Leprosy: pregnancy: practice question

A Dermatology 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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Dermatology · Leprosy: pregnancy

Sample item

A pregnant woman is diagnosed with multibacillary leprosy. What is the appropriate management?

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

The answer and the reasoning

C. Start standard MDT, as it is safe, and monitor for reactions

Standard MDT is safe in pregnancy and lactation, and withholding it risks transmission and nerve damage. Reactions and neuritis often occur in late pregnancy and the postpartum period, so close monitoring is needed.

Option by option

  • A. Delay treatment until after delivery

    Delay risks progression and nerve damage.

  • B. Avoid rifampicin

    Rifampicin is a core drug and is not avoided.

  • C. Start standard MDT, as it is safe, and monitor for reactions (correct)

    Correct. MDT is safe and should be started.

  • D. Use thalidomide for prophylaxis

    Thalidomide is contraindicated in pregnancy.

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.

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Questions about this Dermatology question

What is the answer to this Dermatology question?

The best answer is C, Start standard MDT, as it is safe, and monitor for reactions. Standard MDT is safe in pregnancy and lactation, and withholding it risks transmission and nerve damage.

Why is "Delay treatment until after delivery" not the answer?

Delay risks progression and nerve damage.

Why is "Avoid rifampicin" not the answer?

Rifampicin is a core drug and is not avoided.

Why is "Use thalidomide for prophylaxis" not the answer?

Thalidomide is contraindicated in pregnancy.

What concept does this question test?

It tests Leprosy: pregnancy in Dermatology. Reactions and neuritis often occur in late pregnancy and the postpartum period, so close monitoring is needed.

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 Leprosy: pregnancy?

Learn each condition by its primary lesion, site and signature sign. Then use the flashcards and the other Dermatology 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.