05-06-2016, 11:37 AM
A 27-year-old woman comes to the office for a periodic health maintenance examination. She is healthy and has no specific complaints. She works at an advertising agency, has a "live-in" boyfriend, exercises a few times a week, eats a low-fat diet, and rarely drinks alcohol. She smokes a pack of cigarettes every 3 days. Her Pap smears have always been normal. The last one was 2 years ago. She currently uses condoms for birth control, but lately her boyfriend has been "nagging" her to "go on the pill." She is 157 cm (5 ft 2 in) tall and weighs 54 kg (119 lb). Her blood pressure is 120/80 mm Hg and pulse is 60/min. Physical and pelvic examinations are unremarkable. In discussing oral contraceptive pills (OCPs) with this patient, you should inform her that:
A. Condoms do not need to be used to prevent chlamydial infections
B. Her menstrual periods will become longer and heavier
C. She must stop smoking before you prescribe oral contraceptive pills
D. Oral contraceptive pills decrease the risk for gonococcal pelvic inflammatory disease
E. Oral contraceptive pills increase the risk for ovarian cancer
A. Condoms do not need to be used to prevent chlamydial infections
B. Her menstrual periods will become longer and heavier
C. She must stop smoking before you prescribe oral contraceptive pills
D. Oral contraceptive pills decrease the risk for gonococcal pelvic inflammatory disease
E. Oral contraceptive pills increase the risk for ovarian cancer