QuestionSBA
QuestionChoice
Intrauterine device (IUD) is a small device made from copper and plastic that is inserted into the uterus by a trained health professional. The copper alters the cervical mucus and makes it harder for sperms to get through the cervix to fertilise the ovum. It also prevents the implantation of fertilised ovum by altering the endometrial lining
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b
IUD works by preventing ovulation through the release of gonadotropins
QuestionChoice
IUD can be fitted at any time during the menstrual cycle and it offers instantaneous protection once it is inserted
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d
She needs to use an additional barrier contraception during the first 7 days of the IUD insertion because IUD takes time to reach its full protective effect
QuestionChoice
Breast cancer is not a contraindication to IUD. It is classified by UK Medical Eligibility Criteria for Contraceptive Use (UKMEC) as a Category 1 condition. UKMEC defines category 1 condition as “a condition for which there is no restriction for the use of the method”
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c
Breast cancer is an absolute contraindication
QuestionChoice
Intrauterine device (IUD) is a small device made from copper and plastic that is inserted into the uterus by a trained health professional. It is important to highlight to patients that they might experience heavier, longer or more painful periods, especially in the first few months after insertion. They should report this to their doctors so that a discussion about an alternative contraceptive method can take place
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a
She might experience heavier, longer or more painful periods
QuestionChoice
IUD does not contain any hormones, so it is not associated with hormonal side effects such as weight gain, acne or breast tenderness
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e
Weight gain is a common side effect of IUD
QuestionComment
Is this on the bnf?
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User
subscriber
Just Another Med Student
Concept
Chapter
#### Monitoring

The BNF advises to monitor lung function (in patients with a history of obstructive airway disease).

#### Overdoses

Overdosages with beta-blockers may cause cardiac effects such as bradycardia, hypotension, syncope, conduction abnormalities, and heart failure. Bradycardia is the most common arrhythmia, but some beta-blockers may induce ventricular tachyarrhythmias secondary to prolongation of QT interval (e.g. sotalol) or QRS duration (e.g. propranolol).
Non-cardiovascular effects include central nervous system effects (including drowsiness, confusion, convulsions, hallucinations, and in severe cases coma), respiratory depression, and bronchospasm.

Management
 - Airway protection 
 - Activated charcoal within 1 hour
 - IV Fluids
 
IV glucagon is the first-line management.
 
For symptomatic bradycardia, IV atropine may be used.

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IUD
Topic
76
Obstetrics and Gynaecology
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Case presentation: A 27-year-old woman attends the sexual health clinic to discuss about emergency contraception. She had unprotected sexual intercourse yesterday and the first day of her last menstrual period was 15 days ago. She is not on any regular forms of contraception. She dislikes the notion of having hormonal pills.  

Physical examination: HS 1+11 + 0, chest clear with no added lung sounds, abdomen SNT, normal neurological exam
She is advised to use intrauterine device (IUD)

Question: Select the most appropriate information that should be provided for this patient.
a