Deck 6: Contraception and Abortion

Question 1

What is the leading cause of breakage in male condoms? 

A) failure to use lubricant 
B) using the wrong kind of lubricant 
C) using condoms after the expiration date 
D) failure to leave ample space in the top for ejaculate

Answer 1

  C

Question 2

Which method of contraception has an effectiveness rate of about 68% for typical use? 

A) condoms 
B) hormonal implants 
C) the contraceptive sponge 
D) fertility awareness methods

Answer 2

  C

Question 3

Which of the following was a method of contraception used by ancient Egyptians? 

A) sponges soak in alcohol 
B) inserting a mixture of crocodile feces, sour milk, and honey into the vagina 
C) cervical caps made of empty pomegranate halves 
D) ingesting natural hormones found in yam roots to prevent ovulation

Answer 3

  B

Question 4

How much estrogen do today's oral contraceptive pills have compared to those developed in the 1950s? 

A) about a tenth as much 
B) about half as much 
C) about the same 
D) twice as much

Question 5

What is an approach to birth control that is used in many remote locations around the world? 

A) intrauterine devices (IUDs) 
B) birth control pills 
C) latex condoms 
D) herbal mixtures

Question 6

Which of the following is a barrier method of contraception? 

A) IUD 
B) diaphragm 
C) Depo-Provera 
D) condom

Question 7

Where would a couple be more likely to use oral contraception than condoms for birth control for religious reasons? 

A) the United States 
B) Israel 
C) the Philippines 
D) Indonesia

Question 8

Factoring in the Health Canada approval process,what is the estimated time it takes to develop a new contraceptive method? 

A) 2-4 years 
B) 5-7 years 
C) 10-14 years 
D) 14-20 years

Question 9

What is a popular yet ineffective method of contraception? 

A) condoms 
B) hormonal implants 
C) the lactational amenorrhea method 
D) the pill

Question 10

When was the birth control pill approved as a contraceptive method in Canada? 

A) 1957 
B) 1963 
C) 1969 
D) 1975

Question 11

What statement best describes the female condom? 

A) It is composed of two rings joined by a sheath. 
B) It is made of rubber or latex. 
C) It can be used more than once. 
D) It must be fitted by a physician.

Question 12

When were birth control pills approved for use in Japan? 

A) 1969 
B) 1979 
C) 1989 
D) 1999

Question 13

What are extended cycle birth control pills,such as Seasonale or Lybrel,designed to reduce? 

A) the amount of testosterone in the female body 
B) the number of eggs produced each cycle 
C) the number of menstrual cycles experienced in a given year 
D) the number of pills that must be taken each month to prevent pregnancy

Question 14

Which of the following is safe to use as a lubricant with latex condoms? 

A) baby oil 
B) water 
C) vegetable oil 
D) hand lotion

Question 15

Which statement best describes cervical barrier methods? 

A) They affect hormone levels and inhibit ovulation. 
B) They can decrease the risk of toxic shock syndrome and urinary tract infections. 
C) They can be inserted prior to sexual activity, increasing spontaneity. 
D) They are equally effective with or without spermicide.

Question 16

What statement best describes condoms? 

A) People who have latex allergies are not able to use condoms. 
B) Condoms have been used since the beginning of recorded history. 
C) Male condoms cost approximately $3-$4 per condom. 
D) Condoms can be placed on the penis before or after erection.

Question 17

How do combination birth control pills work to prevent pregnancy? 

A) They create an artificial barrier to the cervix. 
B) They release chemicals that deactivate sperm. 
C) They prevent ovulation and thicken cervical mucus. 
D) They cause mucus to form in the fallopian tubes which blocks fertilization.

Question 18

Which statement accurately describes the use of male condoms? 

A) They may increase the incidence of early ejaculation. 
B) They enhance the sexual sensation for both the male and female. 
C) They encourage male participation in birth control. 
D) They offer the least protection from sexually transmitted infections.

Question 19

Which statement best describes a contraceptive sponge? 

A) A prescription is required to obtain a contraceptive sponge. 
B) The sponge is inserted after intercourse and soaks up the male ejaculate. 
C) In order to have maximum effectiveness, the sponge should be left in for six hours after intercourse. 
D) Women who have already had children have higher effectiveness rates using the sponge.

Question 20

What medical condition would result in birth control pill use being ill-advised? 

A) circulatory problems 
B) multiple sclerosis 
C) osteoporosis 
D) arthritis

Question 21

Which of the following is a progestin-only birth control method? 

A) NuvaRing 
B) Seasonale 
C) Depo-Provera 
D) Ortha Evra patch

Question 22

Which of the following is NOT a way that emergency contraception works to prevent pregnancy? 

A) inhibits ovulation 
B) thickens cervical mucus 
C) makes endometrium less hospitable for implantation 
D) causes a fertilized egg to be reabsorbed into the body

Question 23

What is a benefit of natural family planning methods? 

A) They provide protection from STIs. 
B) They increase spontaneity in sexual intercourse. 
C) They help couples predict fertility. 
D) They have a high effectiveness rate as typically used.

