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Kaplan Qbank USMLE



Author5 Posts
  #1

Epidemiologic studies have established that oral contraceptives use decreases the incidence of all the following except:

a)ovarian ca
b)iron defiicent anemia
c)pelvic inflammatory disease
d)breast ca
endometrial ca

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  #2

pelvic inflam disease

How do contraceptives affect iron deficiency anemia?

  #3

incorrect.

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  #4

- oral contraceptives decrease the incidence of iron deficiency anemia by reducing the amount by mences
- ovarian cancer incidence is decreased because there is no ovulation - no scarring of ovary
- breast cancer, cervix cancer, liver cancer incidence is increased
- oral contraceptives that contain both estrogens and progestins seem to lower the risk of endometrial cancer
- pelvic infl disease incidence decreases....maybe because the contraceptives cause thickening of cervical mucus and impermeability (?)

So the answer is breast cancer.

  #5

Very Good. I wasnt sure about the pathophysiology in Fe++ deficient anemia, but I suspected it had to do with less bleeding as you said.
Thx for the crisp explanations!

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