PREPARED BY

NAMAYIPO NANKAMBA (RN/RM/BSC NRS)

KEFASI TECHLAR (RN/RM/BSC NRS)

JANNES N. CHILUMBA (RN/RM/BSC NRS/MPH)

PAPER ONE

MULTIPLE CHOICE QUESTIONS. ENCIRCLE THE MOST APPROPRIATE

ANSWER

1. Integrated Reproductive Health entails offering Reproductive Health Services to:

(a) Women of child bearing age
(b) Women and under five children only
(c) Men , women, adolescents, youth and children
(d) Pregnant women only
2. Which component of reproductive health ensures the provision of quality reproductive health
services at all levels of the health care system?
(a) Safe mother hood
(b) Adolescent health and development
(c) Health service delivery
(d) Reproductive health information
3. The concept of Integrated Reproductive Health can be strengthened:
(a) Through advocacy and IEC
(b) Through community participation
(c) Radio messages
(d) Family planning
4. Which group of the population does Maternal nutrition component of IRH is improved
a) Women and adolescent girls
b) Pregnant women alone
c) Pregnant women and all under five children
d) All adolescents
5. How does the component of Adolescent health and development empower
adolescents/youths?
(a) By equipping them with life skills
(b) By involving them in giving health education
(c) By telling them to become peer educators
 (d) By giving them loans to start businesses

