Sexual Health1. A GP is using the FSRH UK Medical Eligibility Criteria. What does a UKMEC 4 classification for a contraceptive method mean? Select TWO correct statements.Select all that apply.A. Most appropriate: The method should not be used — the condition represents an unacceptable health riskB. The following is not the most appropriate next step: The method is unrestricted and first-choice for everyoneC. Most appropriate: Advantages always outweigh risks so the method must be usedD. Most appropriate: The classification applies only to sterilisation, not hormones for this presentation in this NHS general-practice settingCheck
Sexual Health2. A 28-year-old requests combined hormonal contraception. She has migraine with visual aura. What is the UKMEC category for CHC? The most appropriate action is: UKMEC 1 — unrestricted use of the combined pillTRUE. TrueFALSE. FalseCheck
Sexual Health3. A 33-year-old had a proven pulmonary embolism 2 years ago and has completed anticoagulation. She asks for the combined transdermal patch. What is the UKMEC category for CHC?A. UKMEC 1 once anticoagulation has finishedB. UKMEC 4 for copper IUD only in this clinical contextC. UKMEC 4 — do not use CHC after personal VTED. VTE history bans all contraception including POP and IUSCheck
Sexual Health4. A woman using Nexplanon starts a potent enzyme-inducing antiepileptic. What is the key contraceptive concern?A. Enzyme inducers make the implant more effective than usual for this presentationB. The implant is unaffected because it is not oralC. Enzyme inducers reduce etonogestrel levels and can impair implant efficacyD. Inducers only matter for copper IUDs in this NHS general-practice settingCheck
Sexual Health5. A 21-year-old had unprotected intercourse 48 hours ago. She wants the most effective emergency contraception and has no contraindication to an intrauterine device. What should be offered first if available?A. Levonorgestrel 1.5 mg in preference to a copper IUDB. Depot medroxyprogesterone acetate as emergency contraceptionC. A combined pill as a single emergency doseD. Copper IUD — the most effective emergency contraceptionCheck
Sexual Health6. A 19-year-old had unprotected intercourse 24 hours ago. She prefers levonorgestrel emergency contraception. What is the licensed timing for LNG 1.5 mg?A. Only if taken at the moment of intercourseB. As soon as possible, licensed up to 72 hours (FSRH may allow later with lower efficacy)C. Licensed only between day 14 and day 16 of the cycle for this presentation in this NHS general-practice settingD. Licensed up to 21 days after intercourseCheck
Sexual Health7. A woman takes ulipristal acetate for emergency contraception and wants to start the combined pill. What does FSRH advise about hormonal contraception after UPA? The most appropriate action is: Wait 5 days before starting hormonal contraception, with extra precautions as per FSRHTRUE. TrueFALSE. FalseCheck
Sexual Health8. A 26-year-old weighing 78 kg had unprotected intercourse 20 hours ago. She declines a copper IUD and ulipristal is unavailable. What LNG emergency regimen does FSRH support in this weight group? The most appropriate action is: Levonorgestrel 0.75 mg only in this clinical contextTRUE. TrueFALSE. FalseCheck
Sexual Health9. A 23-year-old man has purulent urethral discharge. You suspect gonorrhoea. What is inappropriate empirical treatment in UK general practice?A. Blind ciprofloxacin without culture and without following BASHH specialist regimensB. Urgent referral to sexual health for NAAT, culture and recommended IM ceftriaxone for this presentationC. Testing for chlamydia as well as Neisseria gonorrhoeaeD. Partner notification via sexual-health servicesCheck
Sexual Health10. A 17-year-old has 3 hours of severe left testicular pain. The testis is high and tender and the cremasteric reflex is absent. What is the most appropriate next step? The most appropriate action is: Routine outpatient ultrasound in 2 weeksTRUE. TrueFALSE. FalseCheck