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MRCOG PART 2 SBAs and EMQs

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EMQ1470
SBA2076
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part 2 mcq

part 2 mcq Posted by ELIZA SHIREEN E.
woman who develop breast cancer while taking combined HRT have bigger tumour and more advance disease.Why is it not associated with worse prognosis?In MCQ it is false.Why?
Tamoxifen use associated with increase risk of VTE 4.7-5.7 fold. It should not be discontinued before major surgery.
Raloxifene use associated with increase risk of VTE 3.1.But it should be discontinued before major surgery.Why?