Exam Study Guide – Practice
Questions with Verified Answers.
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Update
Which 2 nonpharmacologic treatments are HIGHLY recommended by
the North American Menopause Society (NAMS) to treat VMS? -
Answer✔✔-Cognitive behavioral therapy, clinical hypnosis
What other nonpharmacologic options are used to treat VMS? -
Answer✔✔-Temperature control (colder pillow)
Yoga/relaxation therapy
Avoid spicy foods, chocolate, caffeine
Exercise
Acupuncture
Paced respiration (slowed down breathing)
What are vasomotor symptoms? - Answer✔✔-Hot flushes and night
sweats
, What are the non-VMS of menopause? - Answer✔✔-Dyspareunia,
vaginal dryness, mood changes, sleep disturbances, concentration
and memory issues, arthralgia
If patient has a uterus, you must give them - Answer✔✔-estrogen +
progestin combo
If patient does NOT have a uterus, you can give them - Answer✔✔-
estrogen alone
What are the 3 main differences in estrogen of transdermal
estrogens? - Answer✔✔-Lower VTE risk
No impact on triglycerides
Potential lower stroke risk, so lower blood clot risk
What are the 2 main differences in estrogen of oral estrogens? -
Answer✔✔-Increases triglycerides
Potential for decreased libido
What is the Women's Health Initiative (WHI)? - Answer✔✔-Clinical
study started in 1991. Studied the use of conjugated equine
estrogens (CEE) and medroxyprogesterone acetate (MPA) in women
with and without a uterus