Gynecology Trivia Quiz: What Do You Know About Contraception?

28 Questions | Total Attempts: 74

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Gynecology Trivia Quiz: What Do You Know About Contraception?

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Questions and Answers
  • 1. 
    Which of the following is the most direct public health or socioeconomic effect of contraceptive use?
    • A. 

      Improved socioeconomic status

    • B. 

      Stabilized world population growth

    • C. 

      Reduced maternal morbidity

    • D. 

      Diminished incidence of fetal abnormalities

    • E. 

      Decreased prevalence of sexually transmitted diseases (STDs)

  • 2. 
    A premedical student presents requesting reversible contraception. She is healthy without any problems and a normal examination. As you review her options, she asks which method is most reliable. Which of the following contraceptive methods has the lowest pregnancy rate in 100 women using the method perfectly for 1 year (100 woman-years of use)?
    • A. 

      Copper-containing intrauterine contraceptive device (IUCD)

    • B. 

      Long-acting progestins (Depo-Provera)

    • C. 

      Diaphragm

    • D. 

      Oral contraceptives (OCs)

    • E. 

      Spermicidal cream

  • 3. 
    A 23-year-old woman and her husband wish to use natural family planning as their contraceptive method. Her menstrual cycle length is variable, ranging from 26 to 32 days. She does not plan to measure her basal body temperature (BBT). The time of her fertility, with the first day of menses defined as day 1, would be between which cycle days?
    • A. 

      1 and 14

    • B. 

      6 and 14

    • C. 

      6 and 21

    • D. 

      14 and 21

    • E. 

      14 and 28

  • 4. 
    A 23-year-old woman and her husband wish to use natural family planning as their contraceptive method. Her menstrual cycle length is variable, ranging from 26 to 32 days. She does not plan to measure her basal body temperature (BBT). You mention that by adding BBT curve, they may be able to determine more effectively when ovulation has occurred. Figure 17–1 on the following page shows the basal temperature graph made by the couple the previous month. Which letter most closely identifies when ovulation may have occurred?
    • A. 

      Point A

    • B. 

      Point B

    • C. 

      Point C

    • D. 

      Point D

    • E. 

      Point E

  • 5. 
    One of the initial attempts at contraception involved placement of various items in the vagina to prevent sperm from reaching the uterus. Historically, these have included crocodile dung, honey, and preparations with mercury with varying success and complication. Currently available spermicides destroy spermatozoa primarily by which of the following methods?
    • A. 

      Activating acrosomal enzymes

    • B. 

      Disrupting cell membranes

    • C. 

      Inhibiting glucose transport

    • D. 

      altering vaginal enzymes

    • E. 

      Increasing vaginal pH

  • 6. 
    A 19-year-old woman and her boyfriend wish to use condoms as a barrier contraceptive method. This couple should be advised that the most common reason for failure (pregnancy or STD transmission) is which of the following?
    • A. 

      Breakage

    • B. 

      Inconsistent use

    • C. 

      Leakage caused by spermicidal creams

    • D. 

      Use without concomitant use of a spermicide

    • E. 

      Spill of condom contents upon withdrawal

  • 7. 
    An 18-year-old woman presents for care because a condom broke during sexual intercourse. Coitus occurred 1 day ago when she was at midcycle. She does not wish to be pregnant and will terminate the pregnancy if menses does not occur. Regarding her fear of pregnancy, which is the most appropriate next step in her management?
    • A. 

      Advise her that unprotected midcycle coitus has a 5% risk of pregnancy

    • B. 

      Prescribe intravaginal misoprostol (Cytotec)

    • C. 

      Advise immediate douching

    • D. 

      Prescribe a brief course of levonorgestrel

    • E. 

      Advise her to await her next menses before taking any action

  • 8. 
    A 42-year-old patient (G3P3003) requests a diaphragm for contraception. When fitting the contraceptive diaphragm, it should sit comfortably between which of the following?
    • A. 

      Anterior and posterior vaginal fornices

    • B. 

      Anterior vaginal fornix and posterior urethrovesical angle

    • C. 

      Pubic symphysis and anterior vaginal fornix

    • D. 

