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Demography, Family Planning and Contraception

100. First disability census was done in the year:


Review Questions
[DNB June
2011]
(a) 1881 109. Sex and age is presented by: [DNB 2001]
(b) 1951 (a) Pyramid
(c) 1981 (b) Bar diagram
(d) 2001 (c) Both
(d) None
101. Which is/ are true for Kerala in relation to India?
[PGI May 110. All are true regarding Sample Registration System
2012] (SRS) except: [UP
(a) High literacy rate 2005]
(b) High Doctor: Population ratio (a) Initiated in the 1960
(c) High growth rate (b) Estimates of birth and death rates
(d) Older age of marriage (c) Dual-record system
(e) Higher Life expectancy (d) Survey should be done every year
102. Second National Family Health Survey was done in 111. Sample registration survey is carried out once in every:
the year: [DNB June (a) 6 months [AP 2004]
2009] (b) 1 years
(a) 1992-93 (c) 2 years
(b) 1998-99 (d) 5 years D
(c) 2005-2006 112. Tamilnadu State contributes how much percent to the e
(d) 2008-2009 total population of India: [TN m
103. Sample registration system done for both death and 2000] (a) 5.5% o
birth enumeration at: [DNB December 2011] (b) 6.05% gr
(a) 6 months (c) 6.59% ap
(b) 1 year (d) 7.37% hy
(c) 5 years ,
113. Population of West Bengal (according to 2001 census)
(d) 10 years Fa
is: [Kolkata
104. BIRADS is: [AIIMS November 2003] mi
2012] (a) 78.1 million ly
(a) Breast Imaging Reporting and Data System (b) 80.22 million Pl
(b) Best Imaging Reporting and Data System (c) 82.25 million an
(c) Brain Imaging Reporting and data system (d) 96.75 million ni
(d) Biopsy Imaging reporting and data system n
114. Which of the following year in the history of
105. First census in India was done in? demography of India is India is known as the year of g
[Recent Question big divide: [Recent Question 2012] [MP an
2013] 2002] d
(a) 1861 (a) 1881 [Recent Question 2014] C
(b) 1871 (b) 1921 o
(c) 1881 (c) 1947 nt
(d) 1891 (d) 1978
(a) Total population doubled from 1921 to 1971
106. True about Census of India is/ are: 115. True regarding demographic profile in India:
(b) Annual average growth rate 1.64% in 2011 census
[PGI May 2014] (a) Literacy rate is 76% [MP 2004]
(c) Decadal growth rate has always been positive
(d) Total population above 500 million in 1961 (b) Growth rate 2.4
(e) Decadal growth rate 17.64% in 2011 (c) Life expectancy at birth is 60yrs
(d) Family size 2.1
107. True regarding Census of India is/ are:
(a) Done by Ministry of Home Affairs 116. Leprosy in India true is: [MP 2004]
(b) Done every 5 years [PGI November 2014] (a) Prevalence is 5 per 10,000
(c) Census Commissioner is the supreme head (b) MDT coverage is 90%
(d) First started in 1851 (c) Highest prevalence of leprosy in Orissa
(e) Done at Mid-year (d) Lepra bacilli is not transmitted by insect bite
108. A child is born to an Indian couple outside India. Birth 117. Birth and death registration should be done within how
registration must be done: [Recent Question many days? [MH 2000]
2014] (a) 14 and 7 respectively
(a) Within 21 days (b) 7 and 14 respectively
(b) Within 21 days of arrival into India (c) 7 and 21 respectively
(c) Within 60 days (d) 14 and 21 respictively
(d) Within 60 days of arrival into India
525
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Review of Preventive and Social Medicine
(c) 25%
118. The system of collection of data to give national and
subnational estimate of vital indicators consist of (d) 10%
continuous enumeration backed by 6 months survey
is:
(a) Model registration survey [MH
2003]
(b) National sample survey
(c) Sample registration survey
(d) National family health survey
119. Which of the following is best to compare the vital
statistics of countries? [MH-PGM-CET 2007, MH 2008]
(a) Crude death and birth rates
(b) Age standardized death rate
(c) Proportional mortality rate
(d) Age specific death rate
120. Which one of the following is a DUAL RECORD
SYSTEM consisting of continuous enumeration of
birth and death by numerator and which indicates
survey every six months? [MH
2008]
(a) Sample registration system
(b) Civil registration system
Demography, Family Planning and Contraception