6. To try and minimize unsafe abortions IRH has strengthened

(a) The termination of pregnancy act
(b) The post abortion care and counseling services
(c) The gender and violence unit of the police services
(d) The powers of all women who want to abort
7. To ensure the provision of appropriate services for overcoming infertility barriers to the
achievement of reproductive intentions. Integrated Reproductive Health has incorporated a
component of
(a) Infertility
(b) Safe abortions
(c) STIs and HIV
(d) Family Planning
8. Practices, such as female genital mutilation, unsafe male circumcision:
(a) Harmful traditional practices
(b) Are encouraged in rural Zambia
(c) Are being recommended in modern surgery and IRH
(d) Are safer sex practices
9. What do call a system of involving other government Ministries, Non-Governmental
Organization, Politicians, Policy makers, Senior managers, the Community, Church
organizations and other concerned bodies and users of services:
(a) Community participation
(b) Peer consultation
(c) Multi-sectoral approach
(d) Appropriate technology
10. It is important to involve both men and women in many aspects of the RH programme:
(a) To promote responsible and caring attitudes and behaviour for the benefit of all
(b) To prevent abuse of pregnant women
(c) To minimize sexually transmitted diseases
(d) To promote love and care among couples
11. In Reproductive Health services decision making about RH matters is mostly done by:
(a) The parents to the Woman
(b) The parents to the Man
(c) The Husband
(d) The Wife
11. In order to provide services effectively and in the best interests of the whole family:
(a) The relative to the wife need to be contacted
(b) Its is important to seek the services of a traditional healer
(c) Health providers need to be aware of the roles and decision-making process within
the family
(d) Health providers need to do door to door sensitization on health matters
12. In quality of care, how can the need to respect clients’ rights to informed consent be attained?
(a) by providing adequate information and counseling
(b) by forcing all the patients scheduled for theatre to sign the consent form
(c) by engaging the Senior medical superintendent of the hospital to sign consent forms for
the patients
(d) by simply telling the patient to sign the consent form
13. Appropriate Technologies and Skills:
(a) Must be selected according to universal standards
(b) Involves making sure the woman delivers at the hospital
(c) Requires that one must be a nurse
(d) Requires that there should be a doctor at the service providing facility
14. What is the reasonable available distance from all patients to offer Primary Health Care
(PHC) services:
(a) Within 20 Km radius
(b) within 15 Km radius
(c) within 12Km radius
(d) within 10Km radius
15. In Primary Health care the concept of accessibility requires that:
(a) Patients should be required to accept one service in order to gain access to another type
of
Service
(b) A referral network, including transportation, to higher-level facilities should be
coupled to PHC services.
(c) Patients’ access to services should be contingent on social or cultural backgrounds , age,
and marital status,
(d) Patients’ access to services should be based on one’s educational status
16. Total Fertility Rate is at 6.2 births per woman in Zambia This implies that :
(a) Zambian Woman will give Birth to 6.2 children by the end of her Child bearing
age.
(b) 6.2% of her child bearing age she will be pregnant
(c) 6.2 % of her deliveries will not be successful
(d) 6.2% the woman will require medical intervention to become pregnant
17. One goal of family planning is ensuring that all couples and individuals
(a) have the basic right to decide freely and responsibly the number and spacing of
their children
(b) are limited to one or two children
(c) are forced to have only one child and adopt siblings from orphanage
(d) have permanent method of family planning after having three children
(e) Part A multiple Choice questions 135
18. In -------a woman was only allowed to access Family planning methods
(a) when she was married
(b) when she had more than four children
(c) when she produced a letter of consent from the husband
(d) when the doctors have recommended
19. This was the family planning method which was alternatively provided by family life
movement
(a) Use of condom
 (b) Use of spermicides
(c) Use of natural family planning
(d) Use of hormonal pills
20. Expanded access to Family planning is done by use of:
(a) the private sector and social marketing
(b) Community based programmes
(c) Information Education and Communication
(d) All of the above
21. The menstrual disorder in which there is absence or suppression of normal menstrual period
is called:
(a) Dysmenorrhoea
(b) Polymenorrhoea
(c) Menorrhagia
(d) Amenorrhoea
22. Dysmenorrhoea is
(a) Heavy menstruation
(b) Light menstruation
(c) Painful menstruation
(d) Infrequent menstruation
23. Mrs. Banda is a patient at the ward with complaints of light menstrual periods, which occur
at an interval of greater than 35 days. Your diagnosis will be:
(a) Oligomenorrhoea
(b) Menorrhagia
(c) Metrorrhagia
(d) Polymenorrhoea
24. Polymenorrhoea is defined as:
(a) Menstruation that occurs at an interval less than 35 days
(b) Menstruation that occurs at an interval greater than 35 days
(c) Menstruation that occurs at an interval less than 21 day
(d) Menstruation that occurs at an interval greater than 21 days
25. What phase corresponds with the luteal phase?
(a) Menstrual phase
(b) Follicular phase
(c) Secretory phase.
(d) Menstrual phase
26. Menopausal women require a diet rich in calcium to prevent osteoporosis. Which one of the
following is a source of calcium?
(a) Spinach
(b) Cabbage
(c) Carrots
(d) Rape
27. Which of the following is not a complication of menopause?
(a) Fractures
(b) Alzheimer's disease
(c) Congestive Heart failure
(d) Painful intercourse
28. The age when women are likely to enter menopause is usually
(a) 35 - 40 years
(b) 40 - 45 years
(c) 45 - 50 years
(d) 25- 30 years
29. During menopause ovaries stop producing:
(a) Progesterone and Oestrogen
(b) Prolactin
(c) Human chorionic gonadotrophin
(d) Oxytocin
30. A diet rich in_________ controls menopause symptoms
(a) Carbohydrates
 (b) Soya items
(c) Fruits and veggies
(d) Eggs and meat
31. Menopause can increase the chances of
(a) Conjunctivitis
(b) Colitis or bowel upsets
(c) Cancer
(d) Urinary Infection
32. Which of the following is a symptom of menopause
(a) Bleeding per vagina
(b) Sleeping all the time
(c) Insomnia
(d) Increased concentration
33. The follicular phase is to the __________ as the luteal phase is to the secretory phase.
a. Postovulatory
b. Menstrual
c. Proliferative
d. Ovulatory
34. The following are types of induced abortions.
(a) Therapeutic abortion
(b) Missed abortion
(c) Inevitable abortion
(d) Threatened abortions
35. A fetus is considered viable after;
(a) 26 weeks
(b) 28 weeks
(c) 37 weeks
(d) 12 weeks
36. The products of conception are retained in;
(a) Complete abortions
(b) Incomplete abortions
 (c) Threatened abortion
(d) Mixed abortion

