A 22-year-old woman comes to the physician for a follow-up examination. She had a spontaneous abortion 3 months ago. Her last menstrual period was 3 weeks ago. She reports feeling sad occasionally but has continued working and attending social events. She does not have any suicidal ideation or tendencies. She does not smoke. Vital signs are within normal limits. Physical examination including pelvic examination show no abnormalities. A urine pregnancy test is negative. She wants to avoid becoming pregnant for the foreseeable future and is started on combined oral contraceptive pills. Which of the following is the patient at risk of developing?
AEndometriosis
BFunctional ovarian cysts
CAcne
DHypertension
EPremenstrual syndrome
A 36-year-old woman comes to the physician to discuss contraceptive options. She is currently sexually active with one male partner, and they have not been using any contraception. She has no significant past medical history and takes no medications. She has smoked one pack of cigarettes daily for 15 years. She is allergic to latex and copper. A urine pregnancy test is negative. Which of the following contraceptive methods is contraindicated in this patient?
ADiaphragm with spermicide
BCondoms
CProgestin-only pill
DCombined oral contraceptive pill
EIntrauterine device
A 19-year-old woman comes to the physician because of recent weight gain. She started a combined oral contraceptive for dysmenorrhea and acne six months ago. She has been taking the medication consistently and experiences withdrawal bleeding on the 4th week of each pill pack. Her acne and dysmenorrhea have improved significantly. The patient increased her daily exercise regimen to 60 minutes of running and weight training three months ago. She started college six months ago. She has not had any changes in her sleep or energy levels. Her height is 162 cm and she weighs 62 kg; six months ago she weighed 55 kg. Examination shows clear skin and no other abnormalities. A urine pregnancy test is negative. Which of the following is the most appropriate next step in management?
AMeasure serum testosterone concentration
BPerform a low-dose dexamethasone suppression test
CMeasure serum TSH level
DSwitch contraceptive to a non-hormonal contraceptive method
EReassure the patient
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