Contraception: postpartum sterilisation: 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: postpartum sterilisation

Sample item

The Pomeroy technique of tubal ligation involves:

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

The answer and the reasoning

B. Ligation of a loop of tube with absorbable suture and excision of the loop

In the Pomeroy method a knuckle of the mid-portion of the tube is ligated with plain catgut and the loop excised. It is commonly done within 48 hours of delivery through a minilaparotomy. Failure rate is about 0.5 per cent.

Option by option

  • A. Application of a Filshie clip

    A Filshie clip is applied laparoscopically.

  • B. Ligation of a loop of tube with absorbable suture and excision of the loop (correct)

    Correct. This is the Pomeroy method.

  • C. Fimbriectomy

    Fimbriectomy removes the fimbrial end (Kroener).

  • D. Tubal cautery

    Cautery is used in laparoscopic sterilisation.

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 B, Ligation of a loop of tube with absorbable suture and excision of the loop. In the Pomeroy method a knuckle of the mid-portion of the tube is ligated with plain catgut and the loop excised.

Why is "Application of a Filshie clip" not the answer?

A Filshie clip is applied laparoscopically.

Why is "Fimbriectomy" not the answer?

Fimbriectomy removes the fimbrial end (Kroener).

Why is "Tubal cautery" not the answer?

Cautery is used in laparoscopic sterilisation.

What concept does this question test?

It tests Contraception: postpartum sterilisation in OBG. It is commonly done within 48 hours of delivery through a minilaparotomy. Failure rate is about 0.5 per cent.

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: postpartum sterilisation?

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.