37. In missed abortion the woman will experience:

(a) Severe cramping Lower abdominal pains
(b) Brownish vaginal discharge
(c) Profuse per vagina bleeding
(d) Open cervical OS
38. Which of the following is a complication of abortions:
(a) Malnutrition
(b) Peritoneum
(c) Fibroids
(d) Septicaemia
39. The first menstrual period age occur between the age of:
(a) 9 and 15 years
(b) 2 and 10 years
(c) 1 and 5 years
(d) 18 and 20 years
40. Pelvic Inflammatory Disease (PID) affects the fallopian tubes resulting in a condition called:
(a) Oophoritis
(b) Endometritis
(c) Salpingectomy
(d) Salpingitis
41. One of the following investigations is done in Pelvic Inflammatory Disease:
(a) Paracentesis
(b) Culdocentesis
(c) Hysterectomy
(d) Douching
42. The following should be included in differential diagnosis of ectopic pregnancy
(a) Inevitable abortion
(b) Dysmenorrhea
 (c) Twisted ovarian cyst
(d) Fibroids
43. The patient about to under a gynaecological surgery is put on nil by mouth for …….before
surgery to prevent aspiration.
(a) 2-4hours
(b) 3-5 hours
(c) 4-6 hours
(d) 5-7 hours
44. Abortion is defined as:
(a) Bleeding per Vaginum in early pregnancy
(b) Willingness to terminate pregnancy
(c) Expulsion of products of conception after the 28th week of gestation
(d) Expulsion of products of conception before the 28th week of gestation
45. Abortion is important because
(a) It is easily conducted
(b) It can easily be diagnosed
(c) It causes serious complications such as infections and maternal death
(d) All of the above
46. The following are outcomes of an ectopic pregnancy EXCEPT:
(a) Tubal abortion
(b) Tubal rupture
(c) Intra-tubal bleeding
(d) Secondary abdominal pregnancy
47. What is the commonest symptom in all clinical types of abortion EXCEPT:
(a) Lower abdominal pain
(b) Per vaginal bleeding
(c) Show
(d) Backache
48. Which one of the following statement is NOT true about menstruation:

(a) The average amount of menstrual flow is 50 to 90 mls

(b) The menstrual flow constitutes serious fluid, necrotic slough

(c) The cycle is influenced by the ovarian hormone Oestrogen and progesterone

(d) The menstrual flow has non clotting blood

49. A menstrual disorder with Irregular or continuous bleeding from uterus is known as:
(a) Menorrhagia

(b) Metrorrhagia

(c) Polymenorrhoea

(d) Epimenorrhoea
50. What is the commonest cause of abortion in Zambia:
(a) Tuberculosis
(b) HIV
(c) Ascariasis
(d) Malaria
51. The upper folds of the labia minora surround the clitoris and unite to form the:
(a) Frenulum
(b) Prepuce
(c) Fourchette
(d) Vestibule
52. The external organs of the female are collectively known as:
(a) Vulva
(b) Frenulum
(c) Mons veneri
(d) Vestibule
53. The blood supply to the external genitalia is by the:
(a) Femoral arteries
(b) Inguinal arteries
(c) Pudendal arteries
(d) Internal iliac arteries
54. The anterior wall of the vaginal canal measures:
(a) 10 cms
(b) 11 cms
(c) 11.5 cms
(d) 7.5 cms
55. The vaginal lining is formed by:
(a) Squamous epithelium
(b) Stratified epithelium
(c) Vascular connective tissue
(d) Muscle coat
56. Posterior to the vagina lies the:
(a) Pouch of Douglas
(b) Rectum
(c) Perineal body
(d) Structures of the vulva
57. The structures of the vulva lie ____________ to the vagina.
(a) Posterior
(b) Inferior
(c) Lateral
(d) Superior
58. The endometrial tissue of the cervix is arranged in folds known as:
(a) Racemose glands
(b) Rugae
 (c) Arbor vitae
(d) Peritoneum

59. The weight of the non-pregnant uterus is approximately ___________grams.

(a) 57
(b) 80
(c) 66
(d) 71
60. The area of the uterus where the fallopian tubes are inserted is the:
(a) Fundus
(b) Corpus or body
(c) Cavity
(d) Cornua
61. Uterine supports which maintain it in an anteverted and anteflexed position is the:
(a) Round ligaments
(b) Broad ligaments
(c) Cardinal ligaments
(d) Pubocervical ligaments
62. The breast areola measures:
(a) 3.5cm
(b) 2.5cm
(c) 4.5cm
(d) 1.5cm
63. The endometrium is shed up to the basal layer during this phase of the menstrual cycle:
(a) Ovulation
(b) Regenerative
(c) Secretory
(d) Menstruation
64. During the menstrual cycle, the hormone which maintains the corpus luteum is:
(a) Luteinizing hormone
(b) Follicle stimulating hormone
 (c) Progesterone
(d) Relaxin

65. The phase of the menstrual cycle which is variable is the:

(a) Ovulatory
(b) Regenerative
(c) Secretory
(d) Menstrual
66. Each breast is situated on each side of the sternum and extends between the:
(a) 1st and 6th rib
(b) 2nd and 6th rib
(c) 3rd and 6th rib
(d) 4th and 6th rib
67. The other name for the breast is:
(a) Sebaceous glands
(b) Racemose glands
(c) Mammary glands
(d) Axillary glands

