201. Which statement best describes the mechanism of injectables and implants in relation to oral contraceptive pills?
ⓐ. They work by increasing sperm motility in the uterus.
ⓑ. They act in a way similar to oral pills.
ⓒ. They prevent conception only by covering the cervix.
ⓓ. They are effective only during the fertile period.
Correct Answer: They act in a way similar to oral pills.
Explanation: The chapter clearly links injectables and implants with the same basic hormonal mode of action as oral contraceptive pills. They do not act as barriers or timing-based natural methods. Their advantage lies more in duration and mode of delivery than in a completely different mechanism. This is why they are often taught right after oral pills.
202. A woman wants a hormonal contraceptive that does not require daily swallowing of tablets and remains effective longer than standard pills. Which option best fits this need?
ⓐ. Injectable contraceptive
ⓑ. Periodic abstinence
ⓒ. Diaphragm
ⓓ. Male condom
Correct Answer: Injectable contraceptive
Explanation: Injectable contraceptives are suitable when longer action is preferred over daily dosing. They are hormone-based and work in a way similar to oral pills. The chapter specifically notes their longer effective period. This makes them a practical alternative to standard daily pill schedules.
203. Which of the following is NOT a feature of injectables and implants as described in the chapter?
ⓐ. They may contain progestogens alone.
ⓑ. They may act for a longer duration than pills.
ⓒ. They are always natural methods with no hormones involved.
ⓓ. They may also contain estrogen along with progestogen.
Correct Answer: They are always natural methods with no hormones involved.
Explanation: Injectables and implants are not natural methods. They are hormonal contraceptives and may contain progestogens alone or in combination with estrogen. Their prolonged action is one of their important advantages. Calling them natural methods would confuse them with periodic abstinence, withdrawal, or lactational amenorrhea.
204. Emergency contraception is most appropriately used
ⓐ. several weeks after pregnancy is confirmed
ⓑ. within 72 hours of coitus
ⓒ. only during the menstrual phase
ⓓ. only after childbirth
Correct Answer: within 72 hours of coitus
Explanation: Emergency contraception is intended for use soon after unprotected intercourse or contraceptive failure. The chapter gives a time window of 72 hours for such use. This timing is important because the method is meant to reduce the chance of conception before pregnancy becomes established. Delayed use would not fit the textbook definition of emergency contraception.
205. Which of the following can be used as an emergency contraceptive according to the chapter?
ⓐ. Spermicidal foam after implantation
ⓑ. Vasectomy performed after coitus
ⓒ. Withdrawal practiced after ejaculation
ⓓ. Certain hormonal preparations or IUDs used within 72 hours
Correct Answer: Certain hormonal preparations or IUDs used within 72 hours
Explanation: The chapter mentions two broad emergency options: hormonal preparations and IUDs, provided they are used within the stated time limit. This is different from routine contraceptive use planned in advance. Emergency contraception is meant for urgent situations after coitus. The method depends strongly on prompt action.
206. A condom breaks during intercourse. Which response best matches emergency contraception as described in the chapter?
ⓐ. Use a suitable hormonal preparation or IUD within 72 hours
ⓑ. Wait for the next menstrual cycle before taking any step
ⓒ. Begin lactational amenorrhea immediately
ⓓ. Undergo tubectomy at once
Correct Answer: Use a suitable hormonal preparation or IUD within 72 hours
Explanation: Emergency contraception is meant exactly for situations such as contraceptive failure during coitus. The chapter states that appropriate hormonal preparations or IUDs may be used within 72 hours. This timing-based response distinguishes emergency contraception from routine or terminal methods. Immediate appropriate action is therefore the key idea.
207. Which statement correctly distinguishes emergency contraception from regular oral pill use?
ⓐ. Emergency contraception is intended only for a time-sensitive situation after coitus.
ⓑ. Emergency contraception requires daily intake for 21 days.
ⓒ. Emergency contraception is a natural method based on fertile-period calculation.
ⓓ. Emergency contraception is the same as surgical sterilisation.
Correct Answer: Emergency contraception is intended only for a time-sensitive situation after coitus.
