Contraception: injectables: 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: injectables

Sample item

In the Indian national family planning programme, the injectable contraceptive 'Antara' contains:

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

The answer and the reasoning

A. Depot medroxyprogesterone acetate 150 mg every 3 months

Antara is DMPA given IM every 3 months. Side effects include menstrual irregularity, amenorrhoea, delayed return of fertility and reduced bone mineral density. Fertility returns after a delay of several months.

Option by option

  • A. Depot medroxyprogesterone acetate 150 mg every 3 months (correct)

    Correct. DMPA every 3 months.

  • B. Oestrogen and progestogen monthly

    Monthly combined injectables are different products.

  • C. Mifepristone

    Mifepristone is an abortifacient.

  • D. Levonorgestrel implant

    Implants are separate.

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 OBG question

What is the answer to this OBG question?

The best answer is A, Depot medroxyprogesterone acetate 150 mg every 3 months. Antara is DMPA given IM every 3 months.

Why is "Oestrogen and progestogen monthly" not the answer?

Monthly combined injectables are different products.

Why is "Mifepristone" not the answer?

Mifepristone is an abortifacient.

Why is "Levonorgestrel implant" not the answer?

Implants are separate.

What concept does this question test?

It tests Contraception: injectables in OBG. Side effects include menstrual irregularity, amenorrhoea, delayed return of fertility and reduced bone mineral density. Fertility returns after a delay of several months.

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: injectables?

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.