(c) Census
(d) Model registration system

FAMILY PLANNING AND CONTRACEPTION


CONCEPTS OF FAMILY PLANNING

121. A contraceptive ‘Z’ is used by 100 couples for a


continuous period of 2 years. During this period 20
women become pregnant despite using the
contraceptive ‘Z’. What is the Pearl Index of ‘Z’?
[AIPGME 1993]
(a) 0.1 per HWY
(b) 5 per HWY
(c) 10 per HWY
(d) 1000 per HWY
122. Contraceptive efficacy is measured by:
(a) Pearl Index only [AIIMS Dec 1995, Nov
2008]
(b) Pearl Index and Life table analysis
(c) Life table analysis and Couple protection rate
(d) Pearl Index and Couple protection rate
123. Eligible couples per 1000 population in India is:
(a) 50 – 70 [AIPGME
2002]
(b) 100 – 120
(c) 150 – 180
(d) 200 – 250
124. In a village with 180 eligible couples, Family Planning
data of contraceptive methods is:
• Sterilization: Vasectomy - 3 and Tubectomy - 8
• IUD users - 10
• Orals pills users - 10
• Condom users - 29
526 Effective CPR in the village is: [AIPGME
2004]
(a) 60%
(b) 33%
S following except:
c [AIPGME 03]
o (a) Screening for cervical cancer
p (b) Providing services for unmarried mothers
e (c) Screening for HIV infection
(d) Providing adoption services
o
126. ‘Modern concept of Family Planning’
f
includes all except:
[AIIMS Nov 2001]
M
(a) Sex education
o
(b) Adoption services
d
(c) Screening for cervical cancer
e
r (d) In-vitro fertilization
n 127. Which of the following is important in
calculation of pearl index:
C (a) Number of abortions
o (b) Total accidental pregnancy
n (c) Socioeconomic status
c (d) Total gestational period
e
p 128. Pearl Index is expressed: [Recent Question
t 2013]
(a) Per 100 woman years
o (b) Per 10 woman years
f (c) Per 1000 woman years
(d) Per 50 woman years
f 129. Pearl Index is: [DNB December
a 2011]
m (a) Failures per 1000 women-years of exposure
i (b) Failures per 100 women-years of exposure
l (c) Failures per 10 women-years of exposure
y (d) Failures per women-years of exposure

p 130. Pearl index is defined as: [Recent Question


l 2012]
a (a) Accidental pregnancies per 1000
n women-years of ex- posure
n (b) Accidental pregnancies per 100
women-years of ex- posure
i
(c) Accidental pregnancies per 10
n
women-years of expo- sure
g
(d) Accidental pregnancies per women-
years of expo- sure
s
e
r Review Questions
v
i 131. All parameters are used by
c epidemiologist in evaluation of the
e efficacy of acceptance of family planning
s method except: [DNB 2002]
(a) Annual general marriage rate
i (b) Spacing between first and second child
n (c) Annual birth rate
c (d) Number of children born
l
132. 100 women, followed up for 20 months,
u
with OCPs, 5 became pregnant. Calculate
d
the Pearl Index:
e
(a) 1 [Bihar
2003]
a
(b) 2
l
(c) 3
l
(d) 4
o
f

t
h
e
Demography, Family Planning and Contraception

133. ‘Pearl-index’ for accidental pregnancies failure per:


