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1. Which interventions have solid evidence Estroge
for im- proving hot flashes in n
menopause?
Placeb
o
Venlafaxine (ettexor) -
2. Which therapy works better than any other SNRI's/SSRI's
agent in reducing hot flashes in
Estrogen
menopause?
3. What is the best determinant of whether a
midlife patient has reached menopause? LMP
NO hormone therapy +
12 full months since LMP =
the patient can is in
menopause and no longer
4. What is TRUE about hormone therapy at risk for pregnancy.
for menopause and cancer?
estrogen + progestin
5. What is important about the relationship reduces the risk of
between smoking and hormone therapy? colorectal cancer
As long as smoking is the
only CV risk factor, adding
estrogen doesn't increase
CVD enough beyond
smoking + age alone to
make estrogen
contraindicated.
Note that this is only true for
menopausal doses of
estrogen, which are about
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, Nm701 Module 4 – Menopause Exam with All Correct & 100%
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1/10 to 1/7 as strong as those used for contra- ception.
So smokers over 35 can use menopause-dosing of hormone therapy
safely.
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6. When do clinicians need to consider Starts at menarche.
osteoporosis risk factors?
At risk: adolescents who do
not maintain enough body
mass to have periods are
also not devel- oping
enough bone mass.
Dietary calcium intake &
weight bearing activity is
important
7. What is true about sexuality and menopause? Dyspareunia can be resolved
with vaginal estrogen.
8. When does menopause begin? A transition that begins abut
7 years before the final
period
9. Why is hormone testing a particularly poor Due to rapidly shifting HPO
way to diagnose or predict menopause?
axis hormones. FSH,
estrogen, and LH can be
markedly ditterent from
day to day during this time
AND for the year following
the final menstrual period
10. How does smoking affect menopause? Begins menopause about 2
yrs
earlier
11. Common sx of menopause? vasomotor sx (hot
flashes/night sweats) -
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80%
sleep problems
urogenital sx
12. A.FSH & LH Fluctuate during
perimenopause then rise
over
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