Contraception: antiphospholipid antibodies: 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: antiphospholipid antibodies

Sample item

A 28-year-old with systemic lupus erythematosus and positive antiphospholipid antibodies needs contraception. Which method should be avoided?

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

The answer and the reasoning

B. Combined oestrogen-containing methods

Positive antiphospholipid antibodies carry a high thrombotic risk, and oestrogen is category 4. Safe options include copper IUCD, levonorgestrel IUS and condoms, and progestogen-only methods other than DMPA are usually preferred in this context. Pregnancy should be planned during quiescent disease.

Option by option

  • A. Levonorgestrel IUS

    The levonorgestrel IUS is safe.

  • B. Combined oestrogen-containing methods (correct)

    Correct. Oestrogen-containing contraceptives raise thrombotic risk with antiphospholipid antibodies.

  • C. Copper IUCD

    A copper IUCD is safe.

  • D. Condoms

    Condoms carry no hormonal risk.

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.

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Questions about this OBG question

What is the answer to this OBG question?

The best answer is B, Combined oestrogen-containing methods. Positive antiphospholipid antibodies carry a high thrombotic risk, and oestrogen is category 4.

Why is "Levonorgestrel IUS" not the answer?

The levonorgestrel IUS is safe.

Why is "Copper IUCD" not the answer?

A copper IUCD is safe.

Why is "Condoms" not the answer?

Condoms carry no hormonal risk.

What concept does this question test?

It tests Contraception: antiphospholipid antibodies in OBG. Safe options include copper IUCD, levonorgestrel IUS and condoms, and progestogen-only methods other than DMPA are usually preferred in this context. Pregnancy should be planned during quiescent disease.

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: antiphospholipid antibodies?

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.