68. The Graafian follicle ruptures during this phase of the menstrual cycle:
a. Regenerative
b. Menstruation
c. Ovulation
d. Proliferative
69. Luteinizing hormone:
a. Maintains the corpus luteum
b. Ripens the Graafian follicle
c. Prepares the breasts for lactation
d. Produces regrowth of the endometrium
70. Fertilization normally occurs in the:
a. Ampulla
b. Interstitial portion
 c. Isthmus
d. Infundibulum

71. The number of primordial follicles in the cortex of the ovary at birth is about:
a. 250,000
b. 200,000
c. 150,000
d. 100,000
72. The term used to refer to the fertilized ovum is:
(a) Zygote
(b) Embryo
(c) Foetus
(d) Pregnancy
73. A solid ball of 12 – 16 cells having undergone mitotic division after fertilization is:
(a) Zygote
(b) Blastomere
(c) Morula
(d) Blastocyst
74. During fertilization, the portion of the decidua covering the blastocyst is called:
(a) Decidua basalis
(b) Decidua Vera
(c) Decidua parietalis
(d) Decidua capsularis
75. Cell division after fertilization occurs through a process of:
(a) Binary fission
(b) Meiosis
(c) Budding
(d) Mitosis
76. The placenta is developed from part of the trophoblast called:
(a) Chorionic Frondosum
(b) Anchoring Villi
 (c) Chorionic laeve
(d) Body stalk

77. cord inserted to the very edge of the placenta is known as

(a) Battledore insertion
(b) Placenta velamentosa
(c) Placenta accreta
(d) Vasa Praevia
78. The Carunculae Myrtiformes:
(a) Lie between the vagina and the perineum
(b) Are part of the prepuce of the clitoris
(c) Are the remains of the torn hymen
(d) Partially shuts the vaginal introitus
79. A triangular space lying between the vaginal and rectal canals is the:
(a) Pelvic floor
(b) Perineum
(c) Vestibule
(d) Perineal body
80. The inner lining of the non-pregnant uterus is called:
(a) Decidua
(b) Myometrium
(c) Endometrium
(d) Sponge layer
81. One of the following is NOT a strategy for family planning:
(a) Integrating family planning services with other Reproductive Health programmes
(b) Expanded access to Family planning through non –public Delivery Systems
(c) Targeting Family Planning services to priority groups
(d) Expanded program of Immunization
82. In 1989, the national population policy was formally launched which targeted at
(a) Reducing the population growth
(b) making family planning services available
 (c) accessible and affordable to all eligible users
(d) All of the above

83. Expanded access to Family planning through non –public Delivery Systems is done by all of
the following EXCEPT:
(a) By use of the private sector and social marketing
(b) Community based programmes
(c) Information Education and Communication
(d) Key person in the community
84. This is a way of grouping clients according to their reproductive needs during a counselling
session, in order to meet each individual client’s specific needs:
(a) Gather method
(b) Profiling
(c) Confidentiality
(d) One to one counselling
85. Lactational Amenorrhoea Method (LAM) is best for:
(a) Clients who do not wish to have any more children
(b) Clients with a baby less than 6 months postpartum
(c) Clients who want to wait before having a first or another child
(d) clients with several sexual partners
86. What prompted the Zambian nation to implement family planning services
(a) The nation started to experience the effects of rapid population growth on economy
and individual welfare.
(b) The donors brought in free family planning pills
(c) Mothers were delivering twice in every year
(d) There were too many abortions
87. Which department of the Government ministries was given the mandate to pilot a
draft population policy, which aimed at achieving a population growth rate consistent
with
the economic growth rate:
(a) The department of planning and development
 (b) National census
(c) Human rights
(d) Central statistics

88. Which policy was formally launched which targeted at reducing the population growth,
making family planning services available, accessible and affordable to all eligible users:
(a) The reproductive health policy
(b) The ministry of health policy
(c) Gender and healthy policy
(d) The national population policy
89. Legislation allowing nursing staff to provide contraceptives has resulted in all of the
following EXCEPT:
(a) More nursing staffs have been trained to provide family planning services
(b) Many population and family planning organisations have emerged
(c) Enhanced implementation of population and family planning programmes
(d) Male involvement in family planning services
90. The letter ‘T” in the Acronym “GATHER” denotes
(a) Ask client about themselves – particulars needs, obstetric and medical history
(b) Tell client about modern FP methods available, and discuss each in detail
(c) Help client choose a method and repeat information regarding the chosen method if
necessary
(d) Explain how to use the method – what, where, when and how
91. During the counselling session, you can also use the acronym, CLEAR. The letter E stands
for:
(a) Encourage and assure client of effective use of the method
(b) Explain how to use the method
(c) Tell client about modern FP methods available, and discuss each in detail
(d) Explain all possible complications
92. The estimated percentage of death due to unsafe abortions from 591 maternal deaths per 100
000 live births is:
(a) 10%
 (b) 20%
(c) 30%
(d) 40%

