Combined hormonal contraception

Question 1

Menarche <40
>40

Answer 1

1
2

Question 2

Breastfeeding
0-6 weeks postpartum

Answer 2

4

Question 3

Breastfeeding
6 weeks to 6 months

Answer 3

2

Question 4

Breastfeeding
>6 months

Answer 4

1

Question 5

Not breastfeeding
0-3 weeks
OTHER Rx FOR VTE

Answer 5

4

Question 6

Not breastfeeding
0-3 weeks
NO other Rx for VTE

Answer 6

3

Question 7

Not breastfeeding
3-6 weeks
OTHER Rx FOR VTE

Answer 7

3

Question 8

Not breastfeeding
3-6 weeks
NO other Rx for VTE

Answer 8

2

Question 9

Not breastfeeding
>6 weeks

Answer 9

1

Question 10

Post TOP
Any trimester

Answer 10

1

Question 11

Smoking <35

Answer 11

2

Question 12

Smoking >35
<15 / day

Answer 12

3

Question 13

Smoking >35
>/= 15 / day

Answer 13

4

Question 14

> 35
Stopped smoking
<1yr ago

Answer 14

3

Question 15

> 35
Stopped smoking
1 yr ago

Answer 15

2

Question 16

Obesity
30-34

Answer 16

2

Question 17

Obesity
>35

Answer 17

3

Question 18

History of bariatric surgery
<30
30-34
35

Answer 18

.
.
1
2
3

Question 19

Organ transplant
Complicated
Uncomplicated

Answer 19

.
3
2

Question 20

Multiple Rx for CVD (obesity, HTN, hyperlipid, diabtetes, smoking)

Answer 20

3

Question 21

Adequately controlled HTN

Answer 21

3

Question 22

systolic 140-159
diastolic 90 -99

Answer 22

3

Question 23

systolic >160
diastolic >100

Answer 23

4

Question 24

Hypertension in pregnancy

Answer 24

2

Question 25

Current / historical IHD

Answer 25

4

Question 26

Any CVA, inc TIA

Answer 26

4

Question 27

Dyslipidaemia

Answer 27

2

Question 28

Personal Hx of VTE

Answer 28

4

Question 29

Current VTE

Answer 29

4

Question 30

Fx VTE
1st degree <45
1st degree >45

Answer 30

3
2

Question 31

Major surgery
Prolonged immobilisation
NOT prolonged
Minor surgery, no immobilisation

Answer 31

4

2

1

Question 32

Immobility (wheelchair, bed ridden etc)

Answer 32

3

Question 33

Thrombogenic mutation

Answer 33

4

Question 34

Valvular & congenital heart
Complicated
Uncomplicated

Answer 34

4
2

Question 35

Cardiomyopathy
Normal function
Abnormal function

Answer 35

2
4

Question 36

Arrthymia
AF
Long QT

Answer 36

4
2

Question 37

Migraine WITH aura
Hx of migraine WITH aura (>5yrs ago)
Migraine WITHOUT aura
Non migrainous headache

Answer 37

4
3

2 for initiation, 3 continuation
1 for initiation, 2 cont

Question 38

Epilepsy

Answer 38

1 BUT CONSIDER ENZYME INDUCERS

Question 39

Gynae disease (includes benign and malignant)

Answer 39

All 1 except
CIN, Ca cervix, unexplained vaginal bleeding - 2

Question 40

Breast disease
Current cancer
Past cancer
BRCA 1/2
Fx cancer
Benign breast disease

Answer 40

4
3
3
1
1

Question 41

TB / HIV

Answer 41

1

Question 42

Diabetes
GDM
Non-vascular, insulin or not
With any -opathy

Answer 42

.
1
2

3

Question 43

Gallbladder disease
cholecystectomy
medical
current
related to COC

Answer 43

.
2
3
3
3

Question 44

Liver disease
Viral hepatitis

Cirrhosis
HC adeno / carcino

Answer 44

.
3 init, 2 cont, carrier / chronic 1
4 decomp, 1 mild
4

Question 45

IBD

Answer 45

2

Question 46

Rheumatic disease
RA
SLE
APLS

Answer 46

.
2
2
4