Identify the following copper device?

NORCET 3 - 2022 (Shift-1)

Obstetrics & Gynaecology

Medium

Appeared in: NORCET 3 - 2022 (Shift-1)

Explanation

The image displays a T-shaped intrauterine device (IUD).
Key features include copper wire wrapped around the vertical stem and, most importantly, copper sleeves on both horizontal arms.
This combination of a T-shape with copper on both the vertical and horizontal components is characteristic of the CuT 380A.
The total surface area of the copper is approximately 380 mm², which gives the device its name and allows for a long duration of use (up to 10 years).

Option B: The CuT 375 typically has a U-shape or horseshoe shape and lacks copper sleeves on the horizontal arms. The device in the image is T-shaped and has copper on the arms.
Option C: The Lippes Loop is an older, non-hormonal, non-copper (inert) IUD made of plastic and shaped like a double 'S'. The device in the image is T-shaped and contains copper.
Option D: LNG stands for Levonorgestrel, which is a hormone. An LNG-releasing intrauterine system (LNG-IUS) is T-shaped but has a whitish cylinder (reservoir) containing the hormone on its vertical stem instead of copper wire. The device in the image clearly has copper wire.

Visual 1: Infographic: A comparative chart showing images and key features of different IUDs (CuT 380A, CuT 375, Mirena/LNG-IUS, Lippes Loop) side-by-side to highlight their differences in shape, material, and components.
Visual 2: Diagram: An anatomical illustration showing the correct placement of a CuT 380A within the uterine cavity, with the 'T' arms opened in the fundus and the string extending through the cervix.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of Intrauterine Contraceptive Devices (IUDs) as background academic context rather than a clinical decision trigger.
Nurses play a crucial role in counseling patients about contraceptive options. Being able to identify different IUDs helps in providing accurate information about their duration, side effects (e.g., heavier periods with copper IUDs), and mechanism of action.
Patient education on checking for the IUD strings monthly is a key nursing intervention to ensure the device is still in place. The nurse must also teach the 'PAINS' warning signs for which the patient should seek immediate medical attention.
What if the patient was a nulliparous woman (has never given birth)? Historically, IUDs were not recommended for nulliparous women, but current guidelines state that IUDs, including the CuT 380A, are safe and effective for this population, although insertion may be slightly more difficult or painful.

How to Approach the Question

First, carefully observe the image provided. Note the overall shape, materials, and any distinct components of the medical device.
In this case, identify the 'T' shape, the brown-colored wire on the vertical stem, and the brown-colored sleeves on the horizontal arms. Recognize these as features of a copper IUD.
Next, evaluate the given options. Compare the visual evidence from the image with the known characteristics of each option.
Option A, CuT 380A, is known for its T-shape and copper on both the stem and arms. This matches the image.
Option B, CuT 375, is U-shaped and lacks copper on the arms. This does not match.
Option C, Lippes Loop, is S-shaped and contains no copper. This does not match.

Concept Tested & Keywords

Q2sbJuLFXACy8aq2A0_D9z