Quiz 1: Reproductive health

Please choose the one, most correct answer to each question or statement.

1. Which women have good sexual health?
   • Women who are free of sexually transmitted diseases
   • Women who have multiple sex partners
   • Women who have positive and respectful sexual relationships
   • Women whose sexual life is controlled by their partners
2. What are the Sustainable Development Goals?
   • A new form of lottery to raise funds for reproductive health in poor communities
   • A South African plan to reduce infertility in resource-poor communities
   • An international project to improve the lives of poor people
   • A WHO project to provide contraception services in under-developed countries
3. Can breast cancer be cured?
   • Yes, if it is detected early
   • Only in young women
   • Only in women who are HIV negative
   • No
4. What cancers should be screened for in all women?
   • Bowel cancer
   • Cervical cancer
   • Ovarian cancer
   • Bladder cancer
5. Who is at increased risk of breast cancer?
   • Women who are younger than 40 years
   • Women who have two or more children
   • Women who have a close family relative with breast cancer
   • Women who use oral contraception
6. How does breast cancer present?
   • As a new breast lump
   • As an old breast lump that becomes bigger or harder
   • As a nipple discharge in a woman who is not pregnant or breastfeeding
   • All of the above
7. Who should perform regular breast examinations?
   • There is no need for regular breast examinations
   • Only doctors
   • Only gynaecologists
   • All women should learn how to regularly examine their own breasts
8. What causes cervical cancer?
   • Herpes virus infection
   • Human papilloma virus infection
   • Cytomegalovirus infection
   • HIV infection
9. How does early cervical cancer usually present?
   • With abdominal pain
   • With abdominal swelling
   • With pain when passing urine
   • Early cervical cancer is usually asymptomatic
10. Who should be screened for cervical cancer?
    • All women
    • Only women with multiple sexual partners
    • Only women who have had one or more children
    • Only women who are HIV positive
11. What action should be taken if a Pap smear result shows low-grade SIL or ASCUS?
    • The woman should have a hysterectomy
    • The woman should be referred to a colposcopy clinic
    • The woman should have a repeat smear after 6 to 12 months
    • The result is normal and no action is needed
12. A normal body mass index is:
    • More than 30
    • 25 to 30
    • 19 to 25
    • Less than 19
13. What is the main cause of being overweight?
    • A hormone imbalance
    • Inherited genes for obesity
    • Diabetes
    • Having a diet too high in energy foods
14. How common is overweight in South Africa?
    • Most women are overweight by the age of 50 years
    • 50% of women are overweight
    • 25% of women are overweight
    • Overweight is only common in wealthy communities
15. What gynaecological conditions are more common in women who are overweight or obese?
    • Painful menstruation
    • Infertility
    • Cervical cancer
    • Uterine fibroids
16. Pregnant women who are overweight are at increased risk of:
    • Intra-uterine growth restriction
    • Placenta praevia
    • Multiple pregnancy
    • Pregnancy-induced hypertension
17. Smoking increases the risk of:
    • Bowel cancer
    • Diabetes
    • Osteoporosis
    • None of the above
18. What is hormone replacement therapy?
    • A form of contraception
    • A treatment for menopausal symptoms
    • A treatment for infertility
    • A treatment of ovarian cancer
19. Hormone replacement therapy for a woman with a uterus consists of:
    • Oestrogen only
    • Progestogen only
    • Oestrogen and progestogen
    • Oestrogen and testosterone
20. What are the risks of complications from hormone replacement therapy?
    • Dangerous complications are common and HRT should only be used for women who have serious complaints
    • There is a high risk of cardiovascular disease
    • There is a small risk of breast cancer
    • It is safe with no risks