Stop and Think, pt. 2

  1. Which of the following is not a contraindication to COC therapy?

A.) Status post cholecystectomy

B.) Hepatocelluar adenoma

C.) Liver cirrhosis

D.) Systolic blood pressure above 140

Answer and Rationale: A. Active gallbladder disease is a class III indication for COC use; however, if the gallbladder is surgically absent, COCs can be safely used.

  1. Which of the following is a potential non-contraceptive benefit of COCs?

A.) Reduce dysmenorrhea

B.) Improve acne 

C.) Reduce the symptoms of PMS

D.) All of the above 

Answer and Rationale: D. Select COCs can be used to help improve dysmenorrhea, PMS symptoms, and acne. These are all examples of the non-contraceptive benefits of COCs.

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