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Multiple Choice Questions « Return to contents list Chapter 12, Question 1.1. Regarding the combined oral contraceptive pill (COCP), identify true statements. A The COCP acts mainly by exerting a negative feedback effect on gonadotrophin release and thereby inhibiting ovulation. B Monophasic pills deliver doses of both hormones at altered doses throughout the cycle. C Taken properly, the combined pill is highly effective, with a failure rate of 2/100 woman- years. D Increased absorption of the COCP can occur if suffering from diarrhoea, vomiting or taking some oral antibiotics. E Pill packets can be taken ‘back to back’ to reduce the frequency of the withdrawal bleed although increased irregular spotting may occur. F None of the above.