Quiz 2: Family planning and infertility

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

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 have little effect on 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. 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
17. 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
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