Intrauterine Devices — UPSC CMS MCQs (Obstetrics & Gynaecology)

Question 1

Indications for removal of IUDs are all EXCEPT:

Accepted Answer

B. Cyclical menstrual bleeding

Answer

Perforation of uterus

Answer

Flaring up of salpingitis

Answer

Pregnancy with IUD

Question 2

Contraindications for insertion of IUDs are all EXCEPT:

Accepted Answer

D. During cesarean section

Answer

Suspected pregnancy

Answer

Trophoblastic disease

Answer

Severe dysmenorrhea

Question 3

Which one of the following IUDs is associated with a low pregnancy rate (0.2 per 100), less number of ectopic pregnancies and lower menstrual blood loss?

Accepted Answer

D. LNG-20(Mirena)

Answer

Cu T-380A

Answer

ML-Cu375

Answer

Progestasert

Question 4

Among the following intra-uterine contraceptive devices, which of the following are included in second generation IUDs?
1. Lippes Loop
2. Copper T-200
3. LNG-20 (Mirena)
4. Copper-T-380
Select the correct answer using the code below:

Accepted Answer

B. 2 and 4 only

Answer

1 and 3 only

Answer

1, 2 and 3 only

Answer

1, 2, 3 and 4

Question 5

Which of the following are contraindications for insertion of Intrauterine Contraceptive Device (IUCD)?
1. Age > 35 years
2. Suspected pregnancy
3. Acute pelvic infection
4. Severe dysmenorrhea
Select the correct answer using the code:

Accepted Answer

D. 2, 3 and 4

Answer

1, 2 and 3

Answer

1, 2 and 4

Answer

1, 3 and 4

Question 6

Indications for removal of IUDs include which of the following?
(1) Perforation of uterus
(2) Pregnancy with device in situ
(3) One year after menopause
(4) Persistent migraine
Options:

Accepted Answer

A. 1, 2 and 3

Answer

1, 2 and 4

Answer

2, 3 and 4

Answer

1, 3 and 4

Question 7

A young female presented with complaints of lower abdominal pain, vaginal discharge, history of IUD use for last 3–4 years. On examination, the patient had fever, adnexal/cervical motion tenderness and increased ESR and C-reactive protein. What is the probable clinical diagnosis?

Accepted Answer

D. Acute PID

Answer

Ectopic pregnancy

Answer

Acute appendicitis

Answer

Diverticulitis

Question 8

Which of the following conditions are indications of removal of intrauterine device?
1. Persistent irregular uterine bleeding
2. Perforation of uterus
3. Pyelonephritis
4. Pregnancy with device in situ
Select the correct answer using the code below.

Accepted Answer

B. 1, 2 and 4

Answer

1, 2 and 3

Answer

1, 3 and 4

Answer

2, 3 and 4

Question 9

Consider the following statements regarding LNG-20 (Mirena):
1. It is a T-shaped IUD filled with natural hormone progesterone.
2. It is associated with a low pregnancy rate (2 per 1000 women).
3. It is associated with a large number of ectopic pregnancies.
4. It is associated with lower menstrual blood loss as compared to copper IUDs.
Which of the statements given  is/are correct?

Accepted Answer

B. 2 and 4 only

Answer

2 only

Answer

1, 3 and 4

Answer

2, 3 and 4

Question 10

Which of the following statements about hysterosalpingography, as an operative procedure, are correct?
I. Tubal patency assessment following tuboplasty operation
II. Diagnosis of uterine synechiae
III. Detection of IUD
IV. Diagnosis of subserosal fibroid
Select the answer using the code given below:

Accepted Answer

A. I, II and III

Answer

I, II and IV

Answer

I, III and IV

Answer

II, III and IV

Q1. Indications for removal of IUDs are all EXCEPT:

Q2. Contraindications for insertion of IUDs are all EXCEPT:

Q3. Which one of the following IUDs is associated with a low pregnancy rate (0.2 per 100), less number of ectopic pregnancies and lower menstrual blood loss?

Q4. Among the following intra-uterine contraceptive devices, which of the following are included in second generation IUDs? 1. Lippes Loop 2. Copper T-200 3. LNG-20 (Mirena) 4. Copper-T-380 Select the correct answer using the code below:

Q5. Which of the following are contraindications for insertion of Intrauterine Contraceptive Device (IUCD)? 1. Age > 35 years 2. Suspected pregnancy 3. Acute pelvic infection 4. Severe dysmenorrhea Select the correct answer using the code:

Q6. Indications for removal of IUDs include which of the following? (1) Perforation of uterus (2) Pregnancy with device in situ (3) One year after menopause (4) Persistent migraine Options:

Q7. A young female presented with complaints of lower abdominal pain, vaginal discharge, history of IUD use for last 3–4 years. On examination, the patient had fever, adnexal/cervical motion tenderness and increased ESR and C-reactive protein. What is the probable clinical diagnosis?

Q8. Which of the following conditions are indications of removal of intrauterine device? 1. Persistent irregular uterine bleeding 2. Perforation of uterus 3. Pyelonephritis 4. Pregnancy with device in situ Select the correct answer using the code below.