UKMEC Flashcards
(296 cards)
1
Q
CHC in breastfeeding 0-<6 weeks PP
A
4
2
Q
CHC in breastfeeding 6w-6months PP
A
2
3
Q
DMPA in breastfeeding 0-6w PP
A
2
4
Q
CHC 0-3 weeks PP no breastfeeding VTE risk factors
A
4
5
Q
CHC 0-3 weeks PP no breastfeeding no VTE risk factors
A
3
6
Q
DMPA 0-3 weeks PP no breastfeeding VTE risk factors
A
2
7
Q
DMPA 0-3 weeks PP no breastfeeding No VTE risk factors
A
2
8
Q
CHC 3-6 weeks PP no breastfeeding VTE risk factors
A
3
9
Q
CHC 3-6 weeks PP no breastfeeding no VTE risk factors
A
2
10
Q
DMPA 3-6 weeks PP no breastfeeding VTE risk factors
A
2
11
Q
DMPA 3-6 weeks PP no breastfeeding no VTE risk factors
A
1
12
Q
IUCD 0-48 HRS PP
A
1
13
Q
IUCD 48 hrs - 4 weeks PP
A
3
14
Q
IUCD 4 weeks+ PP
A
1
15
Q
IUCD pp sepsis
A
4
16
Q
CHC Bariatric surgery BMI <30
A
1
17
Q
CHC Bariatric surgery BMI 30 -34
A
2
18
Q
CHC Bariatric surgery BMI >35
A
3
19
Q
DMPA Bariatric surgery BMI >35
A
1
20
Q
IUCD Organ transplant complicated (graft failure, rejection etc)
A
Initiate 3
Continue 2
21
Q
POP Organ transplant complicated (graft failure, rejection etc)
A
2
22
Q
DMPA Organ transplant complicated (graft failure, rejection etc)
A
2
23
Q
CHC Organ transplant complicated (graft failure, rejection etc)
A
3
24
Q
CHC Organ transplant uncomplicated
A
2
25
IUCD Organ transplant uncomplicated
2
26
DMPA organ transplant uncomplicated
2
27
IUS cardiovascular disease multiple risk factors
2
28
IUD cardiovascular disease multiple risk factors
1
29
DMPA cardiovascular disease multiple risk factors
3
30
POP cardiovascular disease multiple risk factors
2
31
CHC cardiovascular disease multiple risk factors
3
32
IUD Cardiomyopathy with normal cardiac function
1
33
IUS Cardiomyopathy with normal cardiac function
1
34
DMPA Cardiomyopathy with normal cardiac function
1
35
CHC Cardiomyopathy with normal cardiac function
2
36
CHC Cardiomyopathy with impaired cardiac function
4
37
DMPA cardiomyopathy with impaired cardiac function
2
38
IUD cardiomyopathy with impaired cardiac function
2
39
IUS cardiomyopathy with impaired cardiac function
2
40
CHC Atrial fibrillation
4
41
DMPA Atrial fibrillation
2
42
IUS Atrial fibrillation
2
43
IUD Atrial fibrillation
1
44
CHC known long QT
2
45
POP known long QT
1
46
DMPA known long QT
2
47
IUCD known long QT
Initiate 3
Continue 1
48
CHC idiopathic intercranial hypertension
2
49
DMPA idiopathic intercranial hypertension
1
50
Implant idiopathic intercranial hypertension
1
51
IUCD idiopathic intercranial hypertension
1
52
CHC anti epileptic drugs
1 (but may interact!)
