Infertility and contraception: progestogen type and venous thromboembolism: 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 · Infertility and contraception: progestogen type and venous thromboembolism

Sample item

Among the progestogens in combined oral contraceptives, which is associated with the lowest venous thromboembolism risk?

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

The answer and the reasoning

A. Levonorgestrel

Pills containing levonorgestrel or norethisterone carry the lowest VTE risk among combined pills. Desogestrel, gestodene, drospirenone and cyproterone are linked to a higher risk, so levonorgestrel is a first choice for new users.

Option by option

  • A. Levonorgestrel (correct)

    Correct. Levonorgestrel combinations have the lowest VTE risk.

  • B. Drospirenone

    Drospirenone pills carry a higher VTE risk.

  • C. Cyproterone acetate

    Cyproterone acetate pills carry a higher VTE risk.

  • D. Desogestrel

    Desogestrel pills carry a higher VTE risk.

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, Levonorgestrel. Pills containing levonorgestrel or norethisterone carry the lowest VTE risk among combined pills.

Why is "Drospirenone" not the answer?

Drospirenone pills carry a higher VTE risk.

Why is "Cyproterone acetate" not the answer?

Cyproterone acetate pills carry a higher VTE risk.

Why is "Desogestrel" not the answer?

Desogestrel pills carry a higher VTE risk.

What concept does this question test?

It tests Infertility and contraception: progestogen type and venous thromboembolism in OBG. Desogestrel, gestodene, drospirenone and cyproterone are linked to a higher risk, so levonorgestrel is a first choice for new users.

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 Infertility and contraception: progestogen type and venous thromboembolism?

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.