Answers to the CME Quiz for “Sterilization” by Herbert Peterson, MD (Obstet Gynecol 2008;111:189-203)

1. Which of the following sterilization techniques is associated with the lowest rate of serious complications?

E. Vasectomy

2. According to the U.S. National Survey of Family Growth, the most commonly used contraceptive method by women aged 15 years to 44 years in 2002 was:

A. Oral contraceptives

3. Which of the following is the leading cause of death attributable to tubal sterilization in the United States?

A. Complications of general anesthesia

4. In the United States, the most commonly used technique of tubal sterilization is:

E. Partial salpingectomy

5. Which of the following tubal sterilization patients is likely to have the lowest 10-year cumulative risk of pregnancy?

E. A 36-year-old undergoing a bipolar coagulation procedure

6. The tubal sterilization technique associated with the highest 10-year cumulative risk of ectopic pregnancy is:

A. Bipolar coagulation

7. The proportion of pregnancies occurring 4–10 years after tubal sterilization that are ectopic gestations as compared with the proportion of ectopic pregnancies occurring within 3 years is which of the following?

E. Threefold greater

8. Based on a report from the U.S. Collaborative Review of Sterilization, tubal sterilization is associated with what change in menstrual patterns?

E. None of the above

9. Which of the following factors carries the highest risk of regret following a tubal sterilization procedure?

B. Young age at the time of the procedure

10. Women experiencing a consistent change in sexual function within 2 years following a sterilization procedure are most likely to report:

D. Increased sexual pleasure

ACCME Accreditation: The American College of Obstetricians and Gynecologists (ACOG) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. (Continuing medical education credit for “Sterilization” will be available through January 2011.)

AMA PRA Category 1 Credit^TM and ACOG Cognate Credit: The American College of Obstetricians and Gynecologists (ACOG) designates this educational activity for a maximum of 2 AMA PRA Category 1 Credits^TM or up to a maximum of 2 Category 1 ACOG cognate credits. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Disclosure Statement: Current guidelines state that continuing medical education (CME) providers must ensure that CME activities are free from the control of any commercial interest. All authors, reviewers, and contributors have disclosed to ACOG all relevant financial relationships with any commercial interests. The authors, reviewers, and contributors declare that neither they nor any business associate nor any member of their immediate families has financial interest or other relationships with any manufacturer of products or any providers of services discussed in this program. Any conflicts have been resolved through group and outside review of all content.

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