Answers to the CME Quiz for "Hormonal Contraception" by Paul D. Blumenthal, MD, MPH, and Alison Edelman, MD, MPH (Obstet Gynecol 2008;112:670-84)

1. In the United States, approximately what percentage of pregnancies are unplanned?

D. 50%

2. The primary mechanism of contraception employed by all hormonal contraceptives derives from:

B. Progestin

3. In hormonal contraceptives that contain estrogen, the primary role of the estrogen is:

E. Cycle control

4. An 18-year-old nulligravid woman who has been on combined oral contraception for the past year calls your office for a refill of her prescription. She has not been seen in the past year and has no current appointment. The most appropriate management of this situation is:

E. Provide a 1-year prescription

5. Several days after placing an intrauterine device in a nulligravid 19-year-old, the results of STD testing done at the time of placement return as positive. The most appropriate management of this situation is:

B. Institute ambulatory treatment with the IUD in place

6. Based on recommendations from the World Health Organization, a healthy 20-year-old woman may use depot medroxyprogesterone acetate:

E. Without restriction

7. The combined hormonal contraception that results in the lowest serum estrogen level is:

B. Vaginal ring

8. Which of the following would represent a contraindication to the use of combined hormonal contraception?

E. Migraine headache with aura

9. Emergency hormonal contraception may be used up to what period following intercourse?

E. 120 hours

10. On average, emergency contraception using a progestin-based technique (Plan B) is associated with a reduction of approximately what percent from the expected pregnancy incidence?

D. 90%

ACCME Accreditation: The American College of Obstetricians and Gynecologists (ACOG) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. (Continuing medical education credit for "Hormonal Contraception" will be available through September 2011.)

AMA PRA Category 1 Credit^TM and ACOG Cognate Credit: The American College of Obstetricians and Gynecologists (ACOG) designates this educational activity for a maximum of 2 AMA PRA Category 1 Credits^TM or up to a maximum of 2 Category 1 ACOG cognate credits. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Disclosure Statement: Current guidelines state that continuing medical education (CME) providers must ensure that CME activities are free from the control of any commercial interest. All authors, reviewers, and contributors have disclosed to ACOG all relevant financial relationships with any commercial interests. The authors have made the following disclosures: Dr. Edelman is a consultant for Organon, Inc. (Roseland, NJ). Dr. Blumenthal is an advisor to Organon, Inc. Any conflicts have been resolved through group and outside review of all content.

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