A 51-year-old premenopausal woman requests an estrogen-containing contraceptive from her primary care physician. Her social history is significant for being sexually active, smoking one pack per day of cigarettes, and consuming one to two alcoholic drinks per week. She has no personal or family history of breast, ovarian, or endometrial cancer. Why might be the physician will choose to avoid an estrogen-containing contraceptive?

A 51-year-old premenopausal woman requests an estrogen-containing contraceptive from her primary care physician. Her social history is significant for being sexually active, smoking one pack per day of cigarettes, and consuming one to two alcoholic drinks per week. She has no personal or family history of breast, ovarian, or endometrial cancer. Why might be the physician will choose to avoid an estrogen-containing contraceptive?

A 33-year-old woman has difficulties with redness of her eyes especially after swimming. She takes oxymetazoline eye drops, which gives her relief. However, this medication can get into the systemic circulation and cause which of the following adverse effects?

A 42-year-old woman presents to clinic with fatigue for the past 2 weeks. She has a history of diabetes, hypothyroidism, lupus, hypertension, and GERD. She currently takes metformin, levothyroxine, prednisone, hydrochlorothiazide, and cimetidine. She reports that her blood sugar has been well controlled. Her TSH and free \T_4 are both within normal limits. She has not had a recent lupus flare. The physician is unsure of the cause of her fatigue and gathers some blood work. The complete blood count is significant for a white blood cell count of 16.1. What medication may be responsible for her elevated white blood cell count?

A 47-year-old woman presents to the clinic for her annual visit. Her last fasting blood glucose on her last visit showed she has borderline diabetes. She tried to make lifestyle changes to improve her blood sugars. However, her fasting blood glucose is 215mg\dL this year. She is started on metformin and encouraged to live a healthier lifestyle. What is a side effect associated with metformin?

A 37-year-old woman patient with hyperlipidemia is taking a drug to lower her triglyceride and blood cholesterol levels. She is considering stopping her therapy, however, because of a red, itchy rash on her face and neck that occurs following some doses. What could she use to avoid this side effect?