      Pubic symphysis and posterior vaginal fornix

    • E. 

      Pubic symphysis and posterior urethrovesical angle

  • 9. 
    A 23-year-old patient is considering contraceptive methods but is devoutly religious and will not accept a method that may “cause an abortion.” What is the primary mechanism by which IUCDs prevent pregnancy?
    • A. 

      Creating chronic endometritis

    • B. 

      Preventing fertilization

    • C. 

      Inhibiting ovulation

    • D. 

      Altering tubal motility

    • E. 

      Destroying sperm

  • 10. 
    A 35-year-old woman wearing an IUCD complains of amenorrhea of 5 weeks’ duration. A serum pregnancy test is positive. Because of the presence of the IUCD, this patient is at a significantly increased likelihood of experiencing which of the following?
    • A. 

      Ectopic pregnancy

    • B. 

      Fetal malformations

    • C. 

      Spontaneous abortion

    • D. 

      Septic abortion

    • E. 

      Placental abruption

  • 11. 
    A patient presents requesting hormonal contraception. She has been researching her options on the Web and has become confused by the large variety of OC pills available, including monophasic, multiphasic, and progesterone only. She asks how the pill prevents pregnancy and why the variety of preparations. Which of the following is the primary mechanism by which OCs prevent pregnancy?
    • A. 

      Inhibiting serum follicle-stimulating hormone (FSH) levels

    • B. 

      inhibiting serum luteinizing hormone (LH) levels

    • C. 

      inducing endometrial atrophy

    • D. 

      Inducing lymphocytic endometritis

  • 12. 
    Over the years the estrogen component of the oral contraceptive pill has been dramatically decreased. This has, in turn, minimized certain side effects. Reducing the estrogen content of OCs has resulted in an increase in the rate of which of the following?
    • A. 

      Pregnancy

    • B. 

      Breakthrough bleeding (BTB)

    • C. 

      Thromboembolic complications

    • D. 

      Insulin resistance

    • E. 

      Premenstrual symptoms

  • 13. 
    A 37-year-old obese woman wishes to use OCs for birth control. Her medical history is remarkable only for a 3-year history of diabetes that is controlled with diet and an oral agent. She smokes one pack of cigarettes daily. Her blood pressure is 140/90. Physical and pelvic examinations are normal. Total serum cholesterol is 275 mg/dL (normal <200 mg/dL). You advise her that combined OCs are primarily contraindi-cated because of which of the following known factors about her?
    • A. 

      Age

    • B. 

      Cholesterol

    • C. 

      Hypertension

    • D. 

      Smoking

    • E. 

      Diabetes

  • 14. 
    A college student has been “surfing the Web” as she is considering initiating OCP for contraception and cycle control. However, after reading a number of blogs and Web postings, she is frightened that the pill is more dangerous than a pregnancy. You reassure her that the pill has many benefits but can rarely increase the risk of which of the following conditions?
    • A. 

      Fibrocystic breast disease

    • B. 

      Hepatic adenoma

    • C. 

      Salpingitis

    • D. 

      Ovarian cancer

    • E. 

      Endometrial cancer

  • 15. 
    An 18-year-old woman requests OCs for birth control. She is healthy but occasionally experiences severe migraine headaches. Her menses occur at monthly intervals. Her grandmother has recently been treated for breast cancer. Her brother has juvenile-onset diabetes mel-litus. Her physical and pelvic examinations are normal. A serum total cholesterol level is 195 mg/dL (normal, <200 mg/dL). You advise her that based on her history, OC use will increase her risk of which of the following?
    • A. 

      Breast cancer

    • B. 

      Migraine headache

    • C. 

      Diabetes mellitus

    • D. 

      Stroke

    • E. 

      “postpill” amenorrhea

  • 16. 
    A 36-year-old obese woman comes to your clinic for an annual examination. She has no complaints and is sexually active with multiple partners. She uses OCs for birth control. There is a strong family history of heart disease. Based on risk factors present in this patient, which of the following is indicated?
    • A. 

      prophylactic antibiotic treatment for possible infection by Chlamydia trachomatis

    • B. 