Explanation: Regular oral pills follow a planned schedule, whereas emergency contraception is used in urgent situations after intercourse. The chapter presents it as a special measure used within a limited time window. It is therefore not the same as routine daily hormonal contraception. This difference is important in application-based questions.
208. Which statement about emergency contraceptive use is incorrect?
ⓐ. It may involve specific hormonal combinations.
ⓑ. It is linked with a short time window after coitus.
ⓒ. It may include use of an IUD in appropriate circumstances.
ⓓ. It is intended as a permanent contraceptive solution.
Correct Answer: It is intended as a permanent contraceptive solution.
Explanation: Emergency contraception is not a permanent method. It is a short-term, time-bound response used after unprotected intercourse or contraceptive failure. The chapter includes hormonal preparations and IUDs within this context. Permanent solutions belong to sterilisation methods, not emergency contraception.
209. Which option best completes the statement?
Injectables and implants differ from many standard oral pills mainly in their route or form of delivery and their longer effective ______.
ⓐ. failure
ⓑ. period
ⓒ. fertile phase
ⓓ. side-effect
Correct Answer: period
Explanation: The chapter explains that injectables and implants act in a way similar to oral pills but remain effective for longer. Their route or form of administration also differs from ordinary tablets. This longer effective period is the key comparison point. It helps explain why some users may prefer them over daily oral dosing.
210. Which statement best describes surgical contraception or sterilisation?
ⓐ. It is a terminal method that prevents conception by blocking gamete transport.
ⓑ. It is a natural method based on fertile-period calculation.
ⓒ. It is a weekly oral hormonal method.
ⓓ. It is an emergency method used only within 72 hours of coitus.
Correct Answer: It is a terminal method that prevents conception by blocking gamete transport.
Explanation: Surgical contraception is regarded as a terminal method because it is chosen when long-term prevention of pregnancy is desired. Its basic action is to stop the transport of gametes rather than to destroy or stop their formation. This makes it different from hormonal, barrier, and natural methods. The chapter presents sterilisation as highly effective but not easily reversible.
211. Which option correctly matches the surgical contraceptive procedure with the sex in which it is performed?
ⓐ. Vasectomy — female; Tubectomy — male
ⓑ. Vasectomy — both sexes; Tubectomy — neither sex
ⓒ. Vasectomy — male; Tubectomy — female
ⓓ. Vasectomy — female only; Tubectomy — female only
Correct Answer: Vasectomy — male; Tubectomy — female
Explanation: Vasectomy is the male sterilisation procedure, whereas tubectomy is the female sterilisation procedure. The two are often confused because both are terminal contraceptive methods. Their names should be linked with the reproductive ducts involved in each sex. This distinction is one of the standard factual points in the chapter.
212. In vasectomy, the surgical step mainly involves
ⓐ. removal of the testes
ⓑ. cutting of the fallopian tubes
ⓒ. insertion of a copper device into the uterus
ⓓ. cutting or tying a part of the vas deferens
Correct Answer: cutting or tying a part of the vas deferens
Explanation: Vasectomy works by interrupting the vas deferens, the duct that carries sperms from the male reproductive tract. It does not involve removal of testes or hormonal suppression. By blocking this pathway, sperm transport is prevented. This is why the method stops conception without stopping sperm production itself.
213. Tubectomy prevents conception mainly by
ⓐ. suppressing ovulation permanently
ⓑ. cutting or tying a part of the fallopian tube
ⓒ. blocking semen entry with a barrier sheath
ⓓ. altering cervical mucus with oral hormones
Correct Answer: cutting or tying a part of the fallopian tube
Explanation: Tubectomy is the female sterilisation procedure in which a part of the fallopian tube is cut or tied. This prevents the ovum and sperm from meeting in the reproductive tract. The ovaries continue their functions, but gamete transport is interrupted. So the method acts by blocking the pathway, not by stopping ovulation.
214. Which statement about sterilisation is correct?
ⓐ. It blocks gamete transport rather than gamete formation.
