Reproductive Week 1 Exam with UNMEB Past Papers

Welcome to your Reproductive Week 1 Exam

UNMEB PAST PAPER QUESTIONS

January 20, 2026

1. Which of the following is NOT a mechanism of action of combined oral contraceptives (COCs)?

(a) Thickens cervical mucus.

(b) Reduces sperm motility.

(d) Inhibits implantation.

2. Which of the following is NOT employed to evacuate the uterus during post-abortion care?

(a) Manual vacuum evacuation.

(b) Dilatation and evacuation.

(d) Dilatation and curettage.

3. Which of the following sexually transmitted diseases is characterized by a milky or greenish-yellowish penile discharge?

(a) Chlamydia.

(b) Syphilis.

(d) Candidiasis.

4. The commonest complaint among women with intrauterine devices (IUDs) is:

(a) Increased vaginal bleeding

(b) Pelvic pain

(d) Spotting between periods

5. When should PEP be provided to a sexually assaulted victim?

(a) Within 24 hours.

(b) Within 3 days.

(d) Any day after 1 week.

6. The most frequent cause of acute pelvic inflammatory disease is:

(a) Staphylococci.

(b) Bacilli.

(d) Streptococci.

7. Which of the following statements best defines the term habitual abortion?

(a) Five or more abortions.

(b) Two or more consecutive abortions regardless of the cause.

(d) Two abortions, one therapeutic and one spontaneous.

8. Which of the following is NOT classified as a sexually transmitted infection?

(a) Syphilis.

(b) Genital herpes.

(d) Candida vaginitis.

9. Which of the following is NOT a complication of Chlamydia?

(a) Urethritis.

(b) Vulvitis.

(d) Cervicitis.

10. The leading cause of bleeding in early pregnancy is:

(a) Abortion.

(b) Ectopic pregnancy.

(d) Blood mole.

11. Which of the following is NOT an element of post-abortion care?

(a) Emergency care.

(b) Counseling.

(d) Family planning.

12. Which of the following is a mechanical barrier used in birth control?

(a) Diaphragm.

(b) Copper-T.

(d) Spermicide.

14. Which contraceptive implant is effective for the longest duration?

a) Implanon

b) Jadelle

c) Norplant

d) None of the above

15. What type of family planning counseling involves only one client?

a) Group counseling

b) Individual counseling

c) Couple counseling

d) Community counseling

16. Which of the following organisms causes syphilis?

a) Neisseria gonorrhoeae

b) Treponema pallidum

c) Haemophilus ducreyi

d) Chlamydia trachomatis

17. Which of the following is a bacterial sexually transmitted infection (STI)?

A. HIV

B. Herpes Simplex

C. Gonorrhea

D. Genital Warts

18. What is the main purpose of syndromic treatment flow charts in STI management?

A. To replace healthcare providers

B. To standardize STI treatment

C. To eliminate the need for medication

D. To identify all pathogens involved

19. What is a characteristic symptom of urethral discharge syndrome in men?

A. Itchy, greenish-yellow discharge

B. Purulent discharge from the urethra

C. Thick, lumpy white discharge

D. Thin, fishy-smelling discharge

20. What is the main symptom of pelvic inflammatory disease (PID)?

A. Genital itching

B. Lower abdominal pain

C. Painful urination

D. Unusual vaginal discharge

21. Which STI can be prevented with a vaccine?

A. Gonorrhea

B. Syphilis

C. Human Papillomavirus (HPV)

D. Chlamydia

22. What is the recommended first-line regimen for adults, including pregnant women and adolescents ≥30Kg, in HIV treatment?

A) TDF + 3TC + DTG

B) ABC + FTC + EFV

C) AZT + 3TC + LPV/r

D) TAF + FTC + RAL

23. Which method of monitoring ARV treatment is preferred for assessing response to ART and diagnosing treatment failure?

A) Clinical Monitoring

B) Laboratory Monitoring

C) Viral Load Monitoring

D) CD4 Monitoring

24. What is the process of connecting HIV-positive individuals to necessary services after testing positive for HIV called?

A) Linkage

B) Integration

C) Fusion

D) Assembly

25. What is the primary purpose of the "5 As" principles in pre-ART adherence counseling?

A) Assess, Analyze, Advocate, Assist, Allocate

B) Assess, Advise, Agree, Assist, Arrange

C) Analyze, Assess, Assist, Agree, Allocate

D) Assess, Analyze, Advocate, Allocate, Arrange

26. Which barrier to adherence is particularly relevant for adolescents living with HIV?

A) Stigma and discrimination

B) Forgetfulness

C) Limited treatment literacy

D) Lack of social support

27. What is the purpose of PrEP (Pre-Exposure Prophylaxis) in HIV prevention?

A) Treatment of HIV/AIDS

B) Prevention of mother-to-child transmission

C) Prevention of HIV acquisition in high-risk individuals

D) Post-exposure prophylaxis (PEP)

28. What is the primary purpose of Isoniazid Preventive Therapy (IPT) in HIV-exposed infants?

A) Prevention of mother-to-child transmission of HIV

B) Prevention of tuberculosis (TB) infection

C) Prevention of opportunistic infections (OIs)

D) Prevention of post-exposure prophylaxis (PEP)

29. Which of the following is NOT a prong of the Elimination of Mother-to-Child Transmission (eMTCT) program?

A) Prevention of unintended pregnancies

B) Provision of treatment, care, and support to women infected with HIV

C) Prevention of HIV transmission from women living with HIV to their infants

D) Testing blood donors for HIV and other bloodborne pathogens

30. How far now? Are you somewhere ready?

Yes

31. The technique by which sexual partners of a diagnosed patient are identified, located, and treated for STIs is termed as:

32. Manual vacuum aspiration (MVA) is indicated for inevitable abortion below................ weeks

33. The sexually transmitted disease that may lead to heart disease is............?

34. The onset of menstruation during puberty is termed as.......?

35. According to WHO, an individual within the age bracket of 10-19 years is referred to as........?

36. Jadelle implant protects against pregnancy for a period of............years

37. A pituitary hormone that plays a key function in lactation amenorrhoea is known as..............?

38. Prolapse of the bladder into the vagina is referred to as............?

39. The most effective measure to prevent sexually transmitted infections among adolescents is..............?

40. The intentional termination of pregnancy before 24 weeks of gestation is called..........?