Question 24

If a couple wants to prevent pregnancy and avoid STIs,what is the most reliable choice? 

A) male or female sterilization 
B) abstinence 
C) birth control pills 
D) condoms

Question 25

Which statement best describes the progestin-only pill (minipill)? 

A) Minipills should not be e used by women who smoke. 
B) Minipills are taken every day with no hormone-free days. 
C) Minipills contain higher hormone levels than the combination birth control pills. 
D) Minipills require less strict regularity in pill taking than other oral contraceptive pills.

Question 26

How does the amount of hormone released through the NuvaRing compare to other hormonal contraceptive methods? 

A) The NuvaRing releases higher levels of both progesterone and estrogen compared to other hormonal methods. 
B) The NuvaRing offers about equal levels of hormones compared to other hormonal methods. 
C) The NuvaRing releases lower levels of hormones compared to other hormonal methods. 
D) The NuvaRing does not release any hormones into the body as it protects against pregnancy by acting as a cervical barrier.

Question 27

If you were using the natural family planning method,when would you be likely to abstain from sexual intercourse or use an alternative contraceptive method? 

A) when the cervical mucus is thickest 
B) when the cervical mucus is not present and the vagina seems more dry 
C) when the cervical mucus is thin and stretchy 
D) when body temperature decreases

Question 28

Which of the following is an IUD that also releases progestin? 

A) ParaGard 
B) GyneFix 
C) Mirena 
D) Depo-Provera

Question 29

What is the most commonly used contraceptive method in the world? 

A) condoms 
B) birth control pills 
C) female sterilization 
D) withdrawal

Question 30

What is the range of common effectiveness rates for spermicides used alone? 

A) 40-50% 
B) 50-60% 
C) 70-80% 
D) 80-90%

Question 31

What is the name of the device placed just under the skin in the arm that uses time-released hormones to prevent pregnancy for up to three years? 

A) Depo-Provera 
B) Implanon 
C) Mirena 
D) NuvaRing

Question 32

How do the newer methods of female sterilization (Essure and Adiana)differ from traditional tubal sterilization methods? 

A) They are nonsurgical methods. 
B) They are considered reversible. 
C) They cause the ovaries to stop producing eggs. 
D) They are temporary and have to be updated every 10 years.

Question 33

Which statement best describes what a man can expect after a vasectomy? 

A) He will no longer ejaculate. 
B) He is sterile immediately. 
C) He will have difficulty achieving an erection for two to three months after surgery. 
D) He will continue to produce viable sperm, but they will have nowhere to go.

Question 34

Where are intrauterine devices (IUDs)placed in a woman's body? 

A) vagina 
B) fallopian tubes 
C) ovaries 
D) uterus

Question 35

How does female sterilization work to prevent pregnancies? 

A) The uterus is removed so a fertilized ovum cannot implant. 
B) The fallopian tubes are blocked so that ovum and sperm cannot meet. 
C) The ovaries are cauterized so that eggs cannot be released. 
D) A coil is placed inside the cervix so sperm cannot enter.

Question 36

What is an advantage of Depo-Provera? 

A) It does not require a prescription. 
B) It provides protection for up to five years. 
C) It does not interfere with spontaneity. 
D) It does not contain progestin.

Question 37

What should users of the patch be aware of? 

A) They are at higher risk for cardiovascular disease. 
B) They are at higher risk for blood clots. 
C) They have a high risk for skin infections at the site of the patch. 
D) They have a higher risk for pregnancy as it is only 80 percent effective.

Question 38

Which group of women may experience lower effectiveness rates with hormonal methods of birth control? 

A) women ages 15 to 19 
B) women over 35 
C) women who are significantly overweight 
D) women who exercise too much

Question 39

Which statement best describes the male sterilization procedure? 

A) It is more common in the United States than female sterilization. 
B) It costs about twice as much as female sterilization. 
C) It involves lower rates of complications than female sterilization. 
D) It is performed as an inpatient treatment whereas female sterilization is done as an outpatient procedure.

Question 40

What would be the best contraceptive choice for a woman who wanted a longer term contraception that was reversible and contained no hormones? 

A) ParaGard IUD 
B) Mirena IUD 
C) Implanon 
D) NuvaRing

Question 41

Which statement best describes emergency contraception? 

A) It is available over the counter for women in Canada. 
B) It has not been approved by the Health Canada for legal use in Canada 
C) It will cause an abortion if a fertilized egg is already implanted in the uterus. 
D) It involves a visit to the health care clinic and a short out-patient procedure.

Question 42

Depo-Provera is a form of progestin injected into the muscle of a woman's arm or buttock that last for three months.

Question 43

Douching immediately after having vaginal intercourse,while not a fail-safe method,has been found to reduce the risk of pregnancy.

Question 44

Barrier methods of contraception work by preventing sperm from entering the uterus.

Question 45

Women who have used oral contraceptives have a significantly lower rate of death from all cancers,compared to non-users.

