containing intrauterine device (Cu-IUD) offers an effective form of emergency and ongoing contraception.
D. insertion of a copper-containing intrauterine device (Cu-IUD) offers an effective form of emergency and ongoing contraception.
Which of the following is likely not among the proposed mechanisms of action of all forms of oral emergency contraception?
A. inhibits ovulation
B. acts as an abortifacient
C. slows sperm transport
D. slows ovum transport
B. acts as an abortifacient
A 24-year-old woman who requests emergency contraception in oral form wants to know the effects if pregnancy does occur. You respond that there is the risk of increased rate of:
A. spontaneous abortion.
B. birth defects.
C. placental abruption.
D. none of the above
D. none of the above
In contrast to progestin-only emergency contraception, a possible mechanism of action of ulipristal (ella®) is:
A. inhibiting embryo implantation.
B. impairing sperm transport.
C. through spontaneous abortion.
D. impairing ovum transport
A. inhibiting embryo implantation.
You see a 34-year-old woman who reports having unprotected sexual intercourse 5 days ago and requests emergency contraception. She has a current history of mucopurulent cervicitis. The most acceptable and effective option in this clinical scenario is:
A. progestin-only emergency contraception.
B. ulipristal.
C. Cu-IUD.
D. none, as 5 days is too long to wait for emergency contraception to be effective.
B. ulipristal.
Which of the following statements is false?
A. Progestin-only emergency contraception can be taken as one dose or two doses.
B. Ulipristal is available by prescription only.
C. Progestin-only emergency contraception is usually available without prescription.
D. Ulipristal is taken in two doses 12 hours apart.
D. Ulipristal is taken in two doses 12 hours apart. [Show Less]