NAPLEX Contraception and Infertility Practice Test

These questions are part of the practice quiz. Start practicing

• How is breakthrough bleeding on combined oral contraceptives typically managed?
• Which infertility medication acts as a selective estrogen receptor modulator and induces ovulation, with estrogen agonist activity in some tissues and antagonist in others?
• Which drug is known to cause an LH surge when used for ovulation induction?
• How many patch contraindications are listed in the material?
• When should progestin-only pills be started?
• Which contraception approach is considered acceptable for patients with hypertension?
• Which contraception method has the fewest systemic estrogen-related contraindications?
• Which reversible contraceptive method is associated with a delay in return to fertility after stopping?
• DMPA routes include IM or SC. Which option correctly states this?
• What OC is approved for suppressing menses altogether with continuous contraception?
• Which of the following is an iron-containing monophasic COC example?
• Which tests assess tubal patency and uterine anatomy during infertility workup?
• For estrogen-containing patch, which factor is a contraindication due to an increased risk of thromboembolism?
• In PCOS, which ovulation induction agent has shown superior live birth rates in some trials?
• Which of the following statements about extended-cycle COC bleeding patterns is true?
• Which of the following is NOT listed as a contraindication to estrogen use?
• How long is the NuvaRing worn before removal?
• How long does fertility typically take to return after stopping DMPA?
• What is the dose and timing for Plan B levonorgestrel emergency contraception?
• Which component is estrogen in COCs?
• Which progestin is listed as having lower androgenic activity and used to address acne or hirsutism?
• What is a documented concern with long-term use of DMPA injections?
• Which group should avoid using estrogen-containing pills, rings, or patches due to a risk of serious cardiovascular events?
• Which contraception methods require clinician insertion?
• Sunday-start COC requires how many days of backup?
• In labeling, 'lo' estrogen content means the pill has at most how many mcg of estrogen?
• Which metabolic feature is commonly associated with PCOS and may contribute to infertility?
• Which contraception methods are known for long-term cost-effectiveness?
• Which statement about transdermal estrogen-containing patches is true?
• Which contraception methods require a clinician for insertion?
• Which of the following is an indication for COC use?
• What is the recommended postpartum contraception option (DOC)?
• Which of the following is not listed among the monophasic COC formulations in the material?
• Which statement best describes a copper intrauterine device?
• For contraception counseling, what factors should be considered?
• For a progestin-only pill, if a dose is missed by more than 3 hours, what should you do?
• Which medication is NOT listed as reducing the effectiveness of estrogen-containing contraceptives?
• Nexplanon releases which progestin, and for how long?
• Which scenario is most appropriate for performing intrauterine insemination?
• Which medications can reduce the effectiveness of estrogen-containing contraceptives?
• Which statement best describes a contraindication to estrogen-containing contraception?
• Which of the following statements about Nonoxynol-9 is true?
• What is the purpose of the GnRH antagonist in IVF protocols?
• Which option is listed as a treatment for heavy menstrual bleeding (menorrhagia)?
• For breastfeeding patients, which contraception option is documented?
• Which medication is used to treat miscarriage?
• Which of the following is listed as a patch contraindication?
• What is the dosing schedule for depot medroxyprogesterone acetate (DMPA) contraception?
• Clomiphene citrate is associated with which adverse outcome?
• The oocyte lives for ___ hours once released
• What non-contraceptive benefit is associated with LNG IUS?
• For breakthrough bleeding with less than 30 mcg estrogen, what adjustment is recommended?
• If the vaginal ring is kept in place for 4 weeks, what is recommended before inserting a new ring?
• Before dispensing, what storage guidance is given for the vaginal ring?
• What is the mechanism of action of ulipristal acetate as emergency contraception?
• Which combined oral contraceptive is designed for an extended-cycle regimen?
• Which test assesses male factor fertility in infertility evaluation?
• What is the main difference in hormone exposure between copper IUD and LNG IUS?
• When is the best time to have sex if you want a baby?
• Hormonal contraceptives MOA
• Which of the following is a progestin-only pill formulation?
• In infertility management, intrauterine insemination is typically used to deliver sperm when?
• Which statement best describes the 'freeze-all' approach?
• Which contraceptive patch is exemplified in the material?