93. The commonest site for ectopic pregnancy is:

(a) Isthmus
(b) Interstitial
(c) Ampulla
(d) Infundibulum
94. A woman is considered to be menopause if she has experienced cessation of her menses for
a period of:

(a) 6 months
(b) 12 months
(c) 18 months
(d) 24 months

95. In which of the following types of spontaneous abortions would the nurse assess dark
brown vaginal discharge and a negative pregnancy tests?

(a) Threatened
(b) Imminent
(c) Missed
(d) Incomplete
96. A client 12 weeks’ pregnant come to the emergency department with abdominal cramping
and moderate vaginal bleeding. Speculum examination reveals 2 to 3 cms cervical dilation.
The nurse would document these findings as which of the following?
(a) Threatened abortion
(b) Inevitable abortion
(c) Complete abortion
(d) Missed abortion
97. Which of the following would be the priority nursing diagnosis for a client with an ectopic
pregnancy?
(a) Risk for infection
(b) Pain
(c) Knowledge Deficit
(d) Anticipatory Grieving

98. The following are signs and symptoms of vaginitis EXCEPT:

(a) Vaginal itching and irritation

(b) Heavy vaginal bleeding
(c) Pain during coitus
(d) Painful urination
99. The surgical procedure done in Bartholin’s abscess is called:
(a) Hysterectomy
(b) Oophorectomy
(c) Marsupialisation
(d) Salpingectomy
100. Treatment for condylomata acuminate include the following EXCEPT:
(a) Vulvectomy
(b) Podophyillin application
(c) Laser therapy
(d) Electrocautery
MATCHING QUESTIONS.

WRITE THE MOST APPROPRIATE LETTER OF THE ANSWER IN THE SPACES

PROVIDED. THE ITEMS IN COLUMN II SHOULD BE USED ONLY ONCE

MATCH THE FOLLOWING GYNAECOLOGICAL INVESTIGATIONS IN COLUMN I

WITH THEIR DESCRIPTION IN COLUMN II

COLUMN I COLUMN II

1. ______Hysterosalpingo-contrast Sonography A. Is a test used detect Human Chorionic

Gonadotrophic hormone (HCG) in urine or
whole blood.
2. ______Hysteroscopy B. Is a procedure performed to examine the
rectouterine pouch and pelvic viscera
through the posterior vaginal wall.
3. _______Laparoscopy C. Uses in many areas of gynaecology to
assess the pelvic organs.
Sound is easily transmitted through fluid
4. _______Culdoscopy D. This involves inserting a very narrow
endoscope through the cervix to view the
uterine cavity
5. _______Gravindex test E. Test to check a woman's tubes and is
done with an X ray and dye test called a
hystero-salpinogram
F. It is an ultrasound based investigation it
uses a negative and a positive contrast media

ANWSERS : 1.F 2. D 3. G 4. B 5. A
MATCH THE FOLLOWING TYPES OF ABORTIONS IN COLUMN I WITH THEIR
COLUMN I
6. _____Incomplete abortion
7. _____Inevitable abortion
8. _____Missed abortion
9. _____Carneous Mole
10. _____Threatened abortion
to outline the uterine cavity and fallopian
tubes.
G. A small instrument known as a
laparoscope is used to take very detailed
photographs
DESCRIPTION IN COLUMN II
COLUMN II
A. The ovum die in utero and the decidua
capsularis remains intact
B. Occurs when the patient experience three
or more consecutive spontaneous abortions
C. Is one in which part of the products of
conception especially the fetus is expelled
while the placenta and membranes are
retained.
D. Is when the patient experiences slight per
vagina bleeding through an un-dilated
cervix.
E. Is when pregnancy can no longer
continue
F. Is when the fetus dies and is retained in
utero with placenta and membranes.
G. Occurs when fluids drain from the blood
mole leaving a fresh firm and mass.
 H. Occurs when all products of conception
are expelled and there is minimal per vagina
bleeding.

