Multiple Choice Questions (MCQ)

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Category: Obstetrics & Gynecology--->Human Sexuality and Contraception
Page: 2

Question 6# Print Question

A 35-year-old G2P2 presents for a contraceptive counseling visit. She and her husband desire a long-term contraceptive method, and are uncertain if they want more children. She has been happily married for 10 years. Her only medical problem is mild hypertension, for which she takes a diuretic, and she has never had a sexually transmitted disease. She is considering the copper IUD and wants to know how it works.

The patient decided to have the copper IUD placed. It is inserted without difficulty, and she returned 1 month later, at which time it was confirmed that her IUD string was in place. One year later, she returned because she had a positive pregnancy test. On examination, the IUD string is seen protruding from the cervical os. Ultrasound demonstrates a 10-week intrauterine pregnancy. The patient and her husband express a strong desire for the pregnancy to be continued.

What is the best next step in management?

A. Leave the IUD in place without any other treatment
B. Leave the IUD in place and continue prophylactic antibiotics throughout pregnancy
C. Remove the IUD immediately
D. Terminate the pregnancy because of the high risk of infection
E. Perform a laparoscopy to rule out a heterotopic ectopic pregnancy

Question 7# Print Question

A 21-year-old G0 presents to your office because her menses is 2 weeks late. She states that she is taking her birth control pills correctly; she may have missed a day at the beginning of the pack, but took it as soon as she remembered. She has no medical problems, but 3 weeks ago she had a “viral stomach flu,” and missed 2 days of work due to nausea, vomiting, and diarrhea. Her cycles are usually regular, even without oral contraceptive pills. She has been on the pill for 5 years, and recently developed some midcycle bleeding, which usually lasts about 2 days. She has been sexually active with the same partner for the past 3 months, and has a history of chlamydia 3 years ago. She has had a total of 10 sexual partners. A urine pregnancy test is positive.

Which of the following is the major cause of unplanned pregnancies in women using oral contraceptives?

A. Breakthrough ovulation at midcycle
B. High frequency of intercourse
C. Incorrect use of oral contraceptives
D. Gastrointestinal malabsorption
E. Development of antibodies

Question 8# Print Question

A 34-year-old G1P1 with a history of pulmonary embolism presents to your office to discuss contraception. Her cycles are regular. She has a history of pelvic inflammatory disease (PID) last year, for which she was hospitalized. She has currently been sexually active with the same partner for 1 year. She wants to use condoms and a spermicide. You counsel her on the risks and benefits.

Which of the following statements correctly describes spermicides found in vaginal foams, creams, and suppositories?

A. The active agent in spermicides is nonoxynol-9
B. Spermicides are protective against sexually transmitted infections
C. Effectiveness is higher in younger users
D. Effectiveness is higher than that of the diaphragm
E. These agents are associated with an increased incidence of congenital malformations

Question 9# Print Question

A 32-year-old woman presents for her annual examination. She is worried because she has not been able to achieve orgasm with her new partner, with whom she has had a relationship for the past 3 months. She had three prior sexual partners, and was able to achieve orgasm with each of them. Her medications include a combined oral contraceptive (COC) pill for birth control, clonidine for chronic hypertension, and fluoxetine for depression. She smokes one pack per day and drinks one drink per week. She had a cervical cone biopsy for severe cervical dysplasia 6 months ago.

Which of the following is the most likely cause of her sexual dysfunction?

A. Alcohol
B. Birth control pills
C. Clonidine
D. Disruption of cervical nerve pathways
E. Fluoxetine

Question 10# Print Question

A 22-year-old woman presents to your office for a well-woman examination. She has been sexually active with one male partner for the past year. She is concerned because she has not achieved orgasm with her partner. On further questioning, she reveals that she has never achieved orgasm with any other partners, or with masturbation or the use of a vibrator.

Which of the following statements correctly describes her condition?

A. It is unrelated to partner behavior
B. The influence of religious beliefs is a major etiology
C. It is unrelated to partner’s sexual performance
D. It is not associated with a history of rape
E. It always has an underlying physical etiology

Category: Obstetrics & Gynecology--->Human Sexuality and Contraception
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