Contraception and family planning

Question 1

Which does not pruves the ovulation
A) BBT
B) pregnancy
C) progesteron level above 3 ng/l
D) secretory transformation of the endometrium
E) menstruation

Answer 1

E) menstruation

Question 2

Side effect of chemical and barrier contraception methods, except:
A) toxic shock syndrome
B) urogenital infection
C) pregnancy rate between 5–15%
D) fetal congenital malformations
E) salpingitis

Answer 2

E) salpingitis

Question 3

Contraception methods of spermicides are based on, except:
A) killing sperm
B) immobilizing the sperm
C) attacking the acrosomal membranes of the sperm
D) dissolving the external lipoprotein film
E) neutralizing the acid vaginal pH

Answer 3

E) neutralizing the acid vaginal pH

Question 4

Effects of combined hormonal contraception, except:
A) prevent ovulation
B) reduce sperm motility
C) inhibit secretion of FSH
D) supression of the LH surge
E) inhibit folliculogenesis

Answer 4

B) reduce sperm motility

Question 5

Characteristic for combined oral contraceptives, except:
A) estrogen component is usually ethinyl estradiol
B) are either monophasic or multiphasic
C) each active pills contains the same dose of estrogen
D) one of the main mechanisms of contraceptive action is supression of the LH surge

Answer 5

C) each active pills contains the same dose of estrogen

Question 6

Possible complications of Copper-IUD:
A) PID (pelvic inflammatory disease)
B) Ectopic pregnancy
C) Uterine perforation during insertion
D) Dysmenorrhea
E) All of the above

Answer 6

E) All of the above

Question 7

Contraception methods that can be used during lactation:
A) multiphasic oral contrapectives
B) IUD
C) progestin only pills
D) B and C are both true

Answer 7

D) B and C are both true

Question 8

Contraceptive typical failure rates within 1 year of use of combined oral contraceptives:
A) 3-10 %
B) 1-2%
C) 5%
D) 9.5%
E) 0.001%

Answer 8

A) 3-10 %

Question 9

Characteristic of Levonorgestrel-releasing intrauterine system (LNG-IUS), except:
A) releases the oestrogen directly into the uterus
B) prevents pregnancy primarily by maintaining impenetrable cervical mucus and has a local effect on endometrium
C) results 70% to 90% reduction of menstrual blood loss
D) appropiate nulliparous women
E) approved for up to 5 years

Answer 9

A) releases the oestrogen directly into the uterus

Question 10

Contraindications of hormonal contraception, except for:
A) pregnancy
B) deep venous thrombosis
C) smoking after the age 35
D) age under 18 years
E) liver disorders

Answer 10

D) age under 18 years

Question 11

Hormonal Contraception Methods, except ?
A) Implant
B) Vaginal ring
C) Female condom
D) Intramuscular Injection
E) Transdermal Patch

Answer 11

C) Female condom

Question 12

The life span of the mature human oocyte is:
A) 6–12 hours
B) 12–24 hours
C) 24–48 hours
D) 24–72 hours

Answer 12

B) 12–24 hours

Question 13

Which is not the indication for intrauterine Insemination (IUI)?
A) unexplained infertility
B) cervical factor
C) ovulation dysfunction
D) mild oligozoospermy
E) tubal occlusion both side

Answer 13

E) tubal occlusion both side

Question 14

Which content is responsible for the risk of deep vein thromboembolism in combined oral contraceptives?
A) gestogen
B) oestrogen
C) both of them
D) none of them

Answer 14

B) oestrogen

Question 15

Absolute contraindications to the use of estrogen –containing contraceptives, except:
A) endometrial cancer
B) lupus erythematosus
C) ulcerative colitis
D) fibroid

Answer 15

C) ulcerative colitis

Question 16

Efficacy of contraception methods from high to low effective:
A) oral contraceptives, IUD, condom
B) condom, IUD, oral contraceptives
C) IUD, oral contraceptives, condom
D) all of them represents the same efficacy

Answer 16

A) oral contraceptives, IUD, condom

Question 17

Recommended contraceptive method for women suffering dysmenorrhea:
A) IUD
B) combined oral contraceptive pills
C) barrier methods
D) emergency contraception

Answer 17

B) combined oral contraceptive pills

Question 18

The lifespan of the Copper-IUD device:
A) 1 years
B) 3 years
C) 5 years
D) 20 years

Answer 18

C) 5 years

Question 19

Routine follow-up visit after IUD insertion is recommended:
A) not necessary
B) only by complains
C) after the first post insertion menses (usually 1 month)
D) every month

Answer 19

C) after the first post insertion menses (usually 1 month)

Question 20

Behavioral contraception methods (natural family planning) can be recommended to avoid pregnancy:
A) for women with well known, regular cycle
B) in case of vaginal discharge
C) with irregular menstruational cycle
D) during lactational amenorrhea

Answer 20

A) for women with well known, regular cycle

Question 21

Contraindications of hormonal contraceptive, except:
A) cardiovascular disease
B) severe varicose veins
C) severe myopia
D) leiomyomas

Answer 21

C) severe myopia

Question 22

Recommended ages for hormonal contraception use:
A) from the first sexual intercourse until menopause or above 50 years
B) between 18–40 ages
C) before the first birth
D) no recommendation, use is irrespective for ages

