Contraceptive Implant Procedures: Implanon®
Prepared for OBGYN residents
at the St. Paul Hospital Millennium Medical College,
Addis Ababa, Ethiopia
Practice Questions
Click on the options below to indicate the correct answer and to see the feedback for each option.
1. Implanon has how many rods?
- One
Correct: Implanon is a single white, non-biodegradable rod, containing 68mg etonogestrel. - Two
Jadelle and Sinoplant are implant contraception with two rods. - Three
There is no implant contraception with three rods. - Four
Norplant was implant contraception with six rods and it is out of market currently.
2. For how many years of contraception does Implanon last?
- One
None of the implants are designed for one year. - Three
Correct: Implanon is effective and serves for three years. - Four
It is the implant called Sinoplant that serves for four years. - Five
It is the Jadelle and the out dated implant called Norplant that serve for five years.
3. Which of the following is/are characteristics of implants?
- Permanent method of contraception
Implants are long-term reversible contraception. - Do not interfere with sex
This is true, but there is a better answer. - Prevent pregnancy effectively
This is true, but there is a better answer. - B and C
Correct: This is the best answer.
4. What is the hormonal content of Implanon?
- Progestin-only (etonogestrel)
Correct: Implanon contains 68mg etonogestrel, which is progesterone. - Progestin-only (Levenogestrole)
Levenorgestrole is found in other implants like Jadelle and Norplant. - Combined estrogen and progestrone
Try again.
- Estrogen-only
Try again.
5. What is the mechanism action of Implanon?
- Ovulation inhibition
This is true, but there is a better answer. - Increased viscosity of cervical mucus
This is true, but there is a better answer. - Alters the endometrium
This is true, but there is a better answer. - All of the above
Correct: This is the best answer.
6. The anesthesia used for Implanon insertion is:
- Axillary block
Try again. - 5ml of 5% lidocaine applied just under the skin along the insertion area
Try again. - 1ml of 1% lidocaine applied just under the skin along the insertion area
Correct: This is proper dosage.
7. When removing an Implanon applicator from its cover how should it be held?
- Horizontally, parallel to the ground
There might be a chance that the implant may fall down if it is held horizontal. - The tip always up
Correct: The tip should always be kept up to prevent the implant from falling off. - The tip always down
The implant will off if the tip is down.
8. During Implanon insertion, on entry into the skin the tip of the needle should be:
- Slightly angled
Correct: The tip of the needle should be slightly angled (~ 20 degrees) which facilitates entry into the skin and at the same time avoids deep insertion. - Perpendicular to the skin
If the needle is inserted perpendicularly to the skin it will increase the chance of deep insertion of the implant. Try again. - Parallel to the skin
It would be difficult to pierce the skin and enter if the tip of the needle is parallel to the skin. Try again.
Correct: This is the preferred incision for myomectomy, Caesarean section, and hysterecto
