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Contraceptive counseling — USMLE Step 3 MCQ

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ModerateAmbulatory Medicine / Primary CareContraceptive counselingUSMLE Step 3

A 32-year-old woman with migraine with aura wants contraception. She smokes 5 cigarettes daily. Blood pressure is 118/70 mm Hg and pregnancy test is negative. Which of the following is the most appropriate at this time?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: AOffer a levonorgestrel intrauterine device

Estrogen-containing contraception is avoided in migraine with aura because of stroke risk; progestin-based and nonhormonal methods are options.

Reference: CDC U.S. Medical Eligibility Criteria for Contraceptive Use