Answer 22

B) between 18–40 ages

Question 23

Clomiphen, an orally active antiestrogen is used for:
1) anovulation form of PCO
2) hypoprolactinaemia
3) luteal phase defect
4) abnormal cervical factor

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

Answer 23

B) 1st and 3rd answers are correct

Question 24

IVF treatment are recommended:
1) abnormal male coital factor
2) severe oligozoosperm
3) endometriosis
4) tubal occlusion on both sides

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

Answer 24

C) 2nd and 4th answers are correct

Question 25

Side effects of combined hormonal contraceptives, regarding the estrogen contain:
1) increase plasma HDL level
2) decrease plasme HDL level
3) decrease plasma LDL level
4) increase plasma LDL level

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

Answer 25

B) 1st and 3rd answers are correct

Question 26

Complications of oral hormonal contraceptions:
1) post pill amenorrhea
2) pulmonary embolism
3) myocardiac infarction
4) bening hepatic tumors

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

Answer 26

E) all of the answers are correct

Question 27

Relative contraindication of oestrogen–containing contraceptives:
1) mild hypertension
2) leiomyomas
3) hypertriglyceridemia
4) breast cancer within last 5 years

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

Answer 27

A) 1st, 2nd and 3rd answers are correct

Question 28

Positive effects of vaginal ring (for example Nuvaring)
1) consistent hormone levels
2) provide uterine prolapse
3) lower hormonal dose compare to OCs
4) protection against STD-s

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

Answer 28

B) 1st and 3rd answers are correct

Question 29

Positive effect of oral contraceptive pills:
1) reduce dysmenorrhea
2) has an boost effect on body power
3) reduce blood loss during menstruation
4) increase ’work mood ’

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

Answer 29

B) 1st and 3rd answers are correct

Question 30

The common cause of the spotting during OC use:
1) pill administration failure
2) drug interaction
3) absorption abnormalities
4) psychogenic stress

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

Answer 30

E) all of the answers are correct

Question 31

Which stage is best suited to the insertion of an IUD?
1) anytime
2) during menstruation
3) by ovulation
4) in the 6th week after birth

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

Answer 31

C) 2nd and 4th answers are correct

Question 32

Complication of using IUD can be:
1) abnormal bleeding
2) ectopic pregnancy
3) PID (pelvic inflammation)
4) varicose veins on the upper limbs

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

Answer 32

A) 1st, 2nd and 3rd answers are correct

Question 33

Which contraception methods can be recommended during lactation?
1) combined contraception pills
2) IUD
3) vaginal ring
4) barrier methods

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

Answer 33

C) 2nd and 4th answers are correct

Question 34

Ovulation can be proved by:
1) tracking the cervical mucus pattern
2) detection of midcycle pain („Mittelschmerz”)
3) folliculometry
4) measure of BBT (body basal temperature)

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

Answer 34

E) all of the answers are correct

Question 35

Contraindication of IUD insertion:
1) PID (pelvic inflammation disease)
2) abnormal bleeding (metrorrhagia, spotting)
3) leiomyomas
4) multiparity

A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

Answer 35

A) 1st, 2nd and 3rd answers are correct

Question 36

The reduction of the dose of estrogen is not feasible under particular limit because a proper estrogen activity is required to the production of endometrial progestin receptors and this is the principal condition to the secretional transformation and to the sloughing of the endometrium .

A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

Answer 36

B) both the statement and the explanation are true but there is no causal relationship between them;

Question 37

The effect of the same dose of ethynil-oestradiol is much higher than the same dose of natural oestradiol because it come into existence with a 17-ethinyl substitution.

A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

Answer 37

B) both the statement and the explanation are true but there is no causal relationship between them;

Question 38

The risk of deep vein thrombose increase four times with OC administration because the progestin is responsible for the development of thrombosis.

A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

Answer 38

C) the statement is true, but the explanation is false;

Question 39

The complications of oral contraception raise with the higher amount of estrogen content because the OCs with lower estrogen amount coexistence more often with spotting or with pregnancy.

A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

Answer 39

B) both the statement and the explanation are true but there is no causal relationship between them;

Question 40

The long lasting activity contraception methods contain only estrogen because it can be used in such case when progestin are contraindicated

A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

Answer 40

E) both the statement and the explanation are false

Question 41

The LNG-IUS effectiveness is lower than the commercial IUD because the average amount of estrogen released from LNG -IUS is daily 20 ug .

A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

Answer 41

E) both the statement and the explanation are false

Question 42

The amenorrhoea induced by the LNG-IUS are common because the POPs containt estrogen and progestin .

A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

Answer 42

C) the statement is true, but the explanation is false;

Question 43

During OC use two month discontinuance is required in order to residual synthetic derivate eliminate from the body.

A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

Answer 43

E) both the statement and the explanation are false

Question 44

Combined OC inhibit ovulation because estrogen reduce FSH production and progestin supresses the LH surge

A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

Answer 44

A) both the statement and the explanation are true and a causal relationship exists between them;

Question 45

Behavioral methods , natural family planning has a higher failure rate because ovulation may in progress during intercourse and the menstruational cycle could be irregular for external factors.

A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

Answer 45

A) both the statement and the explanation are true and a causal relationship exists between them;

Question 46

Only Progestin- only pills are required during breastfeeding because the progestin excreted into milk do not provoke virilisation.

A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false

Answer 46

C) the statement is true, but the explanation is false;