skip to main content

Meningococcal meningitis — RCPSC IM MCQ

Instant feedback + full explanation. One question, done properly.

HardInfectious DiseasesMeningococcal meningitisRCPSC IM

A patient completed anticoagulation for estrogen-associated CVT and asks about contraception. They have no persistent thrombophilia. Which advice is most appropriate?

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

Reveal the answer and explanation

Correct answer: B — Avoid estrogen contraception; discuss non-estrogen alternatives

The best answer is “Avoid estrogen contraception; discuss non-estrogen alternatives”. After estrogen-associated cerebral venous thrombosis, estrogen-containing contraception should be avoided. Discuss effective non-estrogen options such as progestin-only contraception or an intrauterine device according to preferences and eligibility. Barrier methods avoid estrogen but are less effective alone and should not be presented as the only contraceptive plan.

Reference: Canadian Stroke Best Practices, cerebral venous thrombosis: https://www.strokebestpractices.ca/recommendations/cerebral-venous-thrombosis/2-acute-treatment-of-symptomatic-cerebral-venous-thrombosis