Part 5: Contraceptive Methods — Hormonal, IUDs, and Surgical Methods

Q1. Oral contraceptive pills mainly act by:

a) Increasing FSH secretion
b) Suppressing ovulation
c) Stimulating corpus luteum
d) Enhancing fertilisation

Answer: b) Suppressing ovulation
Explanation:

(b) Correct. Pills contain estrogen + progesterone → inhibit FSH & LH → no ovulation.

Q2. Saheli, a non-steroidal oral contraceptive developed in India, contains:

a) Mifepristone
b) Centchroman
c) Progesterone
d) Estrogen

Answer: b) Centchroman
Explanation:

(b) Correct. Centchroman (Ormeloxifene) is once-a-week, non-steroidal pill.

Q3. Which hormone is present in “mini pills”?

a) Estrogen only
b) Progesterone only
c) Both estrogen and progesterone
d) Testosterone

Answer: b) Progesterone only
Explanation:

(b) Correct. Mini pills = progestin-only pills, safe for lactating mothers.

Q4. Which is an emergency contraceptive pill?

a) Mifepristone
b) Levonorgestrel (Plan B)
c) Saheli
d) Both a and b

Answer: d) Both a and b
Explanation:

(d) Correct. Both Mifepristone & Levonorgestrel are used as emergency pills.

Q5. Which contraceptive method involves insertion in uterus?

a) Condom
b) Oral pill
c) IUD
d) Diaphragm

Answer: c) IUD
Explanation:

(c) Correct. IUDs (Copper-T, LNG-20) are intrauterine devices.

Q6. Copper-T prevents pregnancy by:

a) Preventing ovulation
b) Killing ovum
c) Increasing phagocytosis of sperm and reducing motility
d) Preventing menstruation

Answer: c) Increasing phagocytosis of sperm and reducing motility

Q7. IUDs like LNG-20 work mainly by:

a) Releasing progesterone locally
b) Increasing estrogen secretion
c) Promoting fertilisation
d) Enhancing sperm motility

Answer: a) Releasing progesterone locally

Q8. The most widely used reversible contraceptive in India is:

a) Oral pill
b) Condom
c) IUD
d) Vasectomy

Answer: c) IUD

Q9. Surgical sterilisation in males is called:

a) Tubectomy
b) Vasectomy
c) Hysterectomy
d) Castration

Answer: b) Vasectomy
Explanation:

(b) Correct. Vasectomy involves cutting/tying vas deferens.

Q10. Surgical sterilisation in females is called:

a) Vasectomy
b) Tubectomy
c) Hysterectomy
d) Laparoscopy

Answer: b) Tubectomy
Explanation:

(b) Correct. Fallopian tubes are tied/cut.

Q11. Which is NOT true about vasectomy?

a) It prevents sperm transport
b) It affects testosterone production
c) It is a permanent method
d) Testes remain functional

Answer: b) It affects testosterone production
Explanation:

(b) Incorrect. Leydig cells produce testosterone → unaffected.

Q12. Which contraceptive method is irreversible?

a) Condom
b) Oral pill
c) Vasectomy
d) IUD

Answer: c) Vasectomy

Q13. Which is an advantage of surgical sterilisation?

a) Permanent contraception
b) No daily use needed
c) Highly effective
d) All of the above

Answer: d) All of the above

Q14. Which statement is true about tubectomy?

a) Ovaries are removed
b) Uterus is removed
c) Fallopian tubes are cut and tied
d) Hormone secretion stops

Answer: c) Fallopian tubes are cut and tied

Q15. Which method is most suitable for lactating mothers?

a) Combined pill
b) Mini pill (progesterone only)
c) Copper-T
d) Vasectomy

Answer: b) Mini pill (progesterone only)

Q16. Which contraceptive provides long-term protection without surgery?

a) Condom
b) Copper-T (IUD)
c) Withdrawal
d) Abstinence

Answer: b) Copper-T (IUD)

Q17. Norplant is:

a) Oral pill
b) Hormone-releasing implant under skin
c) Injectable copper contraceptive
d) Vaginal sponge

Answer: b) Hormone-releasing implant under skin

Q18. Which of the following is NOT an IUD?

a) Copper-T
b) Lippes loop
c) LNG-20
d) Saheli

Answer: d) Saheli
Explanation:

(d) Correct. Saheli is oral, not intrauterine.

Q19. Which IUD releases hormones?

a) Copper-T
b) Lippes loop
c) LNG-20
d) Multiload 375

Answer: c) LNG-20

Q20. Assertion (A): Oral contraceptives prevent ovulation.

Reason (R): They inhibit LH surge through hormonal feedback.
a) Both A and R true; R correct explanation
b) Both A and R true; R not explanation
c) A true, R false
d) Both false

Answer: a) Both A and R true; R correct explanation

Q21. Which contraceptive is both long-acting and reversible?

a) Vasectomy
b) IUD
c) Tubectomy
d) Abstinence

Answer: b) IUD

Q22. Which injectable contraceptive contains progestin?

a) DMPA
b) Copper-T
c) Saheli
d) Norplant

Answer: a) DMPA

Q23. Which contraceptive is best for women with contraindications to estrogen?

a) Combined pill
b) Mini pill
c) Saheli
d) Both b and c

Answer: d) Both b and c

Q24. The action of copper in IUDs is mainly:

a) Spermicidal effect
b) Enhances ovulation
c) Blocks implantation
d) Kills oocytes

Answer: a) Spermicidal effect

Q25. Assertion (A): Vasectomy does not affect libido.

Reason (R): Testosterone secretion remains normal after vasectomy.
a) Both A and R true; R correct explanation
b) Both A and R true; R not explanation
c) A true, R false
d) Both false

Answer: a) Both A and R true; R correct explanation

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Part 5: Contraceptive Methods — Hormonal, IUDs, and Surgical Methods