UPPSC 2022
Obstetrics & Gynaecology
Easy
Which of the following is a terminal method of contraception?
Appeared in: UPPSC 2022
Explanation
- Male sterilization, also known as vasectomy, is a surgical procedure designed to provide permanent contraception.
- It is classified as a 'terminal' method because it is intended to be irreversible, permanently preventing sperm from being ejaculated with semen.
- The procedure involves cutting or sealing the vas deferens, the tubes that carry sperm from the testicles.
- This contrasts with temporary or spacing methods, which are designed to be reversible and allow for future fertility.
Why Other Options Were Wrong
- Option A: Intra-uterine devices (IUDs) are long-acting but are classified as reversible methods of contraception. They can be removed at any time to allow for a return to fertility.
- Option B: Hormonal methods, such as pills, patches, and injections, are temporary and reversible. They work by altering the body's hormonal cycle to prevent pregnancy and can be discontinued.
- Option D: Barrier methods, like condoms and diaphragms, are temporary and must be used with each act of intercourse. They physically block sperm and are not permanent.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Classification of contraceptive methods, specifically identifying terminal (permanent) methods as background academic context rather than a clinical decision trigger.
- Nurses play a crucial role in contraceptive counseling, ensuring patients understand the difference between permanent (terminal) and reversible methods to make informed decisions aligned with their family planning goals.
- A key nursing responsibility is to confirm the patient's full understanding and obtain informed consent for a terminal method, emphasizing its permanence and the low success rate of reversal procedures.
- What if? If a patient seeking a terminal method expresses any doubt about wanting children in the future, the nurse should advise them to strongly consider a long-acting reversible contraceptive (LARC), such as an IUD or implant, as a more appropriate alternative.
How to Approach the Question
- First, identify the key term in the question: 'terminal method'.
- Recall or deduce that 'terminal' in the context of contraception means permanent and generally irreversible.
- Evaluate each option based on this definition.
- Analyze Option A: Intra-uterine devices are long-acting but designed to be removed, so they are reversible, not terminal.
- Analyze Option B: Hormonal methods are temporary and their effects cease when the method is stopped, so they are reversible.
- Analyze Option C: Male sterilization (vasectomy) is a surgical procedure intended to be permanent. This matches the definition of a terminal method.
Concept Tested & Keywords
- Concept Tested: Classification of contraceptive methods, specifically identifying terminal (permanent) methods.
- Stem keywords: terminal method, contraception
- Lead-in keywords: Which
Question ID
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Reference Book
E6 Physiology Essentials Sembulingam 10e Part 2 pp. 153-155, 156-158
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 UPPSC 2022
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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