This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pharmacology
[{'content': 'The combined oral contraceptive pill is absolutely contraindicated in: \nSelect and explain. \nA. Thromboembolism (h/o), B. PID, C. Age above 40 years, D. Leiomyoma', 'role': 'user'}, {'content': 'Answer: A \nExplanation: The combined oral contraceptive pill is absolutely contraindicated in: Thromboembolic, coronary and cerebrovascular disease or a history of it Moderate to severe hypeension; hyperlipidemia Active liver disease, hepatoma or h/o jaundice during past pregnancy Suspected/Ove malignancy of genitalia/breast Porphyria Impending major surgery to avoid postoperative thromboembolism Also Know: Relative contraindications: Diabetes: control may be vitiated. Obesity Smoking Undiagnosed vaginal bleeding Uterine leiomyoma: may enlarge with estrogenic preparations; progestin only pills can be used Mentally ill Ref: KDT 6th Ed Page 316.', 'role': 'assistant'}]