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MRCOG PART 2 SBAs and EMQs

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notes337
EMQ1500
SBA2111
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PATCH

PATCH Posted by H P.
Options for Questions 13-14

A Take pill as soon as possible B Take pill as soon as possible + barrier contraception for 7 days
C Take pill as soon as possible and omit pill-free week D Administer emergency contraceptive pill
E Insert copper IUCD F Await results of pregnancy test
G Replace detached patch with a new patch H Replace with a new patch and use barrier contraception for 7 days
I Apply new patch and use barrier contraception for 7 days J Apply new patch but keep the same change date
K Apply new patch and delay change day by 24h L Apply new patch and delay change day by 36h

Instructions: For each of the case histories described below, choose the single most appropriate advice from the above list. Each option may be used once, more than once, or not at all.

Question 14 A 29 year old mother of 3 children is using the combined contraceptive patch. She placed her second patch at 10pm on a Wednesday and realised 3 days later that the patch had detached. She had sexual intercourse on several occasions. Your answer: E

Correct answer: I


WHAT IF SHE HAS ALREADY CONCEIVED?
Posted by H P.
If she was not keen to get pregnant, can we not offer her IUCD as emergency contraception?