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)
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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
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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

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