(a) A - IV, B - II, C - III, D - I [AIIMS Dec 1995]
(a) 10 women-years of exposure [UP
(b) A - II, B - I, C - IV, D – III
2006]
(c) A - II, B - IV, C - I, D - III
(b) 12 women-years of exposure
(d) A - III, B - II, C - I, D – IV
(c) 100 women – years of exposure
(d) 120 women –years of exposure 141. Barrier methods are all except: [UP 2006]
134. “Pearl Index” Is normally used for studying the: (a) Diaphragm
(a) Effectiveness of a contraceptive [TN (b) Foam tablets
2003] (c) Vaginal-sponge
(b) Unmet need for family planning (d) Lippes loop
(c) Prevention of undesired pregnancies and of 142. TODAY, failure rate is:
STD in young people
(d) Basis of women’s response to survey questions
135. Population control can be achieved by: [Recent Question 2012, 2013]
(a) By spacing between the pregnancies (a) 0-5/100 woman years
(b) By promoting infanticide [MP (b) 5-10/100 women years
2002] (c) 9-20/100 women years
(c) By prohibiting infanticide (d) 0-1/100 woman years
(d) Securing maximum involvement of non-
governmental agencies
Review Questions
136. Pearl index is used to evaluate: [MP
2005]
(a) Family planning 143. Spermicide used in the contraceptive TODAY: D
(b) Contraceptive acceptance (a) Norethinsosterol [DNB 2003] e
(c) Population control (b) Nonoxynol m
(d) Contraceptive failures (c) DMPA o
137. The couple protection rate (CPR) to bring within (d) NET-EN gr
normal range in India, which of the following 144. ‘Today’ – a contraceptive contains: [DNB 2004]
ap
contraceptive measure is used? [MH 2005] hy
(a) Prestaglandin F2
(a) Sterilization (b) IUCD (b) Norethisterone ,
(c) Condom (d) All of the above (c) 9-Nonoxynol Fa
(d) Cu releasing mesh mi
NATURAL METHODS ly
IUDS Pl
138. Natural Family Planning does not include: an
(a) Terminal methods [AIPGME 1994] 145. In Cu-T 380 A, 380 represents: [AIGPME 1997] ni
(b) Basal Body Temperature Method (a) No. of turns of copper wire n
(c) Cervical Mucus Method (b) Surface area of Cu-T in sq. mm g
(d) Symptothermic Method (c) Surface area of copper in sq. mm an
(d) Effective Life of Cu-T in quarters d
Review Questions 146. The most common side effect of IUD insertion is: C
[AIPGME 2005] o
139. Which of the following Natural method of contra- (a) Bleeding nt
ception is most effective? [MPSC2006; MH (b) Pain
2008] (c) Pelvic infection
(a) Calendar method (d) Ectopic pregnancy
(b) Billing method
(c) Symptothermic method 147. All are true about Progestasert except:
(d) Basal body temperature method [AIPGME 2004]
BARRIER METHODS (a) Progestasert releases 65 mcg progesterone per day
(b) Progestasert contains 38 mg progesterone
140. Match the contraceptive and its type (c) Progestasert is implanted subdermally
(d) Progestasert is a T-shaped device
Contraceptive Type of contraceptive
148. The most common side effect of IUD insertion, which
A. Vaginal Sponge I. Subdermal implant requires its removal is: [AIIMS Nov 1992-1996]
B. Norplant II. Barrier Method (a) Bleeding
(b) Pain
C. NET–EN III. IUD
(c) Pelvic infection
D. Grafenberg’s Ring IV. Depot formulation (d) Ectopic pregnancy
527
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Review of Preventive and Social Medicine

149. Characteristics of an ideal candidate for copper – 158. IUD ‘Mirena’ release Levonorgestrel for..............years:
T insertion include all of the following except: [Recent Question 2014]
[AIIMS Nov 2005, Nov 02] (a) 3
(a) Has borne at least one child
(b) 5
(b) Is willing to check IUD tail
(c) 7
(c) Has a history of ectopic pregnancy
(d) 10
(d) Has normal menstrual periods
150. The following statements are true about Intra uterine Review Questions
devices (IUD) except: [AIIMS May
07]
159. The most common side effect of IUD insertion is:
(a) Multiload Cu-375 is a third generation IUD
(b) The pregnancy rate of Lippes loop and Cu- T 200 (a) Bleeding [DNB 2007]
are similar [AIPGME 2004] (b) Pain
(c) IUD can be used for Emergency (c) Pelvic infection
Contraception within 5 days (d) Ectopic pregnancy
(d) Levonorgestrel releasing IUD has an effective 160. Cu T 380A IUCD should be replaced once in:
life of 10 years (a) 4 yrs [Recent Question 2013] [DNB 2008]
151. Most common side effect leading to IUD removal is: (b) 6 yrs
(a) Bleeding [AIIMS Sep (c) 8 yrs
Demography, Family Planning and Contraception

1997] (d) 10 yrs


(b) Pain 161. Nova T has: [Bihar 2003]
(c) Infection (a) Silver core
(d) Uterine perforation (b) Platinum core
(c) Copper core
152. Copper – T is preferably inserted postnatal, after:
(d) Iron core
(a) 2 weeks [Karnataka 2005]
(b) 4 weeks 162. Radioopaque material in copper-T: [Bihar 2006]
(c) 5 weeks (a) Silicon
(d) 8 weeks (b) Barium sulphate
(c) Carbon
153. In Cu T 200, the number denotes: [PGI June (d) None
06]
(a) Weight in Microgram 163. True statements of Nova-T: [Kerala 2003, UP 2004]
(b) Weight in Miligram (a) Effective for 10 years
(c) Surace area (b) Silver core
(d) Volume of Device (c) More copper content
(d) Effective Half life in week (d) More chances of perforation

