Labour: induction in scarred uterus: 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 · Labour: induction in scarred uterus

Sample item

Which agent is contraindicated for cervical ripening in a woman with one previous caesarean section?

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

The answer and the reasoning

A. Misoprostol

Prostaglandins, especially misoprostol, increase the risk of uterine rupture in women with uterine scars and are avoided. A Foley catheter is a mechanical option, and oxytocin may be used cautiously. Dinoprostone is also generally avoided.

Option by option

  • A. Misoprostol (correct)

    Correct. Misoprostol carries a significant rupture risk with scars.

  • B. Oxytocin with careful monitoring

    Oxytocin may be used under close monitoring.

  • C. Amniotomy

    Amniotomy does not raise rupture risk.

  • D. Foley catheter balloon

    A Foley catheter is a safe mechanical option.

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, Misoprostol. Prostaglandins, especially misoprostol, increase the risk of uterine rupture in women with uterine scars and are avoided.

Why is "Oxytocin with careful monitoring" not the answer?

Oxytocin may be used under close monitoring.

Why is "Amniotomy" not the answer?

Amniotomy does not raise rupture risk.

Why is "Foley catheter balloon" not the answer?

A Foley catheter is a safe mechanical option.

What concept does this question test?

It tests Labour: induction in scarred uterus in OBG. A Foley catheter is a mechanical option, and oxytocin may be used cautiously. Dinoprostone is also generally avoided.

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 Labour: induction in scarred uterus?

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.