FNP Women's Health, Exam 3
The North American Menopause Society (NAMS) current position on the use of HT in
menopausal women includes:
A. HT is indicated for the sole purpose of preventing cardiovascular disease
B. ET for less than 5 years has significant effect on the risk for breast cancer
C. HT is recommended for prevention of cognitive aging or dementia
D. EPT is recommended to decrease risk of endometrial carcinoma. - ANS -D
What types of estrogen are usually present in a womans body in the postmenopausal years?
A. Estrone (E1) and estradiol (E2)
B. Estrone (E1) and estriol (E3)
C. Estradiol (E2) only
D. None; women do not produce estrogen after menopause - ANS -A
In general, natural menopause occurs for most women between the ages of ______ years.
A. 40 and 50
B. 44 and 46
C. 48 and 55
D. 39 and 47 - ANS -C
Which of the following statements about menopause is false?
A. A diagnosis is based on the absence of menses for 6 consecutive months.
B. Controlling diabetes and hypertension can reduce the severity of symptoms.
C. Similar symptoms may be caused by arrhythmia, thyroid disorders, or tumors.
D. Diagnosis requires a thorough history, a physical exam, and lab testing. - ANS -A
Which of the following statement about menopause is true?
A. Symptoms usually begin in the postmenopausal period
B. Women most frequently report CNS symptoms
C. Hot flashes can last well beyond the first 5-7 years following menopause
D. Women typically experience the most severe symptoms during perimenopause - ANS -C
Among the midlife health issues of women, the number one cause of mortality in the US is?
,A. Primary osteoporosis
B. Cardiovascular disease
C. Overweight and obesity
D. Cancer (of the lung and bronchus, breast and colon) - ANS -B
Lifestyle approaches to postmenopausal symptoms management include:
A. Sleeping more than 8 hours per nights
B. Avoiding sugar, coffee, chocolate, and alcohol
C. Decreasing levels of physical activity
D. More than 1,000 international units/day of vitamin E - ANS -B
The standard for managing moderate to sever menopausal symptoms is:
A. Lifestyle changes, such as diet and exercising
B. Non-hormone products, such as anticonvulsive medications
C. Alternate care, such as acupunture, combined with organic herbs
D. Prescription systemic hormone products, such as estrogen and progesterone - ANS -D
When HT is prescribed for relief of the vasomotor symptoms of menopause, patients should:
A. Find that their symptoms begin to resolve within 2-6 weeks
B. Be told that they ought not to experience side effects if they follow direction.
C. Return for follow up with the clinician within one year after the initial dose
D. Initially be given ET or EPT at higher than standard doses - ANS -A
The use of complementary and alternative medicines (CAM)
A. By women is on the downturn in the US
B. Is usually reported to the patient's primary care clinician
C. Must be taken into account by clinicians for proper patient assessment and care
D. is scientifically proven to be effective in the management of menopausal symptoms - ANS -C
Cyclic mastalgia
A: More likely causes unilateral, localized pain that is sharp or burning in nature
B. Has an increased risk of occurrence in women whose diets are low in fat
C. Occurs more frequently in women who are 18-30yo
D. Is caused by hormonal changes associated with menstruation - ANS -D
The possibility of cancer is associated with mastalgia when the pain:
A. Occurs in perimenopausal women who are receiving HT
B. Is accompanied by skin changes or palpable abnormality
, C. Is felt in both breasts equally and is related to a cyclic pattern
D. Is reproducible with palpation of the chest wall - ANS -B
Effective for 85% of women who have mild or moderate symptoms
of mastalgia, the first line of treatment is
A. reassurance.
B. reduction mammoplasty.
C. isoflavones, or naturally occurring phytoestrogens.
D. 2% lidocaine injection and 40 mg of methyl prednisone. - ANS -A
Mammary duct ectasia
A. Is one of the most common causes of milky nipple discharge
B. Like intraductal papilloma, is typically unilateral and uniductal
C. Usually occurs in women 20-35yo
D. Discharge may be green, brown, or black in color - ANS -D
If a women is complaining of bilateral, milky nipple discharge, the clinician is to first:
A. Perform a pregnancy test
B. Perform a mammogram and an ultrasound of the breasts
C. Assess the sella turcica with MRI
D. Obtain a serum prolactin level and a TSH measurement - ANS -A
The most common benign breast masses are:
A. Galactoceles
B. Hamartomas
C. Fibroadenomas and cysts
D. Lipomas and phyllodes tumors - ANS -C
Which breast tissue sampling procedure is best to use when density or calcification is seen on a
mammogram in a location that cannot be effectively assessed with a core biopsy?
