Q.1 Which of the following is the most effective reversible contraceptive method?
Male condoms
Combined oral contraceptives
Copper IUD
Diaphragm
Explanation - Copper IUDs have a failure rate of less than 1% per year, making them the most effective reversible contraceptive.
Correct answer is: Copper IUD
Q.2 Which contraceptive method also provides protection against sexually transmitted infections (STIs)?
Male condoms
Implants
IUDs
Oral contraceptive pills
Explanation - Male condoms are the only commonly used contraceptive method that offers protection against most STIs.
Correct answer is: Male condoms
Q.3 Which hormone is primarily responsible for preventing ovulation in combined oral contraceptives?
Estrogen
Progesterone
LH
FSH
Explanation - Progestin in combined oral contraceptives suppresses LH and FSH, thereby preventing ovulation.
Correct answer is: Progesterone
Q.4 The lactational amenorrhea method (LAM) is considered effective for contraception up to how many months postpartum?
3 months
6 months
12 months
24 months
Explanation - LAM is effective for up to 6 months postpartum if the mother is exclusively breastfeeding and menstruation has not resumed.
Correct answer is: 6 months
Q.5 Which of the following is a permanent contraceptive method for women?
Vasectomy
Tubal ligation
Copper IUD
Progesterone implant
Explanation - Tubal ligation is a surgical method that permanently prevents pregnancy by occluding the fallopian tubes.
Correct answer is: Tubal ligation
Q.6 Which emergency contraceptive is effective up to 72 hours after unprotected intercourse?
Levonorgestrel pill
Copper IUD
Combined oral contraceptive
Depo-Provera
Explanation - Levonorgestrel emergency contraceptive pills are most effective within 72 hours of unprotected sex.
Correct answer is: Levonorgestrel pill
Q.7 Which contraceptive method is contraindicated in women with a history of deep vein thrombosis?
Progesterone-only pill
Copper IUD
Combined oral contraceptive
Male condom
Explanation - Estrogen-containing contraceptives increase the risk of thrombosis, so they are contraindicated in women with a history of DVT.
Correct answer is: Combined oral contraceptive
Q.8 Depot medroxyprogesterone acetate (DMPA) is administered via which route?
Oral
Intramuscular injection
Transdermal patch
Vaginal ring
Explanation - DMPA is given as an intramuscular injection every 3 months to provide effective contraception.
Correct answer is: Intramuscular injection
Q.9 Which of the following methods is considered natural contraception?
Fertility awareness method
Copper IUD
Male condom
Hormonal implant
Explanation - Natural contraception involves tracking ovulation and avoiding intercourse on fertile days, such as in the fertility awareness method.
Correct answer is: Fertility awareness method
Q.10 Which IUD is hormone-releasing?
Copper IUD
Levonorgestrel IUD
Sterile IUD
No such IUD exists
Explanation - Levonorgestrel IUDs release progestin locally to prevent pregnancy.
Correct answer is: Levonorgestrel IUD
Q.11 Which contraceptive method can help reduce menstrual blood loss?
Copper IUD
Combined oral contraceptive
Male condom
Diaphragm
Explanation - Combined oral contraceptives regulate hormones and reduce menstrual bleeding, unlike copper IUDs which may increase bleeding.
Correct answer is: Combined oral contraceptive
Q.12 Which of the following is considered a long-acting reversible contraceptive (LARC)?
Combined oral contraceptive
Levonorgestrel implant
Male condom
Diaphragm
Explanation - LARCs provide long-term contraception (3–5 years) with minimal user intervention, such as implants or IUDs.
Correct answer is: Levonorgestrel implant
Q.13 A woman who smokes and is over 35 years old should avoid which contraceptive?
Copper IUD
Combined oral contraceptive
Progesterone-only pill
Male condom
Explanation - Smoking and age >35 significantly increase the risk of cardiovascular complications with estrogen-containing pills.
Correct answer is: Combined oral contraceptive
Q.14 Which contraceptive method requires placement by a trained healthcare provider?
Copper IUD
Male condom
Fertility awareness method
Spermicidal foam
Explanation - IUD insertion is a medical procedure that must be performed by a trained professional to ensure safety and effectiveness.
Correct answer is: Copper IUD
Q.15 Which contraceptive method is most suitable for women who wish to avoid hormones?
Copper IUD
Combined oral contraceptive
Progesterone implant
DMPA injection
Explanation - Copper IUDs provide effective contraception without the use of hormones.
Correct answer is: Copper IUD
Q.16 Which of the following is a barrier method of contraception?
Male condom
Levonorgestrel implant
Copper IUD
Combined oral contraceptive
Explanation - Barrier methods prevent sperm from reaching the egg, e.g., male and female condoms, diaphragms, and cervical caps.
Correct answer is: Male condom
Q.17 Which contraceptive method can be used immediately postpartum in breastfeeding women?
Combined oral contraceptive
DMPA injection
Copper IUD
Diaphragm
Explanation - DMPA injections do not affect lactation and can be started immediately postpartum, unlike estrogen-containing pills.
Correct answer is: DMPA injection
Q.18 Which method of contraception involves surgical occlusion of the fallopian tubes?
Tubal ligation
Vasectomy
Copper IUD
Progesterone implant
Explanation - Tubal ligation is a permanent female sterilization method that blocks the fallopian tubes to prevent fertilization.
Correct answer is: Tubal ligation
Q.19 Which of the following increases the risk of contraceptive failure with oral pills?
Antibiotics like rifampicin
NSAIDs
Acetaminophen
Vitamin C
Explanation - Rifampicin induces liver enzymes that increase metabolism of hormones, reducing efficacy of oral contraceptives.
Correct answer is: Antibiotics like rifampicin
Q.20 Which contraceptive option is reversible and hormone-free?
Copper IUD
Progesterone implant
Combined oral contraceptive
DMPA injection
Explanation - Copper IUDs are effective, reversible, and do not use hormones.
Correct answer is: Copper IUD
Q.21 Which method requires daily adherence for maximum effectiveness?
Combined oral contraceptive
Copper IUD
Levonorgestrel implant
Male condom
Explanation - Daily oral intake is required for consistent hormone levels and contraceptive efficacy.
Correct answer is: Combined oral contraceptive
Q.22 Which method is considered a short-acting hormonal contraceptive?
Combined oral contraceptive
Levonorgestrel IUD
Copper IUD
Progesterone implant
Explanation - Short-acting hormonal methods require regular user action (daily pill) compared to long-acting methods like IUDs or implants.
Correct answer is: Combined oral contraceptive
Q.23 Which of the following can be used as postcoital contraception?
Levonorgestrel pill
Copper IUD
Both A and B
Combined oral contraceptive
Explanation - Both levonorgestrel pills and copper IUDs can be used as emergency contraception after unprotected intercourse.
Correct answer is: Both A and B
Q.24 Which contraceptive method can cause irregular bleeding as a common side effect?
Progesterone-only pills
Copper IUD
Male condom
Diaphragm
Explanation - Progestin-only pills may cause irregular or breakthrough bleeding due to hormonal changes in the endometrium.
Correct answer is: Progesterone-only pills
Q.25 Which method is preferred for a woman desiring contraception but also wanting to conceive soon after discontinuation?
Copper IUD
Combined oral contraceptive
Progesterone implant
DMPA injection
Explanation - Fertility returns immediately after IUD removal, making it ideal for women planning pregnancy soon after discontinuation.
Correct answer is: Copper IUD