I didnot know this :):) - shess

[ArchivalUser]

45. 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

[ArchivalUser]

dddd....decreases gono..increases chlymadia

[ArchivalUser]

D.......

[ArchivalUser]

c,,,

[ArchivalUser]

CCCCC.......

[ArchivalUser]

c.

[ArchivalUser]

shess whats t ans

A B C E are false in this case i dont kno about D.

Pls expain

[ArchivalUser]

Explanation:
The correct answer is D. OCPs have many beneficial effects, and one is that they decrease the risk for gonococcal PID. This is thought to be due to the effects that OCPs have on the endometrium and cervix leading to increased endocervical mucus that resists the spread of gonococcal infection from the cervix to the endometrium and then the fallopian tubes.
OCPs have been associated with an increased risk of chlamydial infections and therefore, condoms SHOULD be used to prevent chlamydial infections (choice A). This increased risk may be associated with the fact that OCPs widen the ectocervix , increasing the area of mucus-secreting cells and making the individual more susceptible to chlamydial infections. It seem that this increases the risk of chlamydial infections and decreases the risk for gonococcal infections
It is incorrect to inform her that her menstrual periods will become longer and heavier (choice B) because OCPs are typically associated with shorter, less painful, and scanty menses.
Smoking in women that are over the age of 35 is a relative contraindication to the use of OCPs. While smoking may increase the risk of complications in women under 35, it is not a contraindication to their use. You should advise her that it is best if she quits (in general and because of the OCPs), but it is not correct to inform her that she must stop smoking before you prescribe oral contraceptive pills (choice C).
Oral contraceptive pills have been associated with a decreased risk for ovarian cancer, not an increased risk (choice E).

[ArchivalUser]

wow got me!!!!!