EBCOG PART 1 – WOMENS SEXUAL AND REPRODUCTIVE HEALTH

1. With regards to long-acting reversible contraception (LARC):

A Levonorgestrel IUS (intrauterine system) must be replaced every 4 years

B Etonogestrel subdermal implants must be replaced every 5 years

C Levonorgestrel IUS can be used in the context of emergency contraception

D Women presenting at 14 weeks from the date of previous injection (depot medroxyprogesterone acetate) should receive it immediately

E Epilepsy is a an absolute contraindication for the insertion of levonorgestrel IUS

2. Bacterial vaginosis is associated with:

A An excess growth of anaerobic organisms in the vagina

B An excess growth of Gardnerella vaginalis in the vagina

C A low pH in the vagina

D A positive amine test

E An overgrowth of lactobacilli in the vagina

3. Chlamydia trachomatis:

A Is an obligate intracellular virus

B Can cause conjunctivitis in the newborn

C Can cause pneumonia in the newborn

D Is the causative organism for lymphogranuloma venereum

E Is the most common cause of non-gonococcal urethritis in women

4. With regards to genital herpes simplex:

A It is the most common cause of reported vulval ulceration in the UK

B Most genital infections are caused by type 2 herpes simplex

C It typically causes multiple shallow painless ulcers on the vulval region

D Recurrent infections occur in 80% of the patients

E Recurrent infections tend to be more severe

5. With regards to female sterilisation:

A Risk of failure is 1 in 2000 women

B Risk of failure is 1 in 200 women

C The risk of ectopic pregnancy is high in cases where the woman gets pregnant

D The risk of failure rate is slightly higher with sterilisation during caesarean

section than interval sterilisation

E Risk of failure is 0.5%

6. The absolute contraindications to combined oral contraceptive pills (COCPs)

include:

A Blood pressure (<140/90)

B Smoking cigarettes (40/day)

C Diabetic retinopathy

D Migraine with aura

E Body mass index >40

7. The failure rate of female sterilisation is:

A 2%

B 1.5%

C 2.5%

D 1%

E 0.5%

8. Candida infection:

A Is more common in sexually active women

B Is a sexually transmitted disease

C Is more common in pregnant women

D Is more common in women with diabetes

E Is more common in women with a copper intrauterine contraceptive device

(IUCD)

9. Neisseria gonorrhoeae:

A Is a gram-negative organism

B Is an intracellular diplococcus

C Needs Amies transport medium for transport

D Is sensitive to ciprofloxacin

E Is sensitive to ampicillin

10. Regarding bacterial vaginosis:

A It is a sexually transmitted disease

B Most women are asymptomatic

C On wet microscopy, bacteria surround the epithelial cells

D It is important to treat the partner to avoid recurrence of infection

E Clindamycin cream 2% can be used for treatment during pregnancy