Contraception: intrauterine device: 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: intrauterine device

Sample item

A patient with a copper intrauterine device has a positive pregnancy test and unilateral pelvic pain. What diagnosis requires urgent exclusion?

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

The answer and the reasoning

B. Ectopic pregnancy

Pregnancy is uncommon with an IUD, but when it occurs the relative likelihood of ectopic implantation is increased. Pelvic pain and positive pregnancy test require urgent localization of the pregnancy.

Option by option

  • A. Gestational diabetes

    Gestational diabetes occurs later in pregnancy.

  • B. Ectopic pregnancy (correct)

    Correct. Ectopic pregnancy must be excluded urgently.

  • C. Molar pregnancy only

    Molar pregnancy has a different clinical and ultrasound pattern.

  • D. Placental accreta

    Placenta accreta is a later placental-implantation disorder.

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, Ectopic pregnancy. Pregnancy is uncommon with an IUD, but when it occurs the relative likelihood of ectopic implantation is increased.

Why is "Gestational diabetes" not the answer?

Gestational diabetes occurs later in pregnancy.

Why is "Molar pregnancy only" not the answer?

Molar pregnancy has a different clinical and ultrasound pattern.

Why is "Placental accreta" not the answer?

Placenta accreta is a later placental-implantation disorder.

What concept does this question test?

It tests Contraception: intrauterine device in OBG. Pelvic pain and positive pregnancy test require urgent localization of the pregnancy.

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: intrauterine device?

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.