Obstetrics and Gynaecology

Fifth Edition

Lawrence Impey, Tim Child

Multiple Choice Questions

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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.