• What does the start of menses indicate?
• Monophasic meaning
• Preconception health includes avoiding hazardous drugs.
• What is the purpose of using a GnRH agonist trigger in antagonist protocol?
• Which regimen is described as a mood-change option among contraception choices?
• When should hCG be tested for pregnancy?
• If later in the cycle breakthrough bleeding occurs, what adjustment should be considered?
• Multiphasic formulations include which of the following?
• Preconception health includes staying up to date on vaccinations.
• Which ovarian stimulation protocol is recommended to reduce the risk of ovarian hyperstimulation syndrome (OHSS)?
• Which contraception options are generally considered safe for cancer survivors, depending on cancer type?
• What is the primary purpose of folic acid supplementation in pregnancy?
• Nexplanon is a long-acting reversible contraception implanted under the skin.
• Which method is a COMBINED (estrogen and progestin) contraception option?
• Which delivery methods are available for estrogen/progestin combination contraception?
• Which symptom is part of the ACHES acronym used to recognize rare estrogen-related adverse events?
• Which of the following describes the typical initial steps in an infertility evaluation?
• Drospirenone-containing formulations are associated with which diuretic effect?
• What semen analysis parameter defines azoospermia?
• Which estrogen-containing contraception is contraindicated in migraine with aura?
• Which type of lubricant is recommended with condoms?
• Nonoxynol-9 is what type of agent?
• Which herbal supplement is known to interact with hormonal contraceptives?
• How long can a vaginal ring be stored at room temperature before use?
• Preconception health includes asking your MD to evaluate whether any medications you are taking are teratogenic.
• In infertility guidelines, a shorter evaluation time is recommended for women aged 35 or older. What is that time frame?
• Which of the following is a PROGESTIN-ONLY contraception option?
• Which laboratory markers assess ovarian reserve commonly used in infertility evaluation?
• Which statement about diaphragm usage is true?
• The risk of clotting increases with higher estrogen exposure.
• Letrozole belongs to which class of ovulation induction agents?
• During the luteal phase, which hormone is dominant?
• Ulipristal acetate (Ella) emergency contraception can be used up to how many days after unprotected sex?
• Which contraception method is associated with heavier menstrual bleeding and cramps?
• When is a copper IUD preferred over LNG IUS?
• If early or midcycle spotting occurs, what adjustment is recommended?
• Patch effectiveness decreases in women weighing more than which weight threshold?
• Why would someone use progestin-only pills?
• For breakthrough bleeding with 30 mcg or more estrogen, what adjustment is recommended?
• What is the mechanism of action of the etonogestrel implant?
• After a missed period while using contraception, when should you consider a pregnancy test?
• A patient with a history of DVT/PE should avoid which type of contraception?
• Which therapy is used when poor response to clomiphene or letrozole or to spur egg release for procedures?
• Which is considered a first-line pharmacologic treatment for PMDD?
• IUD is a device placed inside the uterus.
• Which method is a hormonal long-acting reversible contraception?
• What are the diagnostic criteria for PCOS?
• What contraception is recommended postpartum for breastfeeding mothers?
• Which of the following is a common adverse effect of clomiphene citrate?
• Which of the following is true about vaginal sponge counseling?
• In male-factor infertility, which technique can bypass many sperm defects?
• What is the primary adverse effect of Plan B and how is it managed if emesis occurs within 2 hours?
• What is unique about drospirenone among COCs?
• What monitoring is recommended after initiating combined hormonal contraception?
• What is the main difference between perfect-use and typical-use rates?
• Where can the contraceptive patch be applied?
• Infertility is defined as failure to conceive after at least how long of unprotected intercourse?
• Which of the following is NOT an indication for combined oral contraceptives?
• Which anticonvulsant is a known enzyme inducer that can reduce hormonal contraceptive effectiveness?
• Which ultrasound finding supports the diagnosis of PCOS?
• Which emergency contraception option is non-hormonal and can provide long-term contraception?
• If starting COC on the first day of the period (first-day-start) and you begin within 5 days of onset, what backup is required?
• Which contraception option has the lowest failure rate and is not user-dependent?
• How is ovulation typically confirmed in infertility assessment?
• What is the typical-use failure rate for male condoms?
