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- Smokes tobacco
- Has abdominal pain
- Has uterine cramps with menstruation
- Takes over-the-counter pain medications
"Smokes tobacco" is correct. Oral contraceptives are hormone supplements used for birth control and to regulate menstrual cycles for some women. Most oral contraceptives are made up of estrogen, progestin or a combination of the two. Patients who take oral contraceptives should not smoke because smoking greatly increases the risk of cardiovascular adverse effects, including ischemic stroke and myocardial infarction. This risk increases even further as age increases.
"Has abdominal pain", "Has uterine cramps with menstruation" and "Takes over-the-counter pain medications" are incorrect because none of these circumstances are a contraindication with oral contraceptive use.
Kroon, L., Pharm D. (2007). Drug Interactions With Smoking. Retrieved May 1, 2018, from https://www.medscape.com/viewarticle/562754_5
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