ANSWERS

6. H 7. E 8. F 9. G 10 D

MATCH THE PRINCIPLES OF IRH IN COLUMN I WITH THEIR DESCRIPTION IN

COLUMN II

COLUMN I COLUMN II
11. ___Community Participation (d) A. All invasive procedures must involve
12. ___Quality of Care(e) Infection Prevention (IP) and
proper use of drugs
13. ____Appropriate Technologies and Skills (a) B. Primary Health Care (PHC) services
must be available
14. ___Accessibility (b) C. A patient has the right to know, before
any procedure is performed, what the
procedure involves
D. Essential at all stages to
ensure acceptability, appropriateness
and sustainability of IRH
programmes

E. Reproductive Health Care

providers must ensure
accessible services, privacy,
confidentiality, and continuity
of care
 Answers: Q11.D, Q12.E, Q13.A, Q14.B

MATCH THE PRINCIPLES OF IRH IN COLUMN I WITH THEIR DESCRIPTION IN

COLUMN II
COLUMN I COLUMN II
15. ____Informed Consent (b) a) All information regarding the patient,
16. ____Privacy (d) her/his history, treatment, condition,
17. _____Confidentiality (a) circumstances, and prognosis is
18. _____Respect discussed only between the patient, the
provider and supervisors

b) A patient has the right to know, before

any procedure is performed
c) All health staff should talk with patients
politely and manage patient care in a
compassionate and non-judgmental
fashion
d) Windows should be covered, and
partitions placed between examination
areas
e) Examination tables should face the
 doors and windows so that a woman will
be exposed

ANSWER: Q15.B, Q16.D, Q17.A, Q18. C

MATCH THE HORMONE IN COLUMN I WITH ITS ACTION IN COLUMN II

COLUMN I COLUMN II

19. _____ Relaxin A. Stimulates development of milk producing tissue

20. _____ Prolactin B. Stimulates milk ejection
21. _____ Oestrogen C. Stimulates milk production
22. _____ Progesterone D. Stimulates milk storage
23. _____ Oxytocin E. Stimulates development of lactoferrin

F. Stimulates development of nipple and duct system in the breast

G. Relaxation of the symphysis pubis

Answers: Q19. G, Q20. C, Q21. A, Q22. F, Q23. B

MATCH THE STRUCTURES IN COLUMN I WITH THEIR LINING IN COLUMN II

COLUMN I COLUMN II

24. _______Vagina A. Ciliated epithelium

25. _______Urinary bladder B. Columnar epithelium
26. _______Uterus C. Squamous epithelium
27. _______Fallopian tubes D. Stratified epithelium
28. _______Testes E. Transitional epithelium
F. Glandular tissue
G. Endometrium
Answers: Q24. C, Q25.E, Q26.G, Q27.A, Q28.F

MATCH THE DRUGS IN COLUMN I WITH THEIR USAGE IN COLUMN II

COLUMN I COLUMN II

29. ______Bromocriptine A. Relieves constriction ring

30. ______Pethidine B. Management of post-partum haemorrhage
31. ______Diazepam C. Used for cervical priming
32. ______Dinoprostone D. Can be used in pre-eclampsia
33. _____Carboprost E. Relieves pain
F. Affects milk production
G. Is a tocolytic drug
Answers: Q29. F, Q30.E, Q31.D, 32.C, Q33. B

MATCH THE WEEKS IN COLUMN I WITH THE BREAST CHANGES IN COLUMN II

COLUMN I COLUMN II

34. _______3-4 weeks A. Darkening of the nipple

35. _______6-8 weeks B. Colostrum can be expressed
36. _______8-12 weeks C. Prickling, tingling sensation
37. _______16weeks D. Montgomery’s tubercles are prominent
38. _______34-40 weeks E. Nipples become prominent and mobile
F. Breast enlarged and tense
G. Pain in breast is felt
Answers: Q34.C, Q35.F, Q36.D, Q37.B, Q38.E

MATCH THE SIGNS AND SYMPTOMS IN COLUMN I WITH THE SPECIFIC

CLINICAL TYPE OF ABORTION IN COLUMN II
COLUMN A COLUMN B
39. ____Septic abortion A. Backache
40. ____ Complete abortion B. Os open
41. ____Threatening abortion C. Heavy bleeding
42. ____ Incomplete abortion D. Firm contracted uterus
43. ____Inevitable abortion E. Os closed
F. Maternal pyrexia
ANSWERS