Question 46

Which statement best describes a first-trimester vacuum aspiration abortion? 

A) It typically involves local anesthesia. 
B) It can be performed up to 20 weeks into a pregnancy. 
C) It usually takes 45 minutes to an hour. 
D) Recovery typically requires a one-day hospital stay.

Question 47

Using a male and female condom together is a good way to offer double protection during sexual intercourse.

Question 48

What is an effective type of emergency contraception? 

A) Ella 
B) the sponge 
C) douching 
D) Depo-Provera

Question 49

Progestin-only birth control methods are recommended for women who are breastfeeding.

Question 50

What statement best describes men's reactions to abortion? 

A) Men do not typically want to be involved in an abortion decision. 
B) Men often do not discuss the pregnancy with anyone other than their partner. 
C) Men do not experience the sense of loss from an abortion because their bodies do not experience the physical changes associated with pregnancy and abortion. 
D) Women who are still in a relationship with their male partner do not typically get abortions.

Question 51

As of 2008,the official stance of the Catholic Church prohibited the use of artificial contraception.

Question 52

What condition may put a woman at risk for developing a serious psychological reaction after an abortion? 

A) being older 
B) having no religious background 
C) having an early abortion procedure 
D) having a difficult time making the decision

Question 53

What is the relationship between cross cultural factors and abortion statistics? 

A) Countries that have more liberal abortion laws have lower rates of abortion. 
B) Countries that have more liberal abortion laws have higher rates of abortion. 
C) Nearly 90 percent of abortions worldwide involve legal abortion procedures. 
D) Nearly 90 percent of abortions worldwide involve illegal abortion procedures.

Question 54

Abortion has been practiced throughout history.In fact,Aristotle viewed abortion as a backup to contraception.When did Aristotle believe life begins? 

A) at the moment of conception 
B) when crucial organs were formed which was different for males and females 
C) when the mother felt the baby move 
D) at the moment of birth

Question 55

One disadvantage of an IUD is that they can be difficult to insert and remove each time a couple has intercourse.

Question 56

What age group has the most abortions in Canada? 

A) women in their teens 
B) women in their 20s 
C) women in their 30s 
D) women in their 40s

Question 57

How does a medication induced abortion work? 

A) It causes the cervix to dilate so the pregnancy cannot be sustained. 
B) It stops the development of the growing embryo. 
C) It causes a breakdown in the uterine lining and uterine contractions that expel the fetus. 
D) It causes the body to have an immunological reaction to the fetus which causes expulsion.

Question 58

What is one aspect of the medication induced abortion procedure that is different than the surgical abortion procedure? 

A) No anesthesia is required. 
B) It is highly effective. 
C) It only requires one visit to a medical clinic. 
D) It is a relatively brief procedure.

Question 59

What is one of the most common physiological symptoms following an abortion? 

A) heavy bleeding 
B) cervical laceration 
C) uterine perforation 
D) fatigue

Question 60

In the 1800s and early 1900s,doctors were the primary ones to provide information about contraception to women and men.

Question 61

Discuss three factors that influence cross culture contraceptive use and give examples of how these factors relate to use or lack of use of specific contraceptive methods.

Question 62

Describe three different characteristics that are at the foundation of natural family planning.

Question 63

Explain how combination hormonal methods of contraception work.Identify three combined-hormonal contraceptive methods.Discuss the effectiveness rates,advantages and disadvantages to each.

Question 64

The most common procedure for female sterilization is the hysterectomy.

Question 65

Emergency contraception works by causing a fertilized egg to dissolve back into the body.

Question 66

Explain how barrier methods of contraception work and identify three barrier contraceptive methods.Discuss the effectiveness rates,advantages and disadvantages of each.

Question 67

Recent studies have shown an increase in sexual risk taking in women in areas where emergency contraception is more readily available.

Question 68

Male sterilization involves fewer risks for complications than female sterilization.

Question 69

Explain how progestin-only methods of contraception work.Identify two progestin-only contraceptive methods.Discuss the effectiveness rates,advantages and disadvantages to each.

Question 70

Describe the difference between typical use and perfect use effectiveness rates.Give two examples of contraception including the typical use and perfect use rates.Be sure to describe why there is a difference for each?

Question 71

Provisions such as gestational limits,public funding restrictions,waiting periods,and parental notification laws have greatly reduced the number of women seeking abortions.

Question 72

Differentiate the difference between male and female sterilization surgical methods,including how they work,advantages and disadvantages as well as popularity outside of Canada.

Question 73

Identify two forms of spermicidal contraception.How do they work and what are the advantages and disadvantages of each?

Question 74

The largest groups of women having abortions are in their 20s followed by women in their 30s.

Question 75

Differentiate between surgical and medication induced abortion and assuming a woman had decided to obtain an abortion,explain how she might decide which procedure would be best for her.

Question 76

How does an IUD work to prevent pregnancy? Discuss the advantages and disadvantages of IUD use.Be sure to discuss specific differences between types of IUDs.