Contraception: emergency 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.

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OBG · Contraception: emergency contraception

Sample item

Which statement about a copper intrauterine device used for emergency contraception is correct?

AIt has no role after unprotected intercourseBIt must be removed after the next periodCIt is the most effective emergency method and provides ongoing contraceptionDIt works by increasing ectopic pregnancy risk

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

The answer and the reasoning

C. It is the most effective emergency method and provides ongoing contraception

A copper IUD is highly effective emergency contraception when inserted within the appropriate post-intercourse or ovulation-related window and can remain for ongoing contraception. Suitability and pregnancy exclusion are required.

Option by option

A. It has no role after unprotected intercourse
It is a well-established emergency option.
B. It must be removed after the next period
It can remain in place if the patient wishes and it is suitable.
C. It is the most effective emergency method and provides ongoing contraception (correct)
Correct. It is highly effective and provides continuing contraception.
D. It works by increasing ectopic pregnancy risk
It prevents pregnancy; ectopic risk is not its mechanism.

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, It is the most effective emergency method and provides ongoing contraception. A copper IUD is highly effective emergency contraception when inserted within the appropriate post-intercourse or ovulation-related window and can remain for ongoing contraception.

Why is "It has no role after unprotected intercourse" not the answer?

It is a well-established emergency option.

Why is "It must be removed after the next period" not the answer?

It can remain in place if the patient wishes and it is suitable.

Why is "It works by increasing ectopic pregnancy risk" not the answer?

It prevents pregnancy; ectopic risk is not its mechanism.

What concept does this question test?

It tests Contraception: emergency contraception in OBG. Suitability and pregnancy exclusion are required.

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: emergency 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.