Contraception: breast cancer: 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: breast cancer

Sample item

A 42-year-old woman with current oestrogen receptor positive breast cancer wants contraception. Which method is suitable?

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

The answer and the reasoning

A. Copper IUCD

In current breast cancer, all hormonal contraceptives are category 4 because the tumour may be hormone-sensitive. The copper IUCD is category 1 and the preferred method, with condoms as an alternative. Hormonal methods may be reconsidered only after several years disease-free in some women.

Option by option

  • A. Copper IUCD (correct)

    Correct. The non-hormonal copper IUCD is suitable.

  • B. Depot medroxyprogesterone

    DMPA is a hormonal method and is category 4.

  • C. Combined oral contraceptive pill

    Combined pills are category 4.

  • D. Levonorgestrel IUS

    The LNG IUS is also a hormonal method and is category 4 in current breast cancer.

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, Copper IUCD. In current breast cancer, all hormonal contraceptives are category 4 because the tumour may be hormone-sensitive.

Why is "Depot medroxyprogesterone" not the answer?

DMPA is a hormonal method and is category 4.

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

Combined pills are category 4.

Why is "Levonorgestrel IUS" not the answer?

The LNG IUS is also a hormonal method and is category 4 in current breast cancer.

What concept does this question test?

It tests Contraception: breast cancer in OBG. The copper IUCD is category 1 and the preferred method, with condoms as an alternative. Hormonal methods may be reconsidered only after several years disease-free in some women.

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: breast cancer?

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.