Contraception: progestogen-only methods: 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: progestogen-only methods

Sample item

Which patient is most likely to be offered a progestogen-only contraceptive rather than combined estrogen-progestogen contraception?

AA patient who wants estrogen exposureBA patient with no contraindications to any methodCA patient with migraine with auraDA healthy patient seeking acne benefit only

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

The answer and the reasoning

C. A patient with migraine with aura

Estrogen-containing combined contraception is generally avoided in migraine with aura because of ischemic stroke risk. Progestogen-only and nonhormonal options may be suitable depending on individual circumstances.

Option by option

A. A patient who wants estrogen exposure
Progestogen-only methods do not provide estrogen exposure.
B. A patient with no contraindications to any method
Method selection should consider preferences and medical eligibility.
C. A patient with migraine with aura (correct)
Correct. Migraine with aura is a key estrogen safety concern.
D. A healthy patient seeking acne benefit only
Combined pills may help acne in selected patients.

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.

Questions about this OBG question

What is the answer to this OBG question?

The best answer is C, A patient with migraine with aura. Estrogen-containing combined contraception is generally avoided in migraine with aura because of ischemic stroke risk.

Why is "A patient who wants estrogen exposure" not the answer?

Progestogen-only methods do not provide estrogen exposure.

Why is "A patient with no contraindications to any method" not the answer?

Method selection should consider preferences and medical eligibility.

Why is "A healthy patient seeking acne benefit only" not the answer?

Combined pills may help acne in selected patients.

What concept does this question test?

It tests Contraception: progestogen-only methods in OBG. Progestogen-only and nonhormonal options may be suitable depending on individual circumstances.

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: progestogen-only methods?

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.