EBCOG P1 3 Months May- Contraception and STIS -Day 1 EMQ

A. If the missed pill was after 7 days into the pack, take extra recautions and continue with the pills, missing out the forgotten one
B. If the missed pill was 7 days into the pack, take the next pill and continue with the rest
C.Continue taking the pills but use a barrier method
D.Discontinue contraception
E. Stop the pills and avoid sexual intercourse
F. Stop the pills and await the next period
G. Stop the pills and await the next period but take additional Precautions
H.If the missed pill was 14 days into the pack, continue but take additional precautions for 7 days
I. If the missed pill was 21 days into the pack, continue but take additional precautions until the next period
J. If two pills are forgotten and these are within the first 7 days of the pack, take them immediately and continue the rest without additional precautions
K. Take the forgotten pill and continue with the rest of the pack
L.Take the missed pills now and the remaining one as normal; finish pack and skip the pill-free interval; start a new pack the next day and use additional contraception (condoms) for the next 7 days
M. Take the most recent pill now and continue taking the remaining pills daily at the usual time. Use condoms or abstain from sexual intercourse for 2 days. Emergency contraception should be offered
N. Take the missed pill and continue with the remaining pills at the usual time with additional contraception for 2 days.
O. Take the forgotten pill(s) and use a barrier method until the next period
P. Take the missed pill and continue with the remaining pills at the usual time. Reassure about efficacy
Q. Take the missed pills now and the next pill as normal. No need to use additional contraception
R. Take the next pill and do a pregnancy test
S. Take two pills and then continue with the rest of the pack

Instructions: The women described below presented after missing one or more oral contraceptive pills. They are concerned about an unplanned

For each patient, select from the above list of options the single most appropriate advice that you will offer. Each option may be selected once, more than once or not at all.
1. A 21-year-old female teacher has been on progesterone only pill for the past 2 years. Unfortunately, she forgot to take two of her pills, in the third week of her pill taking. She had UPSI last night. What is advised to her?

2) An 20-year, Kate who is a student is taking Femodene ED (30 mg ethinyl-estradiol) but has missed two pills. She now has nine pills left in the packet.

A. Combined oral contraceptive pill (COC)
B. Combined oral contraceptive transdermal patch (Evra)
C. Combined oral contraceptive vaginal ring (NuvaRing)
D. Copper intrauterine device (Cu-IUD)
E. Progestogen-only injection (Depo-Provera)
F. Hysteroscopic sterilisation
G. Laparoscopic sterilisation
H. Levonelle
I. Mirena (LNG-IUS)
J. Natural family planning (Persona; Clearblue)
K. Progestogen-only pill
L. Progestogen-only implant (Nexplanon)
M. Ulipristal acetate
N. Vasectomy
Each clinical scenario refers to a woman seeking contraception given a particular set of medical circumstances and preferences. For each scenario, select the most appropriate contraceptive method from the options listed. The same contraceptive method may be valid in more than one clinical scenario.

3. 20 years old, sickle cell disease, experiences painful sickle cell crises with menstruation. She is nulliparous. She has had some symptom alleviation when using POP, but she is occasionally forgetful with pill taking.

4.26 years old, infrequent periods, mild hirsutism, mild acne and polycystic ovaries on pelvic ultrasound. Wishes effective contraception that may also reduce her hirsutism and acne.

5.35 years old, trying to conceive by improving her understanding of when her fertile period is during her menstrual cycle to better time sexual intercourse. Has been told by a friend of a method that is obtainable over the counter with- out prescription.

6.21 years old, unprotected sexual intercourse 4 days earlier. Currently she is day 18 of her 28-day menstrual cycle. Wishes the most effective method to avoid pregnancy. This is her third episode of requesting emergency contraception.

A. If the missed pill was after 7 days into the pack, take extra recautions and continue with the pills, missing out the forgotten one
B. If the missed pill was 7 days into the pack, take the next pill and continue with the rest
C.Continue taking the pills but use a barrier method
D.Discontinue contraception
E. Stop the pills and avoid sexual intercourse
F. Stop the pills and await the next period
G. Stop the pills and await the next period but take additional Precautions
H.If the missed pill was 14 days into the pack, continue but take additional precautions for 7 days
I. If the missed pill was 21 days into the pack, continue but take additional precautions until the next period
J. If two pills are forgotten and these are within the first 7 days of the pack, take them immediately and continue the rest without additional precautions
K. Take the forgotten pill and continue with the rest of the pack
L.Take the missed pills now and the remaining one as normal; finish pack and skip the pill-free interval; start a new pack the next day and use additional contraception (condoms) for the next 7 days
M. Take the most recent pill now and continue taking the remaining pills daily at the usual time. Use condoms or abstain from sexual intercourse for 2 days. Emergency contraception should be offered
N. Take the missed pill and continue with the remaining pills at the usual time with additional contraception for 2 days.
O. Take the forgotten pill(s) and use a barrier method until the next period
P. Take the missed pill and continue with the remaining pills at the usual time. Reassure about efficacy
Q. Take the missed pills now and the next pill as normal. No need to use additional contraception
R. Take the next pill and do a pregnancy test
S. Take two pills and then continue with the rest of the pack

Instructions: The women described below presented after missing one or more oral contraceptive pills. They are concerned about an unplanned

For each patient, select from the above list of options the single most appropriate advice that you will offer. Each option may be selected once, more than once or not at all.
7. A 21-year-old female teacher has been on progesterone only pill for the past 2 years. Unfortunately, she forgot to take two of her pills, in the third week of her pill taking. She had UPSI last night. What is advised to her?

8.A 27-year-old woman, who is on a noriday ( NET 350MCG) attends because she has missed three of her pills. She is taking traditional POP. She has no UPSI, as she is living away from partner from last 5 days and not planning love making for next 7 days. What is further advise given to her?

9.A 19 -year, Kate who is a student is taking POP but she is late by 2 hours of usually pill taking time. She now has nine pills left in the packet.

10.A 32-year-old mother of two, who is on Cerazette (a progestogenonly contraceptive), attends because she had forgotten to take her pill 11 hours ago. She had sexual intercourse the night before?