SBA Contraception 15 Single Best Answer (SBA)
1. A 25-year-old female presents seeking contraception. She has no contraindications and prefers an oral method. Which of the following is the most appropriate first-line option?
Answer: A. Combined Oral Contraceptive Pills
Explanation: Combined oral contraceptive pills are a first-line option for women without contraindications who prefer oral methods.
2. A 30-year-old female smoker with a history of migraine without aura is seeking contraception. Which of the following methods should be avoided?
Answer: A. Contraceptive Patch
Explanation: Combined hormonal contraceptives, such as the contraceptive patch, are contraindicated in women over 35 who smoke due to an increased risk of cardiovascular thromboembolism.
3. A 22-year-old female is interested in using the vaginal ring for contraception. How often should the ring be replaced?
Answer: A. Every 3 weeks with a 1-week ring-free interval
Explanation: The vaginal ring is inserted for three weeks and then removed for one week to allow for menstruation.
4. A 29-year-old nulliparous female is considering an intrauterine device (IUD) for long-term contraception. Which of the following is a potential advantage of using a hormonal IUD over a copper IUD?
Answer: A. Reduction in menstrual bleeding and cramps
Explanation: Hormonal IUDs release levonorgestrel, which can reduce menstrual bleeding and alleviate cramps.
5. A 24-year-old female requests a contraceptive implant. Which hormone is commonly used in contraceptive implants?
Answer: A. Etonogestrel
Explanation: Etonogestrel is the progestogen used in contraceptive implants (e.g., Nexplanon).
6. A 19-year-old male is interested in using condoms as his primary method of contraception. Which of the following is a significant advantage of using condoms?
Answer: A. Protection against sexually transmitted infections (STIs)
Explanation: Condoms provide protection against STIs in addition to preventing pregnancy.
7. A 21-year-old female presents to the clinic three days after unprotected intercourse, seeking emergency contraception. Which of the following is the most appropriate option?
Answer: A. Levonorgestrel (Levonelle) emergency contraceptive pill
Explanation: Levonorgestrel is most effective within 72 hours of unprotected intercourse.
8. A 34-year-old female with a history of deep vein thrombosis (DVT) is seeking contraception. Which of the following methods should be avoided?
Answer: A. Combined Oral Contraceptive Pills
Explanation: Combined oral contraceptives increase the risk of thromboembolism in women with a history of DVT.
9. A 27-year-old female has had a contraceptive implant for two years. She now wishes to conceive. What is the most appropriate next step?
Answer: A. Remove the contraceptive implant
Explanation: The contraceptive implant can be removed at any time if a woman wishes to conceive.
10. A 30-year-old female presents with severe pelvic pain and heavy vaginal bleeding after using emergency contraception. On examination, she is hypotensive and tachycardic. What is the most appropriate next step?
Answer: A. Admit for urgent evaluation of possible ectopic pregnancy
Explanation: Severe pelvic pain and heavy vaginal bleeding after emergency contraception raise concern for an ectopic pregnancy, which requires immediate attention.
11. A 35-year-old breastfeeding female is seeking contraception. Which method is most suitable for her?
Answer: A. Progestogen-only Pills
Explanation: Progestogen-only contraceptives are recommended for breastfeeding women as they do not interfere with milk production.
12. Which of the following is classified as a Long-Acting Reversible Contraceptive (LARC) method?
Answer: A. Levonorgestrel-releasing Intrauterine System (IUS)
Explanation: Long-Acting Reversible Contraceptives (LARCs) include methods like the levonorgestrel-releasing IUS and the contraceptive implant.
13. A 40-year-old female is considering the Depo-Provera injection as her contraceptive method. Which of the following is a potential side effect?
Answer: A. Weight Gain
Explanation: The Depo-Provera injection, containing medroxyprogesterone acetate, is associated with weight gain.
14. Which of the following is a contraindication for the use of a hormonal intrauterine device (IUD)?
Answer: A. Active pelvic infection
Explanation: An active pelvic infection is a contraindication for the insertion of a hormonal IUD due to the risk of exacerbating the infection.
15. A 32-year-old female with hypertension controlled on an ACE inhibitor is seeking contraception. Which method is most appropriate?
Answer: A. Progestogen-only Pills
Explanation: Progestogen-only contraceptives are safer for women with hypertension as they do not contain estrogen, which can increase blood pressure.
Total Score: 0/15