A. Fine-needle aspiration
B. MRI-guided needle biopsy
C. Needle-localized breast biopsy
D. Excisional breast biopsy - ANS -C
Among women aged 55 years and older:
A. Macromastia is the most common cause of breast masses
B. Breast masses are presumed malignant until proven otherwise
The North American Menopause Society (NAMS) current position on the use of HT in
menopausal women includes:
A. HT is indicated for the sole purpose of preventing cardiovascular disease
B. ET for less than 5 years has significant effect on the risk for breast cancer
C. HT is recommended for prevention of cognitive aging or dementia
D. EPT is recommended to decrease risk of endometrial carcinoma. - ANS -D
What types of estrogen are usually present in a womans body in the postmenopausal years?
A. Estrone (E1) and estradiol (E2)
B. Estrone (E1) and estriol (E3)
C. Estradiol (E2) only
D. None; women do not produce estrogen after menopause - ANS -A
In general, natural menopause occurs for most women between the ages of ______ years.
A. 40 and 50
B. 44 and 46
C. 48 and 55
D. 39 and 47 - ANS -C
Which of the following statements about menopause is false?
A. A diagnosis is based on the absence of menses for 6 consecutive months.
B. Controlling diabetes and hypertension can reduce the severity of symptoms.
C. Similar symptoms may be caused by arrhythmia, thyroid disorders, or tumors.
D. Diagnosis requires a thorough history, a physical exam, and lab testing. - ANS -A
Which of the following statement about menopause is true?
A. Symptoms usually begin in the postmenopausal period
B. Women most frequently report CNS symptoms
C. Hot flashes can last well beyond the first 5-7 years following menopause
D. Women typically experience the most severe symptoms during perimenopause - ANS -C
Among the midlife health issues of women, the number one cause of mortality in the US is?
,A. Primary osteoporosis
B. Cardiovascular disease
C. Overweight and obesity
D. Cancer (of the lung and bronchus, breast and colon) - ANS -B
Lifestyle approaches to postmenopausal symptoms management include:
A. Sleeping more than 8 hours per nights
B. Avoiding sugar, coffee, chocolate, and alcohol
C. Decreasing levels of physical activity
D. More than 1,000 international units/day of vitamin E - ANS -B
The standard for managing moderate to sever menopausal symptoms is:
A. Lifestyle changes, such as diet and exercising
B. Non-hormone products, such as anticonvulsive medications
C. Alternate care, such as acupunture, combined with organic herbs
D. Prescription systemic hormone products, such as estrogen and progesterone - ANS -D
When HT is prescribed for relief of the vasomotor symptoms of menopause, patients should:
A. Find that their symptoms begin to resolve within 2-6 weeks
B. Be told that they ought not to experience side effects if they follow direction.
C. Return for follow up with the clinician within one year after the initial dose
D. Initially be given ET or EPT at higher than standard doses - ANS -A
The use of complementary and alternative medicines (CAM)
A. By women is on the downturn in the US
B. Is usually reported to the patient's primary care clinician
C. Must be taken into account by clinicians for proper patient assessment and care
D. is scientifically proven to be effective in the management of menopausal symptoms - ANS -C
Cyclic mastalgia
A: More likely causes unilateral, localized pain that is sharp or burning in nature
B. Has an increased risk of occurrence in women whose diets are low in fat
C. Occurs more frequently in women who are 18-30yo
D. Is caused by hormonal changes associated with menstruation - ANS -D
The possibility of cancer is associated with mastalgia when the pain:
A. Occurs in perimenopausal women who are receiving HT
B. Is accompanied by skin changes or palpable abnormality
, C. Is felt in both breasts equally and is related to a cyclic pattern
D. Is reproducible with palpation of the chest wall - ANS -B
Effective for 85% of women who have mild or moderate symptoms
of mastalgia, the first line of treatment is
A. reassurance.
B. reduction mammoplasty.
C. isoflavones, or naturally occurring phytoestrogens.
D. 2% lidocaine injection and 40 mg of methyl prednisone. - ANS -A
Mammary duct ectasia
A. Is one of the most common causes of milky nipple discharge
B. Like intraductal papilloma, is typically unilateral and uniductal
C. Usually occurs in women 20-35yo
D. Discharge may be green, brown, or black in color - ANS -D
If a women is complaining of bilateral, milky nipple discharge, the clinician is to first:
A. Perform a pregnancy test
B. Perform a mammogram and an ultrasound of the breasts
C. Assess the sella turcica with MRI
D. Obtain a serum prolactin level and a TSH measurement - ANS -A
The most common benign breast masses are:
A. Galactoceles
B. Hamartomas
C. Fibroadenomas and cysts
D. Lipomas and phyllodes tumors - ANS -C
Which breast tissue sampling procedure is best to use when density or calcification is seen on a
mammogram in a location that cannot be effectively assessed with a core biopsy?
A. Fine-needle aspiration
B. MRI-guided needle biopsy
C. Needle-localized breast biopsy
D. Excisional breast biopsy - ANS -C
Among women aged 55 years and older:
A. Macromastia is the most common cause of breast masses
B. Breast masses are presumed malignant until proven otherwise
