N434 Quiz #5 fully solved &
updated (graded A+)
What used to be the Hormone Replacement Therapy (HRT) choice for a
woman who still has a uterus? - answer Estrogen + Progestin
What used to be the HRT choice for a woman who has had a
hysterectomy? - answer Estrogen only
What results of a landmark study caused woman to stop that dose of HRT?
- answer EPT increased risk for CHF, breast cancer, PE, and stroke
What is the CURRENT menopausal hormone therapy? What does it help
with? - answer Lower dose Estrogen/Progestin soon after menopause
starts
-Appears to be safe, relieve hot flashes and vaginal dryness, improves
mood and bone density, and decreases risks for CV Disease
___________ is the most effective treatment of menopausal ________ and
___________ - answer HRT
-Hot flashes and vaginal dryness
If vaginal dryness or dyspareunia are the only symptoms, then low-dose
____________ is preferred for HRT - answer Vaginal estrogen
Risk for _______ in the legs and lungs are increased with HRT but
occurrence is rare in women 50-59. What decreases the risk? - answer -
Blood clots
-Risk is lowered by low-dose estrogen pills or transdermal patches, gels,
or sprays
, Increased risk of _________ does occur with continuous EPT >5 years or ET
>7 years but risk stops when ________ - answer -BREAST cancer
-Risk stops when hormone is stopped
What are the risk factors for Endometriosis? - answer -Menarche before
age 11
-Cycle length <27 days
-Heavy, prolonged menses
-Sedentary lifestyle
-Increased dietary fat
-First degree relative with the disorder
What are the clinical manifestations of Endometriosis? - answer -
Dysmenorrhea that worsens each month
-Dyspareunia, menorrhagia, postcoital bleeding, urinary complaints, and
rectal pain (depending on implant locations)
-Pain usually a few days before onset of menses and becomes much worse
as period begins to stop
What are the clinical manifestations of Primary Dysmenorrhea? - answer -
MAIN SYMPTOM: PELVIC PAIN THAT RADIATES TO GROIN before and during
the first day of menses
-Low backache, diarrhea, headache, anorexia
-Begins within 3-4 periods after menarche and with each ovulatory cycle
-The pain decreases over time and is often less after childbirth
What are the clinical manifestations of Secondary Dysmenorrhea? -
answer -Pain is often dull lower abdominal pain that radiates to the back
and down the thighs
-The pain gets progressively worse with each menstrual cycle
-Pain can occur at any time with the menstrual cycle
-DUE TO PATHOLOGY: endometriosis, tumors, PID, etc.
updated (graded A+)
What used to be the Hormone Replacement Therapy (HRT) choice for a
woman who still has a uterus? - answer Estrogen + Progestin
What used to be the HRT choice for a woman who has had a
hysterectomy? - answer Estrogen only
What results of a landmark study caused woman to stop that dose of HRT?
- answer EPT increased risk for CHF, breast cancer, PE, and stroke
What is the CURRENT menopausal hormone therapy? What does it help
with? - answer Lower dose Estrogen/Progestin soon after menopause
starts
-Appears to be safe, relieve hot flashes and vaginal dryness, improves
mood and bone density, and decreases risks for CV Disease
___________ is the most effective treatment of menopausal ________ and
___________ - answer HRT
-Hot flashes and vaginal dryness
If vaginal dryness or dyspareunia are the only symptoms, then low-dose
____________ is preferred for HRT - answer Vaginal estrogen
Risk for _______ in the legs and lungs are increased with HRT but
occurrence is rare in women 50-59. What decreases the risk? - answer -
Blood clots
-Risk is lowered by low-dose estrogen pills or transdermal patches, gels,
or sprays
, Increased risk of _________ does occur with continuous EPT >5 years or ET
>7 years but risk stops when ________ - answer -BREAST cancer
-Risk stops when hormone is stopped
What are the risk factors for Endometriosis? - answer -Menarche before
age 11
-Cycle length <27 days
-Heavy, prolonged menses
-Sedentary lifestyle
-Increased dietary fat
-First degree relative with the disorder
What are the clinical manifestations of Endometriosis? - answer -
Dysmenorrhea that worsens each month
-Dyspareunia, menorrhagia, postcoital bleeding, urinary complaints, and
rectal pain (depending on implant locations)
-Pain usually a few days before onset of menses and becomes much worse
as period begins to stop
What are the clinical manifestations of Primary Dysmenorrhea? - answer -
MAIN SYMPTOM: PELVIC PAIN THAT RADIATES TO GROIN before and during
the first day of menses
-Low backache, diarrhea, headache, anorexia
-Begins within 3-4 periods after menarche and with each ovulatory cycle
-The pain decreases over time and is often less after childbirth
What are the clinical manifestations of Secondary Dysmenorrhea? -
answer -Pain is often dull lower abdominal pain that radiates to the back
and down the thighs
-The pain gets progressively worse with each menstrual cycle
-Pain can occur at any time with the menstrual cycle
-DUE TO PATHOLOGY: endometriosis, tumors, PID, etc.
