Contraception: history of venous thromboembolism: 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: history of venous thromboembolism

Sample item

A 34-year-old with a previous unprovoked deep vein thrombosis asks about contraception. Which choice is suitable?

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

The answer and the reasoning

D. Copper IUCD or levonorgestrel IUS

A past VTE makes oestrogen-containing methods category 4 because of a high recurrence risk. Copper IUCDs are category 1, and the levonorgestrel IUS and progestogen-only methods are generally acceptable with low systemic exposure. The decision is made with the haematology team if she is anticoagulated.

Option by option

  • A. Combined patch

    The patch carries oestrogen exposure.

  • B. Combined vaginal ring

    The ring carries oestrogen exposure.

  • C. Combined oral contraceptive pill

    Combined pills are contraindicated.

  • D. Copper IUCD or levonorgestrel IUS (correct)

    Correct. Non-oestrogen long-acting methods are safe choices.

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 D, Copper IUCD or levonorgestrel IUS. A past VTE makes oestrogen-containing methods category 4 because of a high recurrence risk.

Why is "Combined patch" not the answer?

The patch carries oestrogen exposure.

Why is "Combined vaginal ring" not the answer?

The ring carries oestrogen exposure.

Why is "Combined oral contraceptive pill" not the answer?

Combined pills are contraindicated.

What concept does this question test?

It tests Contraception: history of venous thromboembolism in OBG. Copper IUCDs are category 1, and the levonorgestrel IUS and progestogen-only methods are generally acceptable with low systemic exposure. The decision is made with the haematology team if she is anticoagulated.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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: history of venous thromboembolism?

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.