<prompt> In a young female of reproductive age an absolute contraindication for prescribing oral contraceptive pills is:DiabetesHypertensionObesityImpaired liver function  <response>: Ans-D i.e., Impaired liver function Repeat Q No 173 Nov. 2004Absolute contraindications include:A personal hO thromboembolic venous, arterial or cardiac disease or severe or multiple risk factor for these. Transient cerebral ischaemic attacks without a headache.Infective hepatitis, until 3 months after liver function tests has become normal, and another liver disease including disturbances of hepatic excretion e.g. cholestatic jaundice, Dubin Johnson and Rotor syndromes.A migraine, if there is a typical aura, focal features or if it is severe and lasts 72 hours despite tt or is treated with an ergot derivative.Carcinoma of the breast or the genital tractOther conditions including SLE, porphyria, following the evacuation of a hydatidiform mole until urine and plasma gonadotropin concentrations are normal, undiagnosed vaginal bleeding.Relative contraindications of OCPsThe family history of venous thromboembolism, arterial disease or a known prethrombotic condition e.g. Factor V Leiden pretreatment coagulation investigation is advised.Diabetes mellitus which may be precipitated or become more difficult to control avoid if there are diabetic complications.Hypertension avoid if B.P. exceeds 160100Smoking 40 Cigarettes per day 15 Cigarettesday enhances the risk of circulatory disease and constitutes an absolute contraindication for women over 35 years.Long-term immobility e.g. due to Leg plaster, confinement to bed.Breastfeeding until weaning or for 6 months after birth.Obesity 