PHRM 825: L35-36 Menopause Hormone Therapy Questions with Correct Answers

PHRM 825: L35-36 Menopause Hormone Therapy
Questions with Correct Answers
Define premenopausal Correct Ans ✓✓ The time period of endocrine
changes BEFORE cessation of menstruatio


Define perimenopausal Correct Ans ✓✓ the period of endocrine
changes SURROUND the menopause


Define postmenopausal Correct Ans ✓✓ The time period of endocrine
changes AF TER cessation of menstruation


Evaluate a patient's risk-benefit profile for hormonal treatment of
menopausal symptoms Correct Ans ✓✓ -Things to consider:


- intact uterus present?


- PMH?


- contraindications?


- age?


- start of menopause?

,- CVD risk?


- route of administration?


Design an individualized treatment plan using pharmacologic options for
menopausal symptoms Correct Ans ✓✓ -MHT: vasomotor symptoms,
osteoporosis prevention, and vulvovaginal atrophy


-Nonhormonal alternatives (SSRIs and SNRIs): vasomotor symptoms
and some genitourinary symptoms


Evaluate a treatment plan on the basis of a patient's response to
pharmacologic management of menopausal symptoms Correct Ans ✓✓
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Describe the circumstances under which non-hormonal therapies for
menopausal symptoms should be considered Correct Ans ✓✓ -
contraindications to MHT


-patient does not want additional therapy


-prior use of MHT w/ Sx


-first line treatment of genitourinary syndrome of menopause

, -very high CVD risk (>10%)


Causes of Menopause Correct Ans ✓✓ -physiologic (extensive
deterioration w/ aging or decrease in progesterone and estrogen)


-surgery


-chemotherapy


-radiation therapy


clinical presentation of menopause Correct Ans ✓✓ -hot flashes


-night flashes


-irregular menses


-episodic amenorrhea


-sleep disturbance


-mood changes