Q39. F, Q40.D, Q 41. E, Q42.B, 43. A

MATCH THE FOLLOWING VULVOVAGINAL INFECTIONS IN COLUMN I WITH

THEIR CAUSATIVE ORGANISM IN
COLUMN II

COLUMN I COLUMN II

44. …..Vaginal candidiasis A. Gardnella Vaginalis

45. …..Bartholin’s Abscess B. Herpes Simplex Type 2
46. …..Bacterial Vaginosis C. Neisseria Gonorrhoea
47. …..Herpes Genitalis D. Human Papilloma virus type 6 and 11
48. …..Genital Warts E. Epstein- Barr Virus
F. Candida Albicans

G. Herpes Simplex Type 1

ANSWERS

44. F 45. C 46. A 47. B 48. D

MATCH THE PRINCIPLES OF IRH IN COLUMN I WITH THEIR DESCRIPTION IN

COLUMN II
COLUMN I COLUMN II
49. __e__ Integrating Services a) Involves health, community services,
protection government, NGOs, UN
agencies

50 __d____ Information, Education (d b) awareness of the issues involved in

and Communication (IEC) protecting and promoting reproductive
health may be found in all groups
involved in a community setting

51. __b Advocacy for Reproductive (b) c) A lack of awareness of the issues involved
Health in protecting and promoting
reproductive
health may be found in all groups involved
in a community

52_a____Coordinating Activities (a) d) scientifically validated knowledge

Among Relief Agencies should be shared to promote free
 and informed choice and to
counter misperceptions and
harmful practices
e) All personnel must be fully aware
of
how the system operates, what
services are provided at each level,
and how those who want to use the

services can do so

Answers: Q49.E, Q50.D, Q51B.Q52A

COMPLETION ITEMS. USE ONE OR MORE WORDS TO FILL IN THE BLANKS

1. What do you call a personal decision made by an individual or a couple on the

appropriate number of children they wish to have, and when to have the
children____________________ Family planning

2. Organization of family planning in Zambia began with the creation of Family Planning
and ____________Welfare Association of Zambia (PPWAZ

3. The Government did not view family planning as necessary because Zambia was seen to
be_______________- sparcely populated

4. Discussing family planning with adolescents and unmarried people in Zambia was
viewed as ___________ a taboo.

5. The Family Planning and Welfare Parenthood Association of Zambia (PPWAZ) was
changed to _________________Planned Parenthood Association of Zambia (PPAZ
6. Family planning plays a major role in reducing maternal and new born morbidity and
Mortality. Consequently, it contributes towards achievement of ___________the
Millennium Development Goals

7. Family Planning services Targeted Priority groups include HIV positive mothers
and__________________, men adolescents

8. This is a vital part of family planning which helps the client to arrive at an informed
decision of reproductive options and to use the chosen method safely and
effectively________________. Counselling

9. Clients who want to wait before having a first or another child; are _____________.
Spacers or delayers.
10. clients with a baby less than 6 months postpartum are _____________ Breast feeders

11. The process by which the parietal bones override the occipital bones and the anterior
parietal bone override the posterior is known
as____________________________________(Moulding)
12. Spermatogenesis takes place in the______________________(seminiferous tubules)
13. Each side of the perineal body measures_________________(4cm)
14. When the fetal heart rate is below 100 beats per minute it called__________(fetal
distress)
15. Oral polio immunization is first given to a child before the age of_____________ (0-13
days)
16. The hormone which stimulate further development of the nipple and the duct system in
the breast is________________________(Progesterone)
17. The milk secreting cells in the breast are called________________(acini cells)
18. The hormone which as in the contraction of myoepithelial cells to cause the let-down
effect of milk in the breast is____________________(oxytocin)
19. Lymphatic drainage of the breast is largely into the _____________(axillary glands)
20. In diabetic women, the fetus responds to raised levels of glucose in the maternal
circulation by increasing the secretion of__________________(insulin)
21. First type primary Amenorrhea is absence of menstruation by the age of
___________________________________ years. 14
22. A menstrual disorder in which there is uterine bleeding at irregular intervals, particularly
between the expected menstrual periods is called __________________________.
Metrorrhagia
23. The patient who is about to undergo a gynaecological surgery is advised to eat prior to
surgery to prevent__________________________________. aspiration
24. __________________________ is a menstrual disorder characterized by scanty or light
menstrual bleeding. Oligomenorrheoa
25. Menorrhagia is a disorder in which a woman experiences abnormally
___________________ menstrual bleeding at the time of normal menses. heavy_
26. A term used to describe the pain that is experienced at ovulation/ midcycle is
called……………………….Mittelschmelz
27. A term used to describe painful sexual intercourse is ……………….. Dyspareunia
28. . _________________________________or______________________________ refers
to the period of time prior to menopause during which the woman moves from normal
ovulatory cycles to cessation of menses. climateric_______ or____perimenopause
29. The suture used on an incompetent cervix in habitual abortion
is_______________________________ shirodikar
30. The pregnancy can either go to term, be missed or become inevitable
in___________________________ threatened abortion

