Others

Question 1

Contraindication for IUD

Answer 1

Pregnancy
Current STI
Undiagnosed vaginal bleeding
Malignancy of the genital tract
Uterine anomalies or fibroids

Question 2

Non contraception benefits of COC

Answer 2

Improves regularity of menses
Less acne
Improved pre-menstrual dysphoric disease
PCOS
Reduced risk for iron-deficiency anemia
Reduced risk of endometrial and ovarian cancers
Reduced risk of ovarian cysts, ectopic pregnancy, pelvic inflammatory disease, endometriosis, uterine fibroids, benign breast disease

Question 3

Risk factors for VTE

Answer 3

> 35 y.o.
Obesity
Immobilised
Smoker
Family history of VTE
Cancers

Question 4

Absolute contraindications for COC

Answer 4

• Breast cancer or history of breast cancer in the last 5 years
• History of DVT/PE or acute DVT/PE or current DVT/PE on anticoagulants
• Major surgery with prolonged immobilisation
• Post-partum within 21 days
• Thrombogenic mutations
• Migraine with aura
• SBP > 160 or DBP > 100
• HTN with vascular disease
• Current or history of IHD
• Cardiomyopathy
• Smoking at least 15 sticks/day and at least 35 y.o.
• History of cerebrovascular disease

Question 5

Etiology for menorrhagia

Answer 5

/Uterine-related/
- Uterine fibroids
- Adenomyosis
- Endometrial polyps
- Gynecological cancers
- Alteration of HPO axis

/Coagulopathy/
- Cirrhosis
- Von Willebrand disease
- Idiopathic thrombocytopenic purpura

Question 6

Hormone replacement therapy is not to be used solely for:

Answer 6

• Treating low libido
• CVD prevention
• Depression/anxiety/memory/cognitive issues
• Itchy skin, hair loss
• Treatment of osteoporosis

Question 7

ASCVD risk factors

Answer 7

• LDL > 2.6
• HTN
• Smoking
• CKD
• Albuminuria
• Family history of premature ASCVD

Question 8

Compelling indications for thyroid screening

Answer 8

• Pregnant women
• Children
• Presence of any autoimmune disease
• First degree relative of autoimmune thyroid disorders
• Psychiatric disorders
• Taking Amiodarone / Lithium
• Head / neck radiation
• Symptomatic for hypo / hyperthyroidism

Question 9

Indication for treating subclinical hypothyroidism

Answer 9

• TSH > 10 mIU/L
• TSH 4.5-10 mIU/L and:
• Symptomatic hypothyroidism or
• TPO present or
• Significant history of CVD

Question 10

Candidates for pharmacotherapy for hyperthyroidism

Answer 10

• Awaiting ablative / surgical resection
• Non-surgical / ablative therapy candidates
• Poor response to procedures
• Mild disease / small gaiter / low or nil antibodies
• Limited life expectancy