PGIMS Rohtak NO - 2017
Obstetrics & Gynaecology
Easy
Copper T 380 is effective for how many years as contraceptive?
Appeared in: PGIMS Rohtak NO - 2017
Explanation
- The Copper T 380A (TCu 380A) is a second-generation intrauterine device (IUD) specifically approved for 10 years of contraceptive use.
- Its high efficacy is attributed to the large surface area of copper (380 mm²), which continuously releases copper ions.
- These ions create a local inflammatory reaction within the uterus that is spermicidal, preventing sperm from reaching and fertilizing an egg.
- Studies have demonstrated its effectiveness for even longer than 10 years, but the approved duration of use remains 10 years.
Why Other Options Were Wrong
- Option A: A 3-year duration is incorrect for the Copper T 380A. This shorter lifespan is more characteristic of older copper IUDs like the Cu T 200, which had a smaller copper surface area.
- Option B: A 5-year duration is incorrect for the Copper T 380A. This is the approved duration for other types of IUDs, such as the Multiload Cu 375 and many levonorgestrel-releasing (hormonal) IUDs like Mirena.
- Option D: A 15-year duration is incorrect. While some studies show the Cu T 380A may remain effective beyond 10 years, no IUD is currently approved for a 15-year lifespan. This exceeds the recommended replacement schedule.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Effective duration of Copper T 380 IUD as a contraceptive method as background academic context rather than a clinical decision trigger.
- Accurate knowledge of contraceptive lifespans is critical for nurses in family planning clinics to provide correct patient counseling, ensuring timely replacement and preventing unintended pregnancies.
- Nurses must educate patients on how to check for IUD strings and recognize the 'PAINS' warning signs (Period late, Abdominal pain, Infection, Not feeling well, String missing), empowering them to seek timely medical care for potential complications like expulsion or infection.
- What if? If a patient with a Cu T 380A presents at 9 years and desires continued contraception, the nurse should advise that she is nearing the end of its effective life and discuss options, including removal and insertion of a new device in the same visit.
How to Approach the Question
- First, identify the core of the question, which is asking for the specific effective duration of the 'Copper T 380' contraceptive.
- This is a factual recall question. Access your knowledge base regarding different types of intrauterine devices (IUDs).
- Differentiate between various IUDs. Recall that copper IUDs have different lifespans based on their model and copper content (e.g., Cu T 380A vs. older models). Also, distinguish them from hormonal IUDs (e.g., Mirena), which have different durations.
- Specifically recall or look up the approved duration for the Cu T 380A model.
- Compare this information with the given options (3, 5, 10, 15 years) and select the one that matches.
Concept Tested & Keywords
- Concept Tested: Effective duration of Copper T 380 IUD as a contraceptive method.
- Stem keywords: Copper T 380, effective, contraceptive, years
- Lead-in keywords: how many
- Negative lead-in flag: false
Question ID
QCAc6h7_7wNTWypZ40G65Q
Reference Book
E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart C (pp 404-604 of 604) p. 190-192
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 8411-8413
Practise the full PGIMS Rohtak NO - 2017
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Population Dynamics and Control of Conception Questions
- What is the best time of insertion of Intrauterine Contraceptive Devices (IUCD)?
- Which of the following Emergency contraceptive methods, except?
- Cu IUCD 380A is effective up to how many years to prevent conception?
- Which of the following method of contraception can prevent sexually transmitted disease?
- Natural method of family planning among the following is?
- A woman using a diaphragm for contraception should be instructed to leave it in place for at least how long after intercourse?
- Which of the following is the terminal method of contraceptive in males?
- Which of the following is the terminal method of contraception?
- A 38-year-old lady wants to use a spacing method. She is smoking one packet of cigarettes daily. Which method of contraception is best for her?
- The surgical procedure that involves blocking or sealing the fallopian tubes to prevent the passage of eggs is:
More PGIMS Rohtak NO - 2017 Questions
- In infection which is present in an individual but not sufficient to result in a disease is called as?
- Vitamin K at birth is administered to among new born?
- Window period in HIV indicates?
- Disease occurring at the same time in different countries is known as?
- What is meant by "Gerontology"?
- Ergonomics is the study of?
- Jumping of one idea to another idea is?
- False fixed belief is called as?
- Physiological sterility is present in which of the following conditions?
- All of the following are symptoms of incomplete abortion, except?