O&G Flashcards
1
Q
COCP absolute contraindications (UMEK 4)
A
- more than 35 years old and smoking more than 15 cigarettes/day
- migraine with aura
- history of thromboembolic disease or thrombogenic mutation
- history of stroke or ischaemic heart disease
- breast feeding < 6 weeks post-partum
- uncontrolled hypertension
- current breast cancer
- major surgery with prolonged immobilisation
- positive antiphospholipid antibodies (e.g. in SLE)
2
Q
COCP contraindications (UMEK 3)
A
- more than 35 years old and smoking less than 15 cigarettes/day
- BMI > 35 kg/m^2*
- family history of thromboembolic disease in first degree relatives < 45 years
- controlled hypertension
- immobility e.g. wheel chair use
- carrier of known gene mutations associated with breast cancer (e.g. BRCA1/BRCA2)
- current gallbladder disease
3
Q
Ovarian ca
A
5th most common
peak incidence 60 years
epithelial > serous
Risk: BRCA1 or 2, early menarche, late menopause, nulliparity
CA125
COCP protective