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PSM · Maternal and child health: no-scalpel vasectomy
Sample itemAfter no-scalpel vasectomy, the couple should use additional contraception until:
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. 3 months or about 20 ejaculations have passed
Sperm remain in the vas beyond the site of occlusion, so the man is not sterile immediately. Another method is used for about 3 months or 20 ejaculations, ideally with semen analysis to confirm azoospermia.
Option by option
A. The next day
Next day is too early.
B. 3 months or about 20 ejaculations have passed (correct)
Correct. About 3 months or 20 ejaculations.
C. One week
One week is too early.
D. 6 hours
6 hours is far too early.
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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