Infertility: assisted reproduction: 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: assisted reproduction

Sample item

A woman with bilateral hydrosalpinges and normal semen analysis is best managed by:

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

The answer and the reasoning

A. IVF-ET after salpingectomy or tubal occlusion

Bilateral tubal blockage precludes natural conception and IUI. IVF bypasses the tubes. Hydrosalpinx fluid reduces implantation, so salpingectomy before IVF improves success.

Option by option

  • A. IVF-ET after salpingectomy or tubal occlusion (correct)

    Correct. IVF bypasses the tubal factor.

  • B. Timed intercourse

    Timed intercourse cannot work with blocked tubes.

  • C. IUI

    IUI needs a patent tube.

  • D. Clomiphene citrate

    Clomiphene does not address tubal blockage.

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, IVF-ET after salpingectomy or tubal occlusion. Bilateral tubal blockage precludes natural conception and IUI.

Why is "Timed intercourse" not the answer?

Timed intercourse cannot work with blocked tubes.

Why is "IUI" not the answer?

IUI needs a patent tube.

Why is "Clomiphene citrate" not the answer?

Clomiphene does not address tubal blockage.

What concept does this question test?

It tests Infertility: assisted reproduction in OBG. IVF bypasses the tubes. Hydrosalpinx fluid reduces implantation, so salpingectomy before IVF improves success.

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: assisted reproduction?

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.