Which scenario represents a contraindication to combined oral contraceptive use?

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Multiple Choice

Which scenario represents a contraindication to combined oral contraceptive use?

Explanation:
Combined estrogen-containing contraception increases the risk of blood clots and cardiovascular events, and this risk is highest in older women who smoke. The specific scenario that represents an absolute contraindication is a smoker who is 36 years old, because the combination is clearly contraindicated in women over 35 who smoke. The other scenarios don’t meet that absolute criterion: hypertension without details on severity isn’t automatically disqualifying for all cases, a smoker under 35 carries elevated risk but not the age-based contraindication, and a non-smoker of 30 has no contraindication.

Combined estrogen-containing contraception increases the risk of blood clots and cardiovascular events, and this risk is highest in older women who smoke. The specific scenario that represents an absolute contraindication is a smoker who is 36 years old, because the combination is clearly contraindicated in women over 35 who smoke. The other scenarios don’t meet that absolute criterion: hypertension without details on severity isn’t automatically disqualifying for all cases, a smoker under 35 carries elevated risk but not the age-based contraindication, and a non-smoker of 30 has no contraindication.

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