154. Which of the following IUDs do not require to be 164. All of the following are the advantages of 3rd gene-
ration IUD’s except: [AP
changed every 3-5 years? [AIPGME 2012]
2007]
(a) CuT 220 B
(a) High efficacy
(b) CuT ML-375 (b) low expulsion rates
(c) CuT 380 A (c) long acting
(d) CuT ML-250 (d) Low risk of ectopic pregnancy
155. The most common side effect of IUD insertion is: 165. 3rd generation IUCD acts by: [MP 2003]
[DNB 2007] (a) Strong anti-fertility effect of metallic copper
(a) Bleeding (b) By altering the composition of cervical mucous
(b) Pain (c) Hormonal effect on mucosa of endometrium
(c) Pelvic infection (d) Enhanced cellular response on endometrium
(d) Ectopic pregnancy 166. Absolute contraindication of IUCD is: [RJ 2001]
156. Cu T 380A IUD should be replaced once in: (a) Anemia
[DNB 2008] [DNB June 2010] (b) Diabetes
(a) 4 yrs (c) PID
(b) 6 yrs (d) Hemorrhage
(c) 8 yrs 167. Multi load device refers to: [RJ 2008]
(d) 10 yrs (a) First generation IUCD
157. Non medicated Intra Devices (IUDs) are called as: (b) Second generation IUCD
(a) 3rd generation IUDs [AP 2014] (c) Oral contraceptive pills
(b) 2nd generation IUDs (d) Barrier contraceptives
528 (c) 1st generation IUDs
(d) Multi – load devices
Demography, Family Planning and Contraception

168. Most effective Cu-T is: [RJ 2008] 175. Mala – N oral contraceptive pill differs from Mala– D,
(a) Cu-T 380 in terms of: [Karnataka 2005]
(b) Cu- T 220 (a) Norgestrol dosage
(c). Cu-T 200 (b) Oestradiol dosage
(d) ML-Cu 250 (c) Sold under social marketing scheme
(d) Supplied free of cost
HORMONAL METHODS 176. Contraindication of O.C.P.: [PGI June 04]
(a) Liver disease
169. All are true about Centchroman except: (b) PID
[AIIMS June 1997] (c) Renal disease
(a) Centchroman is a non-steroidal contraceptive (d) Epilepsy (A, C, D)
(b) Centchroman has been developed in India
(c) Centchroman is useful for females with PCOD 177. Contraceptive to be avoided in epilepsy is:
(d) Failure rate of Centchroman is 1.83–2.84 per HWY (a) Combined OCPs
(b) Condoms
170. Consider the following sentence: (c) IUDs
Use of oral contraceptive pills confers additional pro- (d) Post-coital (emergency) pills
tection against [AIIMS Nov 2005]
I. Fibroadenoma 178. Non contraceptive benefits of combined oral pills is/ are
II. Ectopic pregnancy reduction of: [PGI November 2011] D
III. Ovarian cysts and iron deficiency anemia (a) Iron deficiency anaemia e
Which of these statements are correct? (b) Breast cancer m
(a) I and II (c) Ovarian cancer o
(b) I and III (d) PID
gr
(c) II and III (e) Ovarian cysts
ap
(d) I, II and III 179. Minipill is contraceptive of choice for: [NUPGET 2013] hy
171. If a women was taking oral contraceptive pill, then (a) Elderly females ,
which of the following investigation would be related (b) Lactating females Fa
to the long term consumption of steroidal contra- (c) Obese women mi
ceptives? [AIIMS Nov 2002] (d) Menstruating women ly
1. Liver functions test 180. Which of the following is/ are benefits of combined Pl
2. Cervical pap smear OCPs use? [PGI November 2013] an
3. Wet smear of vaginal secretions for monilial (a) Hepatocellular adenoma ni
4. Endometrial biopsy (b) PID n
(a) 2, 3 and 4 (c) Ovarian cysts g
(b) 1, 3 and 4 (d) Fibrocystic disease of breast an
(c) 1, 2 and 4 (e) Ectopic pregnancy d
(d) 1, 2 and 3
C
172. Besides pregnancy the oral contraceptive protect Review Questions o
against all except: [AIPGME 1995] nt
(a) Fibroadenoma breast 181. Oral contraceptive cause all side effects except:
(b) Iron deficiency anemia (a) Monilial vaginitis [DNB 2001]
(c) Ovarian cancer (b) Pituitary adenoma
(d) Hepatocellular adenoma (c) Ca uterus
173. How much ethinyl estradiol does the new low dose (d) None
oral contraceptive pill contain (IN MICROGRAMS)? 182. A depot contraceptive DMPA is to be given every:
(a) 20 [AIPGME (a) 1 month [DNB 2004]
2005] (b) 2 months
(b) 25 (c) 3 months
(c) 30 (d) 6 months
(d) 35
174. Which one of the following is NOT an absolute 183. Non contraceptive effect of oral contraceptive pills is all
contraindication for oral contraceptive pills? except: [UP
(a) Nursing mothers [AIPGME 2001]
2008] (a) Protection against benign breast disease
(b) Cancer of breasts (b) Prevention of ectopic pregnancy
(c) Cardiac abnormalities (c) Dysmenorrhoea protection
(d) History of thrombo-embolism (d) Iron-deficiency anemia 529
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Review of Preventive and Social Medicine

