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    Ati dmmsn 650 OBPediatrics Proctored Exams
    Select All That Apply

    A 25-year-old woman is considering starting oral contraceptives. Which of the following conditions are contraindications for her to use combination oral contraceptives? (Select all that apply.)

    Explanation & Rationale

    A. Smoking and age over 35 years is correct because women over 35 who smoke have a significantly increased risk of cardiovascular events, such as myocardial infarction and stroke, when taking estrogen-containing oral contraceptives. B. Migraine headaches with aura is correct because migraine with aura increases the risk of stroke, and estrogen-containing oral contraceptives can further increase thromboembolic and cerebrovascular risk. C. History of blood clots (deep vein thrombosis) is correct because estrogen-containing contraceptives increase the risk of venous thromboembolism. Women with a history of DVT or pulmonary embolism should avoid combined oral contraceptives. D. Family history of breast cancer is incorrect because a family history alone is not an absolute contraindication for oral contraceptives. While caution may be advised, combined oral contraceptives are not contraindicated solely based on family history. E. Controlled hypertension is incorrect because mild, well-controlled hypertension is not an absolute contraindication. The risk increases in women with uncontrolled or severe hypertension, making oral contraceptives unsafe in that context.

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