Contraception: 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

Sample item

A 32-year-old woman who has migraine with visual aura wants a contraceptive. Which method should be avoided?

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

The answer and the reasoning

C. Combined oral contraceptive pill

Migraine with aura is a recognised contraindication to oestrogen-containing methods because it increases the risk of ischaemic stroke. Non-hormonal and progestogen-only methods are suitable alternatives.

Option by option

  • A. Barrier method with condoms

    Condoms are non-hormonal and safe.

  • B. Copper intrauterine device

    The copper IUD is non-hormonal and carries no added stroke risk.

  • C. Combined oral contraceptive pill (correct)

    Correct. Oestrogen in the combined pill adds stroke risk in migraine with aura.

  • D. Progestogen-only pill

    Progestogen-only methods do not contain oestrogen and are acceptable.

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 C, Combined oral contraceptive pill. Migraine with aura is a recognised contraindication to oestrogen-containing methods because it increases the risk of ischaemic stroke.

Why is "Barrier method with condoms" not the answer?

Condoms are non-hormonal and safe.

Why is "Copper intrauterine device" not the answer?

The copper IUD is non-hormonal and carries no added stroke risk.

Why is "Progestogen-only pill" not the answer?

Progestogen-only methods do not contain oestrogen and are acceptable.

What concept does this question test?

It tests Contraception in OBG. Non-hormonal and progestogen-only methods are suitable alternatives.

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?

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.