5. 2) Mechanism of action of spermicide is:
A Vaginal enzyme alteration
B Disrupting cell membrane and motility
C Inhibit glucose transport enzyme
D Activating acrosome enzyme
6. 2)
Disrupting cell membrane and motility
a. The active chemicals in vaginal spermicides interact with the
lipoproteins of the cell membrane to permanently disrupt the
cell membranes of spermatozoa, resulting in severe damage
to the acrosome, neck, midpiece, and tail of the sperm and
rapid, irreversible loss of function and motility within the
vagina and viability.
b. Cell permeability increases and the leaking of cellular material
occurs leading to death of sperms
7. 3)Not caused by DMPA:
A Thromboembolism
B Amenorrhea
C Irregular cycle
D Weight gain
10. 4) All of the following are mechanisms of action of
emergency contraception EXCEPT
A Delaying ovulation
B Inhibiting fertilization
C Preventing implantation of the fertilized egg
D Interrupting on early pregnancy
11.
12. 5) A 20 year old woman gives a history of sharp
pain in the lower abdomen for 2-3 days every
month approximately 2 weeks before the
menses: The most probable etiology for her pain
is
A Endometriosis
B Dysmenorrhea
C Pelvic tuberculosis
D Mittelschmerz
13. Mittelschmerz - Midcycle ovulatory pain occurs during oocyte
release from an ovarian follicle and thus produces lateral pain that
migrates from one side to the other from month to month.
14. 6) Not a side effect of oral
contraceptives:
A Dysmenorrhea
B Mastalgia
C Chloasma
D Breakthrough bleeding
17. 7) True regarding minipill is:
A) Suppresses lactation
B) Cannot be used in lactation
C) Used with combination of oral
contraceptive pill
D) Irregular vaginal bleeding
18.
19. 8) Which of the following is correct for the calculation of Pearl index?
A No. of accidental pregnancies x 1200)/ (No. of patients observed x
months of use
B No. of accidental pregnancies x 1200) / (No. of patients observed x
2400
C No. of patients observed x months of use) / (No. of accidental
pregnancies
D No. of patients observed x 2400) I/(No. of accidental pregnancies x
2400
20.
21.
22. 9) There is a mid-cycle shift in the basal
body temperature (BBT) after ovulation in
women. This is caused by:
A FSH-peak
B LH-peak
C Estradiol
D Progesterone
23.
24. 10) Lowest dose of ethinyl estradiol
used in combination contraceptive is:
A) 35 mcg
B) 50 mcg
C) 20 mcg
D) 30 mcg
25.
26. 11) The following statements are true about intrauterine devices
(IUD) except:
A Levonorgestrel releasing IUD has an effective life of 5 years
B IUD can be used for emergency contraception within 5 days
C The pregnancy rate of Lippes loop and Cu- T 200 are similar
D Multiload Cu-375 is a third generation IUD
27.
28. 12) a child can walk with support at
a) 6months
b) 8months
c) 10months
d) 13-15months
29.
30. 13) Neonatal reflex which never reappears
a) Rooting
b) moro
c) asymmetrical tonic neck reflex
d) symmetrical tonic neck reflex