skip to main content

UKMEC multiple arterial risk factors — DFSRH MCQ

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

HardUKMECUKMEC multiple arterial risk factorsDFSRH

A 46-year-old requests CHC for perimenopausal symptoms. She smokes 8 cigarettes daily, has BMI 34 kg/m2, blood pressure 146/92 mmHg and her father had MI at 49. What is the most appropriate contraceptive advice?

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

Reveal the answer and explanation

Correct answer: E — Avoid CHC and discuss safer alternatives

Multiple arterial cardiovascular risk factors make CHC generally unsuitable or contraindicated, even if no single factor seems decisive in isolation. Smoking over 35, hypertension, obesity and family history compound risk. The patch is still CHC and does not avoid the eligibility concern.

Reference: FSRH UKMEC; FSRH Combined Hormonal Contraception