Bihar CHO - 2021
Obstetrics & Gynaecology
Easy
Which is the permanent surgical method of contraception in women?
Appeared in: Bihar CHO - 2021
Explanation
- Tubectomy is the specific medical term for female surgical sterilization.
- The procedure works by occluding or dividing the fallopian tubes, which physically blocks the path for the ovum (egg) to meet the sperm.
- This prevents fertilization and subsequent pregnancy, making it a permanent method of contraception.
- It is one of the most common forms of contraception used by women in the United States who desire permanent birth control.
Why Other Options Were Wrong
- Option A: Vasectomy is a surgical sterilization procedure performed on males, not females. It involves the vas deferens.
- Option C: Ligation is a general surgical term meaning 'to tie off'. While tubal ligation is a form of female sterilization, 'Tubectomy' is a more precise and comprehensive term provided as an option that includes cutting and removing a segment of the tube.
- Option D: Laparotomy is a surgical approach, not a contraceptive method. It refers to the incision made in the abdomen to perform a surgery. A tubectomy can be performed through a laparotomy, but the laparotomy itself does not provide contraception.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Permanent surgical methods of contraception in women as background academic context rather than a clinical decision trigger.
- A primary nursing role is to provide comprehensive, unbiased counseling to patients considering permanent sterilization, ensuring they understand the procedure's permanence, failure rates, and alternatives like Long-Acting Reversible Contraceptives (LARCs).
- Post-procedure, nurses must educate patients on signs of complications, such as fever, severe pain, or incision site drainage, and when to seek immediate medical attention.
- It is critical to emphasize that tubectomy does not protect against STIs, and counseling on safe sex practices should continue.
How to Approach the Question
- First, identify the key components of the question: 'permanent', 'surgical method', 'contraception', and 'in women'.
- Evaluate each option against these four components.
- Option A, Vasectomy, is a permanent surgical contraception but for men. Eliminate it.
- Option D, Laparotomy, is a surgical approach (an incision), not a method of contraception itself. Eliminate it.
- You are left with Tubectomy and Ligation. 'Ligation' means to tie. 'Tubal ligation' is a method of female sterilization. 'Tubectomy' (-ectomy means removal) involves removing a part of the tube.
- Recognize that Tubectomy is a specific and widely accepted medical term for female sterilization, making it a more precise and correct answer than the general term 'Ligation'.
Concept Tested & Keywords
- Concept Tested: Permanent surgical methods of contraception in women.
- Stem keywords: permanent, surgical method, contraception, women
- Lead-in keywords: Which is
- Negative lead-in flag: false
Question ID
Q2hVcmhJZ-9EMcZ0qXkeLR
Reference Book
E6 Gynecology Williams p. 120-150
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 8412-8414
Practise the full Bihar CHO - 2021
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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