ⓑ. It permanently stops the production of ova and sperms in all cases.
ⓒ. It is commonly used as an emergency contraceptive after coitus.
ⓓ. It belongs to the natural methods of contraception.
Correct Answer: It blocks gamete transport rather than gamete formation.
Explanation: Sterilisation methods act by interrupting the route through which gametes normally move. They do not generally stop the gonads from producing gametes. This is a common confusion that the chapter specifically helps clarify. The key idea is blockage of transport, not cessation of gamete formation.
215. Which of the following is NOT a feature of surgical contraception?
ⓐ. It is highly effective.
ⓑ. It is considered a terminal method.
ⓒ. It is easily reversible in most cases.
ⓓ. It works by preventing movement of gametes.
Correct Answer: It is easily reversible in most cases.
Explanation: Surgical contraception is described as highly effective but poorly reversible. That is why it is treated as a terminal method rather than a temporary one. People choosing it are usually advised to do so only when future pregnancy is no longer desired. Easy reversibility would contradict its textbook description.
216. A couple who do not want any more children chooses a highly effective method that does not require repeated use or daily attention. Which method best fits this situation?
ⓐ. Periodic abstinence
ⓑ. Sterilisation
ⓒ. Condom
ⓓ. Emergency contraception
Correct Answer: Sterilisation
Explanation: Sterilisation is suitable when a couple wants a long-term or terminal solution rather than a temporary one. It does not require repeated action before intercourse or daily dosing like many other contraceptives. The chapter highlights its high effectiveness and poor reversibility. This makes it most suitable for couples who have completed their desired family size.
217. Which statement correctly compares vasectomy and tubectomy?
ⓐ. Both are hormonal methods, but one is reversible and the other is not.
ⓑ. Both are natural methods, but one depends on timing.
ⓒ. Vasectomy blocks fallopian tubes, whereas tubectomy blocks vas deferens.
ⓓ. Vasectomy blocks the vas deferens, whereas tubectomy blocks the fallopian tubes.
Correct Answer: Vasectomy blocks the vas deferens, whereas tubectomy blocks the fallopian tubes.
Explanation: The two sterilisation methods are named according to the reproductive ducts involved. Vasectomy is performed in males by interrupting the vas deferens, while tubectomy is performed in females by interrupting the fallopian tubes. Neither is a hormonal or natural method. Knowing the correct pairing prevents a frequent exam mistake.
218. Which structure is directly involved in the male surgical method of contraception?
ⓐ. Vas deferens
ⓑ. Cervix
ⓒ. Uterus
ⓓ. Oviduct
Correct Answer: Vas deferens
Explanation: The male sterilisation procedure acts on the vas deferens, which normally carries sperms. By cutting or tying a part of this duct, sperm transport is blocked. The cervix, uterus, and oviduct belong to the female reproductive system. So only one structure fits the male method.
219. Which statement is incorrect about tubectomy?
ⓐ. It is a female sterilisation method.
ⓑ. It involves the fallopian tubes.
ⓒ. It prevents conception by stopping sperm production.
ⓓ. It is regarded as a terminal method.
Correct Answer: It prevents conception by stopping sperm production.
Explanation: Tubectomy does not act by affecting sperm production at all. It is a female sterilisation method that works by interrupting the fallopian tubes so that sperm and ovum cannot meet. This is an example of preventing gamete transport rather than gamete formation. The method is therefore terminal in use but transport-based in action.
220. Why is medical reversibility not considered a strong feature of sterilisation methods in the chapter?
ⓐ. Because they are used only for adolescents
ⓑ. Because they depend on daily hormonal regulation
ⓒ. Because they are designed mainly for fertile-period avoidance
ⓓ. Because reversal is generally poor compared with temporary methods
Correct Answer: Because reversal is generally poor compared with temporary methods
Explanation: Sterilisation is not usually chosen when future fertility is still strongly desired. The chapter describes these methods as poorly reversible, which is why they are called terminal methods. Temporary methods such as pills, condoms, or IUDs are more suitable when later conception is planned. Poor reversibility is therefore a major practical distinction.