53
CHC GTD decreasing hCG
1
54
DMPA GTD decreasing hCG
1
55
Implant GTD decreasing hCG
1
56
IUCD GTD decreasing hCG
3
57
CHC GTD undetectable hCG
1
58
DMPA undetectable hCG
1
59
IUCD undetectable hCG
1
60
IUCD persistently elevated hCG/malignancy
4
61
CHC persistently elevated hCG/malignancy
1
62
DMPA persistently elevated hCG/malignancy
1
63
POP persistently elevated hCG/malignancy
1
64
CHC cervical cancer awaiting treatment
2
65
IUCD cervical cancer awaiting treatment
Initiate 4
Continue 2
66
Implant cervical cancer awaiting treatment
2
67
DMPA cervical cancer awaiting treatment
2
68
POP cervical cancer awaiting treatment
1
69
IUCD cervical cancer radical trachelectomy
3
70
Implant cervical cancer radical trachelectomy
2
71
DMPA cervical cancer radical trachelectomy
2
72
POP cervical cancer radical trachelectomy
1
73
CHC cervical cancer radical trachelectomy
2
74
IUD Undiagnosed breast mass/symptoms
1
75
Implant Undiagnosed breast mass/symptoms
2
76
DMPA Undiagnosed breast mass/symptoms
2
77
IUS Undiagnosed breast mass/symptoms
2
78
POP Undiagnosed breast mass/symptoms
2
79
CHC Undiagnosed breast mass/symptoms
Initiate 3
Continue 2
80
IUS benign breast conditions
1
81
IUD benign breast conditions
1
82
POP benign breast conditions
1
83
CHC benign breast conditions
1
84
IUD family history of breast cancer
1
85
IUS family history of breast cancer
1
86
Implant family history of breast cancer
1
87
POP family history of breast cancer
1
88
CHC family history of breast cancer
1
89
IUS carriers of breast cancer gene mutations (eg BRCA 1/2)
2
90
IUD carriers of breast cancer gene mutations (eg BRCA 1/2)
1
91
Implant carriers of breast cancer gene mutations (eg BRCA 1/2)
2
92
DMPA carriers of breast cancer gene mutations (eg BRCA 1/2)
2
93
POP carriers of breast cancer gene mutations (eg BRCA 1/2)
2
94
CHC carriers of breast cancer gene mutations (eg BRCA 1/2)
3
95
IUD current breast cancer
1
96
IUS current breast cancer
4
97
Implant current breast cancer
4
98
DMPA current breast cancer
4
99
POP current breast cancer
4
100
CHC current breast cancer
4
101
IUD past breast cancer
1
102
IUS past breast cancer
3
103
Implant past breast cancer
3
104
DMPA past breast cancer
3
105
POP past breast cancer
3
106
CHC past breast cancer
3
107
IUS ovarian cancer
1
108
IUD ovarian cancer
1
109
Implant ovarian cancer
1
110
CHC ovarian cancer
1
111
IUCD CT infection asymptomatic
Initiate 3
Continue 2
112
IUCD CT infection symptomatic
Initiate 4
Continue 2
113
POP CT infection asymptomatic
1
114
CHC CT infection symptomatic
1
115
IUCD purulent cervicitis/GC
Initiate 4
Continue 2
116
Implant purulent cervicitis/GC
1
117
IUCD STIs (excluding CT, GC, HIV, Hep)
2
118
DMPA STIs (excluding CT, GC, HIV, Hep)
1
119
IUCD vaginitis (Inc BV and TV)
2
120
CHC vaginitis (Inc BV and TV)
1
121
IUCD Increased STI risk
2
122
IUCD High risk HIV infection
1
123
CHC high risk for HIV
1
124
IUCD HIV infection CD4 count >200
2
125
POP HIV infection CD4 count <200
1
126
IUCD HIV infection CD4 count <200
Initiate 3
Continue 2
127
IUCD history of gestational diabetes
1
128
DMPA history of gestational diabetes
1
129
CHC history of gestational diabetes
1
130
IUD non insulin dependent diabetes
1
131
IUS non insulin dependent diabetes
2
132
Implant non insulin dependent diabetes
2
133
POP non insulin dependent diabetes
2
134
CHC non insulin dependent diabetes
2
135
IUD insulin-dependant diabetes
1
136
IUS insulin-dependant diabetes
2
137
