Standard difficulty · 20 questions · 40 marks
Show your working for Sections B and C. Answers are on the last page — try every question first!
Reproductive Health · AW-12B-RPH-2026-V1 · For parents — fold back or tear off before handing the sheet to your child.
| Q | Answer | Working |
|---|---|---|
| 1 | (d) 1951 | — |
| 2 | (a) a barrier method | — |
| 3 | (d) a virus (herpes simplex) | — |
| 4 | (a) transfer of an ovum from a donor into the fallopian tube of a woman who cannot make ova | — |
| 5 | (d) 1.5% per year | (26 − 11) per 1,000 = 1.5% |
| 6 | (a) 72 hours of intercourse | — |
| 7 | (a) Lactational amenorrhoea | — |
| 8 | (a) Both A and R are true, and R is the correct explanation of A. | A is true: AIDS is caused by a virus (HIV) and spreads through body fluids. R is true and explains A. |
| 9 | According to WHO, total well-being in all aspects of reproduction: physical, emotional, behavioural and social. | — |
| 10 | 23,400 people; 1.3% per year | 1,800,000 × (27 − 14)/1,000 |
| 11 | a hormone-releasing IUD; it acts in the uterus to stop fertilisation or implantation | — |
| 12 | IVF–ET: fertilisation outside the body, then transfer of the embryo; GIFT: transfer of an ovum from a donor into the fallopian tube of a woman who cannot make ova | — |
| 13 | trichomoniasis: a protozoan (Trichomonas); genital herpes: a virus (herpes simplex). Avoid sex with unknown or several partners, always use condoms, and seek early treatment if in doubt | — |
| 14 | about 1.54 times; 298 million | 846 ÷ 548 |
| 15 | it gives correct information and removes myths about sex-related matters and reproductive health | — |
| 16 | progestogen–oestrogen injections and implants: a hormonal method; Progestasert and LNG-20: a hormone-releasing IUD. Advantages depend on the method: natural methods have no side effects; barriers also protect against STIs; IUDs and pills are highly effective; surgical methods are permanent | — |
| 17 | Natural: periodic abstinence (days 10–17), withdrawal, lactational amenorrhoea. Barrier: condoms, diaphragms, cervical caps and vaults, often with spermicides. IUDs: non-medicated (Lippes loop), copper-releasing (CuT, Cu7, Multiload 375), hormone-releasing (Progestasert, LNG-20). Hormonal: oral pills (including Saheli), injections and implants. Surgical (terminal): vasectomy and tubectomy. | — |
| 18 | 118,900 people; 2.9% per year. Reasons: fewer deaths of mothers and infants, better health care, more people of reproductive age. Measures: education and awareness, contraception, raising the marriageable age (18 for women, 21 for men), incentives for small families | — |
| 19 | condoms: a barrier method; lactational amenorrhoea: a natural method; periodic abstinence: a natural method. Natural methods have a high failure rate; barriers must be used every time; IUDs and pills can cause side effects such as bleeding or nausea; surgical methods are hard to reverse | — |
| 20 | artificial insemination (IUI): placing semen from the husband or a donor into the vagina or uterus. ICSI: injection of a sperm directly into an ovum in the laboratory. Each suits couples whose infertility has a cause that technique can get around. Limits: they need expensive specialised facilities and trained staff, and there are emotional, ethical and social issues; adoption is another option | — |