Infertility: 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

Sample item

When is hysterosalpingography best performed in an infertility work-up?

AAfter menstruation has stopped and before ovulationBDuring active menstrual bleedingCIn the late luteal phaseDImmediately after a positive pregnancy test

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

The answer and the reasoning

A. After menstruation has stopped and before ovulation

Hysterosalpingography assesses the uterine cavity and tubal patency and is timed to the early follicular phase, after bleeding ceases and before ovulation. This avoids irradiating or flushing a possible early pregnancy and lets the thin endometrium give clear images.

Option by option

A. After menstruation has stopped and before ovulation (correct)
Correct. This timing ensures no pregnancy and avoids menstrual debris that mimics filling defects.
B. During active menstrual bleeding
Active bleeding can obscure the picture and raises the risk of ascending infection.
C. In the late luteal phase
Luteal-phase timing risks exposing a possible early pregnancy and a thick endometrium obscures detail.
D. Immediately after a positive pregnancy test
A pregnant uterus should not be exposed to the procedure.

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.

Questions about this OBG question

What is the answer to this OBG question?

The best answer is A, After menstruation has stopped and before ovulation. Hysterosalpingography assesses the uterine cavity and tubal patency and is timed to the early follicular phase, after bleeding ceases and before ovulation.

Why is "During active menstrual bleeding" not the answer?

Active bleeding can obscure the picture and raises the risk of ascending infection.

Why is "In the late luteal phase" not the answer?

Luteal-phase timing risks exposing a possible early pregnancy and a thick endometrium obscures detail.

Why is "Immediately after a positive pregnancy test" not the answer?

A pregnant uterus should not be exposed to the procedure.

What concept does this question test?

It tests Infertility in OBG. This avoids irradiating or flushing a possible early pregnancy and lets the thin endometrium give clear images.

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?

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.