Infertility and contraception: fertility preservation: 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.

Try it

OBG · Infertility and contraception: fertility preservation

Sample item

A 28-year-old unmarried woman with breast cancer is to start chemotherapy in 10 days and wants her own biological children later. Which option is best?

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

The answer and the reasoning

B. Ovarian stimulation and oocyte vitrification

Oocyte cryopreservation after rapid ovarian stimulation, started at any cycle phase, is the established option for a woman without a partner. Oral pills do not protect the ovaries. Ovarian drilling is used for anovulation in PCOS. Clomiphene alone does not preserve fertility.

Option by option

  • A. Clomiphene citrate

    Clomiphene would not preserve eggs and delays treatment.

  • B. Ovarian stimulation and oocyte vitrification (correct)

    Correct. Stored oocytes retain fertility potential against gonadotoxic drugs.

  • C. Oral contraceptive pills during chemotherapy

    Oral pills do not protect the ovarian reserve.

  • D. Laparoscopic ovarian drilling

    Drilling is a treatment for ovulatory infertility in PCOS.

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 B, Ovarian stimulation and oocyte vitrification. Oocyte cryopreservation after rapid ovarian stimulation, started at any cycle phase, is the established option for a woman without a partner.

Why is "Clomiphene citrate" not the answer?

Clomiphene would not preserve eggs and delays treatment.

Why is "Oral contraceptive pills during chemotherapy" not the answer?

Oral pills do not protect the ovarian reserve.

Why is "Laparoscopic ovarian drilling" not the answer?

Drilling is a treatment for ovulatory infertility in PCOS.

What concept does this question test?

It tests Infertility and contraception: fertility preservation in OBG. Oral pills do not protect the ovaries. Ovarian drilling is used for anovulation in PCOS. Clomiphene alone does not preserve fertility.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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 and contraception: fertility preservation?

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.