skip to main content

Learning disability capacity — DFSRH MCQ

Instant feedback + full explanation. One question, done properly.

ModerateSpecial CircumstancesLearning disability capacityDFSRH

A 28-year-old woman with mild learning disability requests an implant. Her support worker says she should have DMPA instead, but the patient says she wants the implant. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Assess her capacity and preferences directly in an accessible consultation

Capacity is decision-specific and should be assessed directly with accessible information. Supporters can help communication but do not replace the patient’s decision if she has capacity. Avoid making convenience for carers the deciding factor.

Reference: FSRH Contraception After Pregnancy Guideline; UKMEC 2025; FSRH Clinical Guidelines; NICE safeguarding guidance