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Obs and Gobs > UKMEC > Flashcards

UKMEC Flashcards

1
Q

Migraine with aura (at any age)

A

UKMEC 4

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2
Q

Migraines without aura in women aged >=35 years.

A

UKMEC 3

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3
Q

Current breast cancer

A

UKMEC 4

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4
Q

Past history of breast cancer and no evidence of recurrence for 5 years.

A

UKMEC 3

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5
Q

Carriers of known gene mutations associated with breast cancer. (BRCA1)

A

UKMEC 3

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6
Q

Undiagnosed breast lump

A

UKMEC 3

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7
Q

Severe decompensated liver disease in a patient with cirrhosis

A

UKMEC 4

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8
Q

Mild decompensated liver disease in a patient with cirrhosis

A

UKMEC 3

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9
Q

Secondary raynaud’s disease with lupus anticoagulant

A

UKMEC 4

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10
Q

Liver tumours

A

UKMEC 4

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11
Q

Stroke

A

UKMEC 4

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12
Q

Current and past history of ischaemic heart disease

A

UKMEC 4

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13
Q

Major surgery with prolonged immobilisation

A

UKMEC 4

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14
Q

VTE

A

UKMEC 4

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15
Q

Smoking aged >=35 years and smoking >=15 cigarettes per day

A

UKMEC 4

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16
Q

Obesity >= 40kg/m2

A

UKMEC 4

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17
Q

Hypertension: SBP >=160 or DBP >= 95

A

UKMEC 4

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18
Q

Hypertension: SBP >=140 or DBP >= 90

A

UKMEC 3

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19
Q

Family history of VTE in first degree relative aged

A

UKMEC 3

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20
Q

Familial Hypercholesterolaemia

A

UKMEC 3

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21
Q

Immobility (Wheelchair use, debilitating illness)

A

UKMEC 3

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22
Q

Current gallbladder disease

A

UKMEC 3

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23
Q

Diabetes with complications or for >20 years duration.

A

UKMEC 3 or 4 (Depends on severity)

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24
Q

Obesity- BMI 35-39kf/m2

A

UKMEC 3

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25
Q

Smoking aged 35 years of over and smoking

A

UKMEC 3

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26
Q

Ex-smoker of 1 year

27
Q

Menarche to

28
Q

Age of >= 40 years

29
Q

Breastfeeding between 6 weeks to 6 months AND partially breastfeeding.

30
Q

Breastfeeding > 6 months.

31
Q

Smoking - aged 35 years and stopped smoking more than 1 year ago.

32
Q

BMI >=30-34 kg/m2

33
Q

Past ectopic pregnancy

34
Q

Non-migrainous headaches

35
Q

Endometriosis

36
Q

Severe dysmenorrhoea

37
Q

Benign ovarian tumour

38
Q

Vaginal bleeding - unsuspicious irregular, heavy or prolonged.

39
Q

Thyroid disorders

40
Q

Anaemias (iron deficiency & thalassaemia)

41
Q

HIV/AIDS (Not using Antiretrovirals)

42
Q

STI

43
Q

PID (Current or past)

44
Q

Endometrial or ovarian cancer

45
Q

Cervical ectropion

46
Q

Uterine fibroids

47
Q

Benign breast disease or family history of breast cancer

48
Q

Sickle Cell Disease

49
Q

HIV/AIDs (Using Antiretrovirals)

50
Q

Vaginal bleeding - suspicious for serious condition before evaluation

51
Q

CIN and cervical cancer

52
Q

Past Gallbladder disease

53
Q

Diabetes (NIDDM or IDDM) without complications

54
Q

IBD

55
Q

Secondary raynaud’s disease without lupus anticoagulant

56
Q

Valvular or congenital heart disease

57
Q

Migraine headaches without aura in women aged

58
Q

Family history of VTE in first degree relative aged >=45 years.

59
Q

Common hyperlipidaemia

60
Q

Major surgery without immobilisation

61
Q

History of obstetric cholestasis

62
Q

History of pregnancy related hypertension

63
Q

What should be discussed when consider starting COCP?

A

HISTORY

  • Age
  • Smoker
  • Cardiac history
  • VTE history, including relatives
  • Risk of pregnancy
  • Periods
  • Previous COC use
  • Previous pregnancy and breast feeding
  • Migraine (or CVA)
  • Gallbladder disease
  • Cholestasis
  • Breast cancer, cervical cancer
  • HIV
  • Enzyme inducing meds

EXAM

  • Height
  • Weight
  • BP

Obs and Gobs (79 decks)

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