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Menopause Exam 2 Questions And A

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Menopause Exam 2 Questions And
Answers
Maliyah is experiencing severe hot flushes, night sweats and severe
vaginal atrophy from menopause. She is 2 years post chemotherapy
and radiation for breast cancer. She only takes tamoxifen. She is
confused on what is known to be safe for a breast cancer survivor.
Your best recommendation for her to try first is?
a. Soy isoflavones 50 - 150 mg per day from diet or supplements
b. Black cohosh (Remifemin) with St. John's wort
c. Conjugated equine estrogens and medroxyprogesterone
(Prempro) 0.3 mg/1.5 mg po daily
d. Citalopram (Celexa) and Replens -
correct answer ✅D


Zoey is a naturalist. She had a stroke 3 years ago when she stopped
taking her two prescription high blood pressure medications. She
has tried soy isoflavone 100 mg supplements 2 daily for her hot
flushes and night sweats but they have been ineffective. She wants
to take Triest bid, which her natural healing book promotes. Since
you are her neighbor, she thought she'd ask you what you thought.
Your response is?
a. Triest is a natural product that you can take but make sure you go
to a reputable pharmacy since compounding errors occur at other
places.

, Menopause Exam 2 Questions And
Answers
b. Triest is not safe for you. You should try remifemin (black
cohosh), a natural product, instead.
c. Estradiol is better than Triest for you, and if you use micronized
progesterone, then you are still taking a natural product.
d. Conjugated equine estrogens and medroxyprogesterone are
natural and safe for you. -
correct answer ✅B


Joelle is picking up her new prescription for conjugated equine
estrogens 0.3 mg with medroxyprogesterone 1.5 mg daily
(Prempro). Which statement is the best for her patient education
about vaginal bleeding?
a. You will have a period at the end of each dose pack but it will be
much lighter than your normal menstrual period.
b. You will have spotting or irregular bleeding off and on so you
should use a minipad for awhile. Many women have no periods
after 6 - 12 months.
c. You will have a period for the first couple of months and then
should have no periods thereafter.
d. As soon as you start this dose pack you will have a mini period,
and then some irregular bleeding but after a short while you should
have no periods. -
correct answer ✅B

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