      Fasting serum cholesterol

    • C. 

      3-hour glucose tolerance test

    • D. 

      Electrocardiogram (ECG)

    • E. 

      Screening colposcopy

  • 17. 
    Compared to users of combination OCs, users of progestin-only OCs (minipills) are less likely to experience which of the following?
    • A. 

      intrauterine pregnancy

    • B. 

      Irregular vaginal bleeding

    • C. 

      Gonadotropin suppression

    • D. 

      Ectopic pregnancies

    • E. 

      Mood swings

  • 18. 
    A 36-year-old multiparous woman and her husband request information regarding permanent sterilization. When you advise them about vasectomy in comparison to female sterilization, which of the following is more accurate regarding vasectomy?
    • A. 

      Has a lower failure (pregnancy) rate

    • B. 

      Requires a longer stay in the hospital

    • C. 

      Is effective sooner

    • D. 

      Carries a higher mortality rate

    • E. 

      Is less reversible

  • 19. 
    The administration of RU-486 (mifepristone) results in which of the following?
    • A. 

      Abortion when given in early pregnancy

    • B. 

      Delayed menses when given during the mid-luteal phase

    • C. 

      Menses when given during the follicular phase

    • D. 

      Resistance to prostaglandin inhibitors

    • E. 

      Induction of progesterone receptors in the endometrium

  • 20. 
    A 33-year-old woman cannot feel the string of her IUCD. Her last menstrual period was 1 week ago. A serum pregnancy test is negative. The most appropriate next step in the management of this patient is to do which of the following?
    • A. 

      Obtain an abdominal radiogram

    • B. 

      Probe the cervical canal gently to pull down the string

    • C. 

      Obtain a pelvic ultrasound

    • D. 

      Perform a hysterosalpingogram

    • E. 

      Insert another IUCD to replace the lost one

  • 21. 
    Toxic shock syndrome has been associated with which of the following contraceptive methods?
    • A. 

      OCs

    • B. 

      Progestin-only pill (the minipill)

    • C. 

      Male condoms

    • D. 

      Cervical cap

    • E. 

      IUCD

  • 22. 
    A 24-year-old G2P2 is requesting contraception 6 weeks postpartum. Her history is unremarkable except for significant primary dysmenorrhea. Which of the following contraceptive methods is most closely associated with an increase in dysmenorrhea?
    • A. 

      OCs

    • B. 

      Progestin-only pill (the minipill)

    • C. 

      Male condoms

    • D. 

      Cervical cap

    • E. 

      Copper-containing IUCD

  • 23. 
    A 17-year-old woman with a history of ectopic pregnancy presents for contraceptive counseling. Which of the following contraceptive methods would be relatively or absolutely con-traindicated?
    • A. 

      OCs

    • B. 

      Progestin-only pill (the minipill)

    • C. 

      Male condoms

    • D. 

      Cervical cap

    • E. 

      IUCD

  • 24. 
    A 22-year-old woman presents for routine care, having been using depot medroxyprogesterone acetate (DMPA) for contraception for the past 2 years. She has been amenorrheic for the past 6 months and would like to continue the DMPA. Additional history and the physical examination are unremarkable. What is the most appropriate management of this patient at this time?
    • A. 

      Change to an alternate contraceptive method

    • B. 

      add cyclic estrogen supplementation

    • C. 

      Measure serum calcium concentration

    • D. 

      Obtain a dual-energy x-ray absorptiometry (DXA) scan

  • 25. 
    A 28-year-old multiparous woman transfers her care to you and presents for an annual examination and contraceptive counseling. She has used OCs in the past but has not been in a sexual relationship for the past 5 years. She would like to restart contraception now. She has no ongoing medical illnesses and takes no medications. Physical examination reveals a 12–14-week, irregular uterus suggestive of uterine leiomyomata. Based on these findings, the most appropriate contraceptive method for this patient would be which of the following?
    • A. 

      Monophasic combination OCs

    • B. 

      Polyphasic combination OCs

    • C. 

      DMPA

    • D. 

      Cervical cap

    • E. 

      IUCD