Q.1 Which of the following is a long-acting reversible contraceptive?
Condom
Oral contraceptive pill
Intrauterine device (IUD)
Spermicidal gel
Explanation - IUDs provide long-term contraception for several years and are reversible, unlike permanent methods.
Correct answer is: Intrauterine device (IUD)
Q.2 Which contraceptive method also provides protection against sexually transmitted infections (STIs)?
Condom
Copper IUD
Hormonal implant
Oral contraceptive pill
Explanation - Condoms are the only contraceptive method that significantly reduces the risk of STIs.
Correct answer is: Condom
Q.3 Which hormonal contraceptive method is most suitable for breastfeeding mothers?
Combined oral contraceptive pill
Progestin-only pill
Transdermal patch
Vaginal ring
Explanation - Progestin-only pills do not affect milk production, unlike estrogen-containing contraceptives.
Correct answer is: Progestin-only pill
Q.4 Emergency contraception is most effective if taken within how many hours after unprotected intercourse?
24 hours
72 hours
7 days
14 days
Explanation - Emergency contraceptive pills are most effective when taken within 72 hours after unprotected sex.
Correct answer is: 72 hours
Q.5 Which of the following is a permanent method of contraception?
Tubal ligation
Copper IUD
Oral contraceptive pill
Condom
Explanation - Tubal ligation is a surgical method that permanently prevents pregnancy by blocking the fallopian tubes.
Correct answer is: Tubal ligation
Q.6 Which contraceptive method is contraindicated in women with a history of thromboembolic disease?
Combined oral contraceptive pill
Progestin-only pill
Copper IUD
Barrier methods
Explanation - Estrogen-containing pills increase the risk of blood clots and are contraindicated in women with thromboembolic disorders.
Correct answer is: Combined oral contraceptive pill
Q.7 Which contraceptive method requires insertion by a trained healthcare provider?
Condom
Oral contraceptive pill
Copper IUD
Spermicidal gel
Explanation - IUD insertion is a medical procedure that requires a trained professional to minimize complications.
Correct answer is: Copper IUD
Q.8 Which of the following statements about fertility awareness methods is correct?
They are effective regardless of correct use
They involve tracking ovulation and menstrual cycle
They require hormonal intervention
They are effective immediately without education
Explanation - Fertility awareness methods require careful monitoring of ovulation and menstrual cycles to avoid pregnancy.
Correct answer is: They involve tracking ovulation and menstrual cycle
Q.9 What is the main mechanism of action of combined oral contraceptives?
Inhibit ovulation
Destroy sperm
Block fertilized egg implantation
Increase cervical mucus viscosity only
Explanation - Combined oral contraceptives primarily prevent ovulation through the action of estrogen and progestin.
Correct answer is: Inhibit ovulation
Q.10 Which contraceptive method is hormone-free and can be used immediately postpartum?
Copper IUD
Combined oral contraceptive pill
Progestin-only implant
Vaginal ring
Explanation - Copper IUDs are non-hormonal and can be safely inserted immediately after childbirth.
Correct answer is: Copper IUD
Q.11 Which of the following is considered a dual protection method?
Oral contraceptive + condom
IUD alone
Progestin-only pill alone
Tubal ligation alone
Explanation - Dual protection refers to preventing both pregnancy and sexually transmitted infections.
Correct answer is: Oral contraceptive + condom
Q.12 Which side effect is most commonly associated with hormonal contraceptives containing estrogen?
Nausea and breast tenderness
Weight loss
Increased fertility
Hair loss
Explanation - Estrogen in hormonal contraceptives can cause side effects such as nausea, breast tenderness, and mild fluid retention.
Correct answer is: Nausea and breast tenderness
Q.13 Which contraceptive method is reversible and provides long-term pregnancy prevention for up to 3–5 years?
Hormonal implant
Condom
Oral contraceptive pill
Diaphragm
Explanation - Hormonal implants release progestin and provide 3–5 years of effective, reversible contraception.
Correct answer is: Hormonal implant
Q.14 Which of the following is the least effective when used alone for contraception?
Condom
Fertility awareness method
Copper IUD
Hormonal implant
Explanation - Fertility awareness methods are less reliable due to variability in menstrual cycles and user errors.
Correct answer is: Fertility awareness method
Q.15 Which contraceptive method is suitable for women with a history of migraines with aura?
Combined oral contraceptive pill
Progestin-only methods
Transdermal patch
Vaginal ring
Explanation - Estrogen-containing contraceptives increase the risk of stroke in women with migraines with aura; progestin-only methods are safer.
Correct answer is: Progestin-only methods
Q.16 Which method is recommended as the first-line emergency contraception if available?
Levonorgestrel pill
Copper IUD
Combined oral contraceptive pill
Diaphragm
Explanation - Levonorgestrel pills are widely used and effective for emergency contraception within 72 hours after unprotected sex.
Correct answer is: Levonorgestrel pill
Q.17 Which contraceptive method can reduce the risk of endometrial cancer?
Combined oral contraceptive pill
Condom
Copper IUD
Fertility awareness method
Explanation - Long-term use of combined oral contraceptives has been shown to reduce the risk of endometrial and ovarian cancers.
Correct answer is: Combined oral contraceptive pill
Q.18 Which contraceptive method is inserted under the skin of the upper arm and releases progestin?
Hormonal implant
Copper IUD
Vaginal ring
Oral contraceptive pill
Explanation - Hormonal implants are subdermal devices that slowly release progestin over several years for effective contraception.
Correct answer is: Hormonal implant
Q.19 Which of the following is NOT a barrier method of contraception?
Condom
Diaphragm
Spermicidal gel
Hormonal implant
Explanation - Barrier methods physically prevent sperm from reaching the egg, while hormonal implants act systemically.
Correct answer is: Hormonal implant
Q.20 Which method of contraception requires daily compliance to be effective?
Oral contraceptive pill
Copper IUD
Hormonal implant
Condom
Explanation - Oral contraceptive pills must be taken daily at approximately the same time to maintain effectiveness.
Correct answer is: Oral contraceptive pill
Q.21 Which contraceptive method is preferred for women who smoke and are over 35 years old?
Progestin-only pill or IUD
Combined oral contraceptive pill
Vaginal ring
Transdermal patch
Explanation - Estrogen-containing methods increase cardiovascular risk in women over 35 who smoke; progestin-only methods are safer.
Correct answer is: Progestin-only pill or IUD
Q.22 Which method can be used as both contraception and treatment for menorrhagia?
Levonorgestrel IUD
Condom
Fertility awareness method
Oral contraceptive pill
Explanation - Levonorgestrel-releasing IUDs reduce menstrual blood loss and provide effective long-term contraception.
Correct answer is: Levonorgestrel IUD
Q.23 Which contraceptive method is safe to start immediately after a first-trimester abortion?
All reversible methods including IUD and pills
Tubal ligation only
Condom only
No method for 6 months
Explanation - Reversible contraceptive methods can be safely initiated immediately post-abortion to prevent unintended pregnancy.
Correct answer is: All reversible methods including IUD and pills
Q.24 Which statement about male contraception is correct?
Vasectomy is permanent and highly effective
Condoms have no role in STI prevention
Hormonal male contraceptives are widely available
Withdrawal method is highly reliable
Explanation - Vasectomy is a permanent male sterilization method with very high efficacy; condoms are important for STI prevention.
Correct answer is: Vasectomy is permanent and highly effective