Contraception: combined hormonal 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.

Try it

OBG · Contraception: combined hormonal contraception

Sample item

Which medical history is a major contraindication to estrogen-containing combined hormonal contraception?

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

The answer and the reasoning

B. Previous venous thromboembolism

Estrogen-containing contraception increases venous thromboembolism risk and is generally contraindicated in patients with prior VTE or major thrombotic risk. Alternative methods should be discussed individually.

Option by option

  • A. Controlled acne

    Acne is not a contraindication and may improve with some combined pills.

  • B. Previous venous thromboembolism (correct)

    Correct. Prior VTE is a major estrogen-related safety concern.

  • C. Mild dysmenorrhea

    Mild dysmenorrhea is often improved by hormonal contraception.

  • D. Nulliparity

    Nulliparity does not preclude combined contraception.

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 B, Previous venous thromboembolism. Estrogen-containing contraception increases venous thromboembolism risk and is generally contraindicated in patients with prior VTE or major thrombotic risk.

Why is "Controlled acne" not the answer?

Acne is not a contraindication and may improve with some combined pills.

Why is "Mild dysmenorrhea" not the answer?

Mild dysmenorrhea is often improved by hormonal contraception.

Why is "Nulliparity" not the answer?

Nulliparity does not preclude combined contraception.

What concept does this question test?

It tests Contraception: combined hormonal contraception in OBG. Alternative methods should be discussed individually.

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: combined hormonal 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.