Implant insulin-dependant diabetes
2
138
DMPA insulin-dependant diabetes
2
139
CHC insulin-dependant diabetes
2
140
IUD diabetes with nephropathy/ retinopathy/neuropathy
1
141
IUS diabetes with nephropathy/ retinopathy/neuropathy
2
142
Implant diabetes with nephropathy/ retinopathy/neuropathy
2
143
DMPA diabetes with nephropathy/ retinopathy/neuropathy
2
144
POP diabetes with nephropathy/ retinopathy/neuropathy
2
145
CHC diabetes with nephropathy/ retinopathy/neuropathy
3
146
IUD diabetes and other vascular disease
1
147
IUS diabetes and other vascular disease
2
148
Implant diabetes and other vascular disease
2
149
DMPA diabetes and other vascular disease
2
150
POP diabetes and other vascular disease
2
151
CHC diabetes and other vascular disease
3
152
IUS acute/flare viral hepatitis
1
153
IUD acute/flare viral hepatitis
1
154
Implant acute/flare viral hepatitis
1
155
DMPA acute/flare viral hepatitis
1
156
POP acute/flare viral hepatitis
1
157
CHC acute/flare viral hepatitis
Initiate 3
Continue 2
158
IUCD carrier/chronic hepatitis
1
159
Implant carrier/chronic hepatitis
1
160
DMPA carrier/chronic hepatitis
1
161
POP carrier/chronic hepatitis
1
162
CHC carrier/chronic hepatitis
1
163
IUD rheumatoid arthritis
1
164
IUS rheumatoid arthritis
2
165
POP rheumatoid arthritis
2
166
Implant rheumatoid arthritis
2
167
DMPA rheumatoid arthritis
2
168
CHC rheumatoid arthritis
2
169
IUD SLE no anti phospholipid antibodies
1
170
IUS SLE no anti phospholipid antibodies
2
171
Implant SLE no anti phospholipid antibodies
2
172
DMPA SLE no anti phospholipid antibodies
2
173
POP SLE no anti phospholipid antibodies
2
174
CHC SLE no anti phospholipid antibodies
2
175
IUD positive anti phospholipid antibodies +/- lupus
1
176
IUS positive anti phospholipid antibodies +/- lupus
2
177
Implant positive anti phospholipid antibodies +/- lupus
2
178
DMPA positive anti phospholipid antibodies +/- lupus
2
179
POP positive anti phospholipid antibodies +/- lupus
2
180
CHC positive anti phospholipid antibodies +/- lupus
4
181
IUCD and age <20
2
182
IUCD prev ectopic
1
183
IUD and current/history of ischemic heart disease
1
184
IUS and current/history of ischemic heart disease
Initiate 2
Continue 3
185
IUD and stroke (Inc TIA)
1
186
IUS and stroke (Inc TIA)
Initiate 2
Continue 3
187
IUD hx VTE
1
188
IUS hx VTE
2
189
IUS Major surgery with prolonged immobilisation
2
190
IUCD Immobility unrelated to surgery
1
191
IUCD superficial venous thrombosis
1
192
IUS known thrombogenic mutation
2
193
IUCD uncomplicated congenital/valvular heart disease
1
194
IUCD complicated congenital/valvular heart diease (hx subacute bacterial endocarditis, pulmonary hypertension etc)
2
195
IUS migraine with aura
2
196
IUS migraine without aura
2
197
IUCD and epilepsy
1
198
IUD heavy/prolonged vaginal bleed
2
199
IUS heavy/prolonged vaginal bleed
Initiate 1
Continue 2
200
IUCD unexplained vaginal bleeding suspicious for malignancy
Initiate 4
Continue 2
201
IUS cervical intraepithelial neoplasia
2
202
IUD cervical intraepithelial neoplasia
1
203
IUD endometrial cancer
Initiate 4
Continue 2
204
IUS endometrial cancer
Initiate 4
Continue 2
205
IUCD and fibroids distorting the uterine cavity
3
(Can be fitted in specialist cases/after discussion)
206
IUCD and distorted uterine cavity
3
207
IUCD current PID
Initiate 4
Continue 2
208
IUD severe decompensated cirrhosis
1
209
IUS severe decompensated cirrhosis
3
210
IUD hepatocellular carcinoma (benign)
1
211
IUD hepatocellular carcinoma (malignant)