• In terms of estrogen exposure, how do transdermal patches compare with combined oral contraceptives?
• Contraceptive foams, films, creams, etc contain which spermicide?
• Which of the following is an example of a combined estrogen-progestin contraception method?
• Compared with combined oral contraceptives, estrogen exposure from vaginal rings is typically:
• Which medication requires backup contraception for 6 weeks after stopping due to interaction with hormonal contraceptives?
• What is the daily folic acid dose during pregnancy?
• Which of the following options is considered a nonhormonal contraception?
• What is the daily folic acid dose for nonpregnant adults?
• Which of the following is a nonhormonal contraception option?
• Which are common adverse effects of combined oral contraceptives?
• Which of the following is NOT a monophasic COC formulation?
• Errin is an example of which type of contraception?
• Which contraceptive method is permanent?
• For patients with migraine with aura, which contraception should be avoided?
• Which of the following is a progestin used in combined oral contraceptives?
• What are the 3 phases of the menstrual cycle?
• Among emergency contraception options, which is described as the most effective and lasts up to 10 years?
• After initiating combined hormonal contraception, patients should be counseled to monitor for which warning signs?
• Which of the following is an indication for COC use?
• Tracking which type of body temperature is used to predict ovulation?
• What surge triggers ovulation?
• If a combined OC pill is missed during the third week, what is the recommended action?
• Mavyret should be avoided with any estrogen-containing contraception containing more than 20 mcg ethinyl estradiol due to risk of what?
• What is counted as day 1 of the cycle?
• Which of the following is a daily folic acid dose for nonpregnant adults?
• Preconception health for wanting to have a baby includes increasing folic acid.
• Preconception health for wanting to have a baby includes stopping smoking, drinking, and using drugs.
• What is the mechanism of Letrozole in ovulation induction?
• What is the typical length of a normal menstrual cycle?
• How is infertility defined in most guidelines?
• What do ovulation kits test for?
• Which HIV protease inhibitor is known to interact with hormonal contraception?
• Which of the following is not typically associated with PCOS infertility?
• Which contraceptive option should be avoided if weight gain is a concern?
• Which estrogen-related adverse effect is specifically linked to fluid retention?
• Which health benefit is associated with hormonal contraceptives?
• Which statement correctly identifies the components of combined oral contraceptives (COCs)?
• Typically, how many days of backup contraception are recommended after starting combined oral contraception, unless using the first-day-start method?
• Which medication is a prostaglandin analog used to treat miscarriage?
• What is unique about drospirenone in some COCs?
• Which medication is a prostaglandin analog used to treat miscarriage?
• For foams, creams, jellies, and suppositories, which usage is correct?
• DMPA is administered IM or SC every ___ months?
• What is the duration of effectiveness for the LNG-releasing intrauterine system?
• What is the difference between IVF and IUI?
• Which option is acceptable for migraine without aura regarding contraception selection?
• What characterizes a patient-centered counseling approach in contraception?
• For a patient who is 36 years old, after how many months of regular unprotected intercourse without conception is infertility diagnosed according to most guidelines?
• How are gonadotropins administered?
• When is intrauterine insemination indicated in infertility treatment?
• Extended cycle COC involve ___ days of active hormonal pills followed by 7 days of inactive.
• Which progestin with no androgenic activity is listed as an option for acne or hirsutism?
• Progestin-only pills must be taken within how many hours of the scheduled time?
• What is the only method 100% effective in preventing both pregnancy and sexually transmitted infections?
• In PCOS, which features are commonly seen in infertility?
• Which statement best describes multiphasic COC formulations (biphasic, triphasic, quadraphasic)?
• Miscarriage is defined as a nonviable pregnancy up to how many weeks of gestation?
• Which infertility treatment is associated with an increased risk of multiple births due to release of multiple eggs?
• What is the duration of a patch cycle before a patch-free week?
• Which fertility treatment carries the highest risk of ovarian hyperstimulation syndrome (OHSS)?
• Which regimen is suggested for patients with mood changes or disorders?
• To reduce nausea associated with oral contraceptives, which of the following is recommended?
• What document is required by the FDA to be dispensed with oral contraceptives?
• Which progestin is contained in the Mirena intrauterine device?