TRUE OR FALSE

ENCIRCLE THE MOST APPROPRIATE ANSWER

1. The gestational sac which is surrounded by a blood clot and retained in the tube is called
a carneous mole.
A. TRUE
B. FALSE
2. Separation of the gestational sac is followed by its expulsion into the peritoneal cavity
through the tubal ostium.
A. TRUE
 B. FALSE
3. Rupture is always common if the fertilized ovum is implanted in the ampullary portion
of the tube.
A. TRUE
B. FALSE
4. If rupture occurs in the mesenteric border of the tube intraperitoneal haemorrhage
occurs.
A. TRUE
B. FALSE
5. If rupture occurs in the mesenteric border of the tube a broad ligament haematoma will
occur.
A. TRUE
B. FALSE
6. Tubal abortion occurs more if ovum had been implanted in the Isthmus portion of the
tube.
A. TRUE
B. FALSE
7. Herpes simplex type 2 (HSV-2) causes’ cold sores of the lips.
A. TRUE
B. FALSE
8. Glycogen is produced by vaginal epithelium influenced by oestrogen and is converted to
lactic acid by Doderlein’s bacillus.
A. TRUE
B. FALSE
9. Bacterial Vaginosis is a Sexually Transmitted Infection.
A. TRUE
B. FALSE
10. The vagina is lined by stratified columnar epithelium.
A. TRUE
B. FALSE
11. The bladder lies superior to the uterus.
 A. TRUE
B. FALSE
12. The tail of the breast is known as the axillary tail of Spence.
A. TRUE
B. FALSE
13. To maintain lactation complete emptying of the breast and stimuli are essential.
A. TRUE
B. FALSE
14. The sertoli cells nourish the spermatozoa during their development in the testis.
A. TRUE
B. FALSE
15. By 18 years full spermatogenesis occurs in males.
A. TRUE
B. FALSE

16. PIH is raised blood diastolic blood pressure of 100mmHg or more occurring after 20
weeks gestation, during or after labour or 48 hours after delivery.
A. TRUE
B. FALSE
17. Women with Placenta Praevia can deliver vaginally as long as the condition is identified
early.
A. TRUE
B. FALSE
18. In normal pregnancy, Haemoglobin concentration falls.
A. TRUE
B. FALSE
19. The vagina is lined by stratified epithelium.
A. TRUE
B. FALSE
20. The basis of the pregnancy test is detection of the hormone Oestrogen in urine or blood
 A. TRUE
B. FALSE
21. The following Reproductive Health Information, Safe Motherhood, Maternal Nutrition
and Appropriate Technologies and Skills are components of IRH
A. TRUE
B. FALSE
22. Adolescent Health and Development, Quality of Care , Accessibility , Community
Participation are Principles of IRH
A. TRUE
B. FALSE
23. Appropriate supplies must be available, clean, and, when necessary, sterile
A. TRUE
B. FALSE

24. Family planning is a decision made by a clinician on behalf of an individual or a couple

on the appropriate number of children they wish to have, and when to have the children
A. TRUE
B. FALSE
25. Recommended FP methods for clients who do not wish to have any more children.
Include injectable, Norplant, vasectomy and tubal ligation method.
A. TRUE
B. FALSE
26. Clients with several sexual partners or who suspect that their partners have several
partners. Recommended FP methods include male and female condoms, abstinence.
A. TRUE
B. FALSE
27. Clients with a baby less than 6 months postpartum. Recommended FP methods include
condoms (female and male), spermicides, mini pill, Injectables and coitus interrupters
A. TRUE
 B. FALSE
28. In family planning clients have no right to choose the method they find suitable

A. TRUE
B. FALSE
29. The potential to integrate services provided at any particular site will depend on the
skills and resources available
A. TRUE
B. FALSE
30. There is no need for all personnel to be fully aware of how the system operates, what
services are provided at each level, and how those who want to use the services can do
so in order to integrate services
A. TRUE
B. FALSE