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Kaplan Qbank USMLE



Author17 Posts
  #1

which one of the following is a contradication to ocp< orl contraceptive pills>

family history of breast cancer

family history of ovarian cancer

family history of endometrial cancer

HIV infection

migriane with aura.






  #2

1st one?

  #3

migrane with aura ?

___________________
" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "

  #4

MIGRANE WITH AURA

  #5

Checked up on it and u both are right. OCPs are a relative contraindication in Migraine Headaches.

Why is it though that migraine headaches improve during pregnancy?
Dont OCP users and pregnant women have higher hormone levels than normal,...so shdnt their effect on migraine be kinda similar?.... or i must be totally off wth my physiology knowledge!


  #6

thanks drk1980. ocp's in a woman who has a h/o migrane especially with aura or visual disturbances increases the incidence of stroke 8 times.

___________________
" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "

  #7

what about FH of breast cancer?

  #8

you are right achilles,it is migrane,the guestion is from the internal med bank, but why??

I got it wrong ,so pls exp your answer in more details, and what about other options , why not breast cancer, it is a conradication, the que is poorly explaned as the rest of internal bank,


  #9

migrane with aura

  #10

i'm with you drk1980. as far as my mediacl school knowledge goes, i thought the pregnant women and a female on ocp have same kind of hormonal mileu...but i don undesrstand why ocp are contraindicated in ppl with migraine..may be the mechanics are different here...may be some one can give a better expln.


  #11

MIRGRAINE WITH AN AURA IS AN ABSOLUTE C.I.
WHILE MIRGRAINE WITHOUT AURA IS A RELATIVE C.I.

HOW CUTE AM I.........??!! grin

  #12

OCP lowers brest cancer and endometrial cancer.
But also increase the chance for ovarian cancer? confused


___________________
As a general rule, the better it felt when you said it, the more trouble it's going to get you into.

  #13

OCP decrease the risk of ovarian cancer, endometrial cancer and benign breast diseases.

  #14

What I got from Step2 Secret:
Effects of OCP on Breast Cancer is controversial. Some studies say it slightly increased the risk of breast cancer. So it is an unknown.

I will go with Migraine with Aura.

  #15

migraine

  #16

focal migraine is an absolute contraindication
generalized migrane is a relative one

  #17

Nice Q, I would get it wrong.







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