Contraception: post-abortion contraception: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Contraception: post-abortion contraception

Sample item

A woman has an uncomplicated first-trimester surgical abortion and wants long-term contraception. What is the advice regarding IUCD insertion?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. It can be inserted immediately after the procedure if there is no infection

Fertility returns within about 2 weeks after abortion, so contraception should start immediately. IUCDs or the levonorgestrel IUS can be inserted straight after an uncomplicated first-trimester abortion, with a low expulsion rate, but not in the presence of sepsis. Hormonal methods can also be started the same day.

Option by option

  • A. It can be inserted immediately after the procedure if there is no infection (correct)

    Correct. Immediate insertion is safe when there is no infection.

  • B. It must be delayed for 3 months

    Delay is not needed in uncomplicated cases.

  • C. It is contraindicated after any abortion

    IUCDs are not contraindicated after clean abortion.

  • D. Only injectable methods can be used

    Other methods are also suitable.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is A, It can be inserted immediately after the procedure if there is no infection. Fertility returns within about 2 weeks after abortion, so contraception should start immediately.

Why is "It must be delayed for 3 months" not the answer?

Delay is not needed in uncomplicated cases.

Why is "It is contraindicated after any abortion" not the answer?

IUCDs are not contraindicated after clean abortion.

Why is "Only injectable methods can be used" not the answer?

Other methods are also suitable.

What concept does this question test?

It tests Contraception: post-abortion contraception in OBG. IUCDs or the levonorgestrel IUS can be inserted straight after an uncomplicated first-trimester abortion, with a low expulsion rate, but not in the presence of sepsis. Hormonal methods can also be started the same day.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Contraception: post-abortion contraception?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.