184. Serious complication of oral contraceptive is:


(c) A and B
(a) Leg vein thrombosis [UP
(d) None of these
2006]
(b) Headache
(c) Break through bleeding EMERGENCY METHODS
(d) Breast tenderness
185. A health worker who distributes O.C pills checks all 194. All of the following can be used as emergency
of the following except: [AP 2001] contraceptive measures except: [AIIMS Nov
(a) Headache 1992]
(a) Female condoms
(b) Weight gain1 (b) IUD
(c) Breast tenderness (c) Minipill
(d) Pervaginal bleeding (d) Yuzpe and Lancee
186. All are non contraceptive advantages of oral 195. Yuzpe and Lancee Method is used for:
contraceptive pills except: [AP [AIIMS May 1992]
2004] (a) Sterilization with ‘No Scalpel Technique’
(a) Pelvic inflammatory disease (b) Emergency contraception with OCPs
(b) Hepatic adenoma (c) Emergency contraception with IUDs
(c) Benign breast cancer (d) Evaluation of newer contraceptives
(d) Anemia
187. The side effects like irregular bleeding, depression are 196. Which of the following is not used as an emergency
associated with use of: [AP contraceptive?
Demography, Family Planning and Contraception

2005] (a) LNG- Intrauterine device


(a) Mini pill (b) Oral LNG
(b) OC pills (c) CuT-Intrauterine device
(c) Mifepristone (d) Oral Mifepristone
(d) None
188. The dose of ethinyl estradiol in Mala-N is: [MP
2006] Review Questions
(a) 20 µgm
(b) 30 µgm 197. Post coital contraceptives are all except: [MP 2000]
(c) 50 µgm (a) Norgestrel
(d) 100 µgm (b) OCPs
189. The absolute contraindication for prescribing normal (c) RU-486
contraceptive pills in a woman of reproductive age (d) Copper-T
group is: [MP 2008]
(a) Epilepsy STERILIZATION
(b) Diabetes mellitus
(c) Milk hypertension 198. Following vasectomy for family planning. A patient
(d) Congenital hyperlipidemia should be advised to use some other method of
190. Mala-N-contains NORGESTREL: [RJ 2005] contraception, till: [RJ
(a) 0.15 mg 2007]
(b) 2 mg (a) Removal of all sutures
(c) 5 mg (b) Pain completely sutures
(d) 10 mg (c) Two weeks
(d) Eight weeks
191. Minipills contain: [RJ 2006]
(a) Only progesterone is small quantity 199. A case of vasectomy is said to have failed as the
(b) Progesterone and estrogen vasectomised person’s wife gives birth to a child ten
(c) Estrogen in small quantity and progesterone in months after the operation. Which one of the
large following is the most probable cause? [DPG
(d) Estrogen 2011]
(a) Failure of the husband to use condom after vasectomy
192. DMPA is an injectable contraceptive given every: (b) Surgical failure
(a) Three weeks [RJ 2007] (c) Recanalisation
(b) Two months (d) Wife had extramarital contact
(c) Three months
200. Most common method of sterilization practiced in
India: [Recent Question
2013]
530
(d (a) Female sterilization
)
T (b) Male sterilization
w
o (c) Both equally common
ye
ar (d) None
s
193.
Mini
pill
contain
s:
2007]
(a) O
nl
y
pr
o
ge
st
er
o
ne
is
s
m
al
l
q
u
a
nt
it
y
(b) Pr
o
ge
st
er
o
ne
a
n
d
es
tr
o
ge
n
in
s
m
al
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