Question 1

A young couple presents to see you to discuss contraceptive methods. Some of the reasons that they may choose a nonhormonal method include:&#10;A) Religious beliefs&#10;B) Previous negative side effects from oral contraceptives&#10;C) Low cost&#10;D) Immediate return to fertility when contraceptive method is stopped&#10;E) All of the above

Accepted Answer

Nonhormonal contraceptive methods may be chosen due to religious beliefs, previous negative side effects from hormonal methods, lower cost, and the advantage of immediate return to fertility upon discontinuation.

Question 2

Perfect use of a contraceptive refers to:&#10;A) The number of women out of 1,000 who prevent pregnancy in 1 year with correct and consistent use of the method&#10;B) The number of women out of 100 who prevent pregnancy in 1 year with correct and consistent use of the method&#10;C) The number of couples who use the contractive method 100% of the time&#10;D) The number of women who use the contraceptive method 100% of the time

Accepted Answer

Perfect use of a contraceptive refers to the effectiveness of the method when used correctly and consistently, typically measured as the number of women out of 100 who prevent pregnancy in 1 year.

Question 3

The following are barrier methods of contraception that are available in the United States except:&#10;A) The diaphragm&#10;B) FemCap&#10;C) Ortho Evra Patch&#10;D) Condoms (male and female)

Accepted Answer

The Ortho Evra Patch is not a barrier method; it is a hormonal contraceptive method.

Question 4

Lambskin condoms protect against pregnancy as well as STIs and HIV infection.

Accepted Answer

Lambskin condoms are effective at preventing pregnancy but do not protect against STIs and HIV because they have small pores that can allow viruses to pass through.

Question 5

The male and female condoms can be used together.

Accepted Answer

Using a male and female condom together can cause friction, leading to breakage or slippage, reducing their effectiveness.

Question 6

The following is true about the contraceptive sponge:&#10;A) It contains the spermicide nonoxynol-9.&#10;B) It can be inserted into the vagina up to 24 hours before intercourse.&#10;C) It must be left in place at least 6 hours after intercourse.&#10;D) If left in place for more than 30 hours, there is a risk for toxic shock syndrome.&#10;E) All of the above

Accepted Answer

The contraceptive sponge contains nonoxynol-9, can be inserted up to 24 hours before intercourse, must be left in place for at least 6 hours after intercourse, and poses a risk for toxic shock syndrome if left in place for more than 30 hours.

Question 7

The diaphragm is one of the oldest female barrier contraceptive devices. It should be replaced after 2 years or refit in the following circumstances:&#10;A) History of cervical cancer&#10;B) History of HIV or HPV infection&#10;C) After a first trimester abortion&#10;D) Weight loss or gain of 20%

Accepted Answer

The answer of The diaphragm is one of the oldest...

Question 8

Absolute contraindications for the FemCap and diaphragm include active cervical cancer and high risk for HIV due to the spermicide used in these devices.

Accepted Answer

Spermicides used with these devices can increase the risk of HIV transmission, and active cervical cancer may be exacerbated by the use of these barrier methods.

Question 9

The Paragard IUD is a good contraceptive choice for the following woman:&#10;A) A 40-year-old woman with Wilson's disease&#10;B) A nulliparous woman&#10;C) A 35-year-old woman with fibroids&#10;D) A 28-year-old woman with cervical cancer

Accepted Answer

The Paragard IUD is suitable for nulliparous women. It is not recommended for women with Wilson's disease due to copper content, and caution is advised with fibroids or cervical cancer.

Question 10

The fertility awareness symptothermal method using a combination of basal body temperature and cervical mucus has a perfect use rate of 98%.

Accepted Answer

The symptothermal method, when used perfectly, can be up to 98% effective in preventing pregnancy by accurately identifying fertile days through basal body temperature and cervical mucus observations.

Deck 24: Non-Hormonal Contraception