(b) Its success depends strongly on correct timing and consistent behaviour
Natural methods avoid devices and hormones but are user- and physiology-dependent.
Question 6
A fully breastfeeding woman has no periods for several weeks after birth. Which conclusion is safest?
(a)The method remains reliable after menstruation returns
(b)Breastfeeding creates an STI barrier
(c)Pregnancy is impossible permanently
(d)Ovulation may be suppressed temporarily, but protection is limited in duration and conditions
Show answer
(d) Ovulation may be suppressed temporarily, but protection is limited in duration and conditions
Lactational amenorrhea is conditional and mainly useful during an early postpartum interval.
Barrier methods and intrauterine devices
Question 7
Which method both reduces sperm entry and meaningfully lowers many STI risks?
(a)Diaphragm, with protection identical to a condom
(b)Oral pill
(c)Condom
(d)Copper IUD
Show answer
(c) Condom
A condom reduces direct exchange of genital fluids as well as acting as contraception.
Question 8
A cervical cap is correctly placed with spermicide. What is its main action?
(a)Covering the cervix to reduce sperm passage
(b)Suppressing ovulation hormonally
(c)Cutting the oviduct
(d)Providing STI protection equal to a condom
Show answer
(a) Covering the cervix to reduce sperm passage
Cervical barriers chiefly prevent sperm from reaching the uterus.
Hormonal and emergency contraception
Question 9
When is emergency contraception intended to be used?
(a)Soon after exceptional unprotected intercourse or contraceptive failure
(b)Only after pregnancy reaches the second trimester
(c)To prevent every STI after exposure
(d)As the routine monthly replacement for planned contraception
Show answer
(a) Soon after exceptional unprotected intercourse or contraceptive failure
Emergency methods are time-sensitive pregnancy prevention, not routine infection control.
Question 10
A condom breaks during intercourse. Which response matches the intended role of an emergency contraceptive?
(a)Prompt use according to medical guidance to reduce pregnancy risk
(b)Use as a cure for possible STI infection
(c)Repeated routine use as the only monthly method
(d)Waiting until fetal development is advanced
Show answer
(a) Prompt use according to medical guidance to reduce pregnancy risk
The indication is an unexpected contraceptive failure and requires timely action.
Surgical contraception
Question 11
Which structure is interrupted in tubectomy?
(a)Cervical epithelium
(b)No tract; the operation only creates protection from STIs
(c)Oviduct
(d)Uterus, which is removed
Show answer
(c) Oviduct
Tubectomy cuts and ties a segment of each fallopian tube.
Medical termination of pregnancy
Question 12
Which prenatal finding can provide a medical reason for considering MTP after appropriate assessment?
(a)Fetal sex different from what the parents want
(b)A severe fetal abnormality
(c)A fetus lying in the breech position
(d)A twin pregnancy
Show answer
(b) A severe fetal abnormality
A severe fetal abnormality may warrant consideration of MTP after appropriate medical assessment. Fetal sex alone is not a medical reason for termination.
Sexually transmitted infections
Question 13
Can a person without obvious symptoms transmit an STI?
(a)Yes, some infections are asymptomatic yet can be passed on
(b)Only bacterial infections transmit
(c)Only after infertility develops
(d)No, absence of symptoms proves absence of infection
Show answer
(a) Yes, some infections are asymptomatic yet can be passed on
Many STIs have silent early phases, so testing and prevention matter.
Assisted reproductive technologies
Question 14
What happens in ICSI?
(a)One sperm is injected directly into an ovum
(b)The vas deferens is tied
(c)A laboratory zygote is placed by GIFT
(d)Many sperm are merely placed around the egg
Show answer
(a) One sperm is injected directly into an ovum
Intracytoplasmic sperm injection directly delivers a single sperm into the oocyte cytoplasm.
Infertility and clinical evaluation
Question 15
What is the appropriate first principle when evaluating an infertile couple?
(a)Use social blame as the diagnosis
(b)Skip clinical evaluation
(c)Assume the woman is always responsible
(d)Assess both partners because male, female, combined, or unexplained factors may occur
Show answer
(d) Assess both partners because male, female, combined, or unexplained factors may occur
Infertility is a couple-level clinical issue with multiple possible sources.
Do all contraceptive methods reduce STI transmission?
Wrong
Any method that prevents pregnancy also reduces the chance of a sexually transmitted infection.
Why it feels right. I am applying the pregnancy protection to a second outcome.
Right
Pregnancy prevention and STI risk reduction depend on different mechanisms.
Worked example
Contraceptive pill
Hormonal action→Helps prevent pregnancy
Condom
Physical barrier→Helps prevent pregnancy and reduces many STI exposures
The pill and a condom act through different mechanisms. A condom can reduce exposure to many STIs when used correctly.
A contraceptive pill helps prevent pregnancy through hormonal action.
A condom provides a physical barrier that reduces exposure to many infections when used correctly.
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