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Test 2: Family planning and infertility

  1. What is family planning?
    • Having a planned pregnancy
    • Using contraception to prevent an unplanned pregnancy
    • Providing treatment to an infertile couple
    • All of the above
  2. Should male partners be involved in contraceptive counselling?
    • Yes
    • Only if the couple wants to use condoms
    • Only if they are married
    • No, as contraception should be a woman’s responsibility
  3. By when should most women expect to fall pregnant if they are having regular, unprotected intercourse?
    • Less than 3 months
    • Less than 6 months
    • Less than one year
    • Less than two years
  4. How should contraceptive counselling be provided to a woman?
    • She should use the method that the healthcare worker thinks is best for her
    • She should be told which methods to avoid as they have the most side effects
    • She should be told to use the method that has the lowest failure rate
    • She should be fully informed so that she can make the best choice for herself
  5. What natural methods of contraception are reliable?
    • Breastfeeding
    • The ‘safe period’
    • Coitus interruptus (withdrawing)
    • None of the above
  6. What are combined oral contraceptives?
    • Both the man and woman use tablets for contraception
    • The use of a condom plus an oral contraceptive
    • The use of both an oral and injectable contraceptive
    • The use of an oral contraceptive which contains both oestrogen and progestogen
  7. Combined oral contraceptives are not recommended for:
    • Teenagers
    • Women aged 35 years and older who smoke
    • Women who need a very reliable form of contraception
    • Women with dysmenorrhoea
  8. What is a common side effect in women who start using combined oral contraceptives?
    • Breast tenderness
    • Heavy menstrual bleeding
    • Weight gain
    • Jaundice
  9. Progestogen-only oral contraceptives:
    • Are taken for 21 days followed by a break of 7 days
    • Are suitable for breastfeeding mothers as they do not suppress lactation
    • Are recommended for women who are not able to take medication reliably every day
    • Should not be used as they are not a reliable form of contraception
  10. Injectable contraceptives:
    • Are given every 28 days
    • Increase fertility when they are stopped
    • Commonly cause mild menstrual abnormalities
    • Increase the risk of sexually transmitted infections
  11. The copper intra-uterine contraceptive device (IUCD):
    • Can cause copper poisoning if not changed every 3 years
    • Is the best contraceptive method for teenagers
    • Causes permanent infertility
    • Is both safe and efficient for women of all ages
  12. Sterilisation is a suitable contraceptive method for:
    • A young single woman who wants to be sexually active without having to worry about falling pregnant
    • A young single man who does not want to worry about his girlfriend falling pregnant
    • A 28-year-old married woman who says she has completed her family, having had two children with her husband
    • A 36-year-old woman who says she has completed her family having had a single child with her husband
  13. What form of contraception is suitable for a 30-year-old unmarried woman who is HIV positive and on antiretroviral treatment?
    • Sterilisation
    • An intra-uterine contraceptive device (IUCD) together with condoms
    • Condoms only
    • Combined oral contraceptive pills
  14. Emergency contraception:
    • Can be recommended to women instead of regular contraception
    • Is only effective if given within 24 hours of unprotected intercourse
    • Is provided in the form of tablets containing progesterone only
    • Is dangerous and should not be recommended
  15. How is infertility diagnosed?
    • By measuring the serum hormone concentrations
    • By vaginal examination
    • By taking a history
    • By special gynaecological tests
  16. Is infertility common?
    • Yes, as 10 to 15% of couples suffer from infertility
    • Only in women who have had a sexually transmitted infection
    • Only in women over the age of 38 years
    • No
  17. Why is infertility important?
    • Because it is a natural way of controlling the size of families
    • Because is causes suffering
    • Because it places a strain on government funds
    • Infertility is not important in Africa
  18. A common cause of infertility is:
    • Blocked Fallopian tubes
    • Monilial vaginitis
    • A previous miscarriage
    • Endometriosis
  19. What fertility advice should be given to infertile couples?
    • Women who are overweight or obese should lose weight
    • Men who smoke should stop smoking
    • Women who are trying to fall pregnant should take 5 mg of folic acid daily
    • All of the above
  20. An infertile woman should be referred to a specialist clinic:
    • Only if she is legally married
    • Only if she is in a heterosexual relationship
    • If she has tried to fall pregnant for a year or longer
    • If she has no living child