1
212
IUS focal nodular hyperplasia of the liver (benign)
2
213
IUS hepatocellular adenoma (benign)
3
214
IUS hepatocellular carcinoma
3
215
IUS IBD
1
216
IUD thalassemia
2
217
IUS thalassemia
1
218
IUD sickle cell disease
2
219
IUD sickle cell disease
2
220
IUS sickle cell disease
1
221
DMPA ukmec 2 age ranges
<20
>45
222
DMPA smoking >15 a day age over 35
1
223
DMPA and adequately controlled hypertension
2
224
DMPA with BP systolic 140-159 diastolic 90-99
1
225
DMPA systolic BP >160 diastolic>100
2
226
DMPA complicated valvular and congenital heart disease
1
227
POP migraine without aura
Initiate 1
Continue 2
228
Implant migraine with aura
2
229
DMPA migraine with aura
2
230
POP migraine with aura
2
231
DMPA Heavy or prolonged vaginal bleeding
2
232
Implant Unexplained vaginal bleeding
3
233
DMPA unexplained vaginal bleeding
3
234
POP unexplained vaginal bleeding
2
235
DMPA cervical intraepithelial neoplasia
2
236
POP cervical intraepithelial neoplasia
1
237
Implant cervical intraepithelial neoplasia
1
238
DMPA/POP/Implant and thyroid disorders
1
239
DMPA and current or past gallbladder disease
2
240
POP and current or past gallbladder disease
2
241
Implant and current or past gallbladder disease
2
242
POP/implant/DMPA and cholestasis from CHC
2
243
POP IBD
2
244
Implant IBD
1
245
DMPA IBD
1
246
DMPA and sickle cell
1
247
POP and sickle cell
1
248
CHC >40
2
249
CHC and smoking age <35
2
250
CHC and smoking age >35 <15 ciggies a day
3
251
CHC and smoking >35 >15 ciggies a day
4
252
CHC over 35 stopped smoking less than a year ago
3
253
CHC and stopped smoking over a year ago aged over 35
2
254
CHC and budd-chiari syndrome
4 (high thrombosis risk)
255
CHC adequately controlled hypertension
3
256
CHC BP systolic 140-159 diastolic 90-99
3
257
CHC BP >160/100
4
258
CHC and history of high BP in pregnancy
2
259
CHC and family history age <45 of VTE
3
260
CHC and family history of VTE age >45
2
261
CHC and major surgery with prolonged immobilisation
4
262
CHC and minor surgery without immobilisation
1
263
CHC and major surgery without prolonged immobilisation
2
264
CHC and immobility unrelated to surgery
3
265
CHC and superficial venous thrombosis
2
266
CHC and known thrombogenic mutations
4
267
CHC and uncomplicated valvular heart disease
2
268
CHC and complicated valvular or congenital heart disease
4
269
CHC non migrainous headaches
Initiate 1
Continue 2
270
CHC and migraine without aura
Initiate 2
Continue 3
271
CHC Migraine with aura
4
272
CHC Migraine with aura more than 5 years ago
3
273
CHC Unexplained vaginal bleeding
2
274
CHC and cervical intraepithelial neoplasia
2
275
CHC and pelvic tb
1
276
CHC and thyroid disorders
1
277
CHC and gallbladder disease treated by cholecystectomy
2
278
CHC and medically treated gallbladder disease
3
279
CHC and current symptomatic gallbladder disease
3
280
CHC and asymptomatic gallbladder disease
2
281
CHC and pregnancy cholestasis
2
282
CHC and CHC induced cholestasis
3
283
CHC and severe decompensated cirrhosis
4
284
CHC and mild/compensated cirrhosis
1
285
CHC and benign focal nodular hyperplasia
2
286
CHC and benign hepatocellular adenoma
4
287
CHC and malignant hepatocellular carcinoma
4
288
CHC and ibd
2
289
CHC and thalassemia
1
290
CHC and sickle cell
2
291
UPA and vte
2
292
EC-LNG and VTE
2
293
UPA and current breast cancer
2
294
EC-LNG and current breast cancer 2
295
Oral EC and IBD
2
296
Oral EC and severe liver disease (Inc jaundice)
1
