Medical Abortion & Emergency Contraception MCQ Quiz | Family Planning & MTP

Welcome, MBBS students! This quiz is designed to test your understanding of Medical Abortion and Emergency Contraception, crucial topics within Family Planning and the MTP Act. You will face 25 multiple-choice questions covering pharmacological agents, mechanisms of action, clinical protocols, legal frameworks, and patient management. This assessment will help you reinforce key concepts essential for both examinations and clinical practice. Read each question carefully and select the best possible answer from the options provided. After submitting your answers, you’ll receive your score and a detailed review of each question. You can also download a PDF copy of all questions with their correct answers for future revision. Good luck!

1. What is the primary mechanism of action of Mifepristone (RU-486) when used for medical abortion?

2. In the combined Mifepristone-Misoprostol regimen for medical abortion up to 9 weeks gestation, when is Misoprostol typically administered after Mifepristone?

3. A 22-year-old female seeks emergency contraception 80 hours after unprotected intercourse. Which of the following is the most effective oral option?

4. Which of the following is an absolute contraindication for the use of Mifepristone for medical abortion?

5. The Copper IUD is highly effective as an emergency contraceptive. What is its primary mechanism of action in this role?

6. According to the MTP Act, 2021 amendment in India, what is the upper gestational limit for termination of pregnancy with the opinion of ONE registered medical practitioner?

7. What is a common side effect of Misoprostol when used for medical abortion?

8. Levonorgestrel emergency contraception (LNG-EC) is thought to be less effective in which group of women?

9. What is the recommended follow-up procedure after a medical abortion to confirm its completion?

10. Ulipristal acetate (UPA) for emergency contraception acts as a selective modulator of which receptor?

11. Under the MTP Act, 2021, a Medical Board is constituted for deciding on termination of pregnancy beyond which gestational age?

12. Which medication’s efficacy may be reduced if taken concurrently with Ulipristal acetate for emergency contraception?

13. A patient with a known inherited porphyria requires medical abortion. Which drug is contraindicated?

14. What is the maximum time frame after unprotected intercourse within which a Copper IUD can be inserted for emergency contraception?

15. The ‘Yuzpe method’ of emergency contraception involves the use of:

16. Which of the following conditions is a major risk associated with failed medical abortion where the pregnancy continues?

17. A woman takes Levonorgestrel EC and vomits 30 minutes later. What is the appropriate advice?

18. The main purpose of Mifepristone in the medical abortion regimen is to:

19. Which statement is TRUE regarding the mechanism of oral emergency contraceptives like Levonorgestrel and Ulipristal acetate?

20. According to the MTP Act, 2021, the identity of a woman whose pregnancy has been terminated shall NOT be revealed, except to:

21. A patient on long-term oral corticosteroid therapy needs a medical abortion. This is a relative contraindication for which drug?

22. After taking an emergency contraceptive pill, a woman asks when her next period is due. What is the most accurate advice?

23. Incomplete abortion following a medical termination attempt is characterized by:

24. What is the most appropriate route of administration for Misoprostol in the standard medical abortion regimen after 9 weeks of gestation?

25. Which of these emergency contraception methods offers the benefit of providing long-term, ongoing contraception?