NU 665D -EXAM 1 QUESTIONS AND
CORRECT ANSWERS
Vulvo-Vaginal cAtrophy: cWhat cdo cyou csee con cexamination? c- cCORRECT cANS✔✔-
Loss cor cdiminishing cof cvaginal crugae
-Narrowing/Shortening cof cthe cvagina
-Shrinking cclitoris c& curethra
-Loss cof csubq cfat cin clabia: cmay cbe cflush cto cthe cwall
-Discharge
-Loss cof cpubic chair
-Fissures/vaginal ctearing
-decreased cintroital cmoisture
Vulvo-Vaginal cAtrophy: cPatients ccomplaints? c- cCORRECT cANS✔✔-Vaginal cdryness
-Discharge
-Itchiness
-pain cduring csex
-BV clike cs/s c( cVaginal cph cbecomes cmore calkaline)
-urethral cdiscomfort
-Bleeding
Treatment coptions: cAtrophic cVaginitis c- cCORRECT cANS✔✔-Vaginal cCreams/Rings
cor csuppository
-Premarin ccream c0.625, c
-Estrace c2-4 cgrQd cx c2w, c1-2 cgr cqd cx2w, cthen c1 cgr c1-3 cx cweek
-Estring cvaginal cring ccontinuous crelease cfor c90 cdays, cneeds creplacement cq c90
cdays c- c7.5mcg/day cestradiol
-Caplet cVagifem c10mcg cqd cx c2wk cthen c2 cx cweek
-Osphena c- c60mg cPO cQD c- cestrogen creceptor cmodulator c- cin cthe cvagina cacts
csimilarly cto cestrogen; cin cthe cbreast ctissue cit cacts cas can cestrogen cblocker c*can
cincrease crisk cof cblood cclots cand chot cflushes
-DHEA csuppository c(vaginal cprasterone) c- cPV c1x/day c* cgood coption cfor cthose cwho
ccan't ctake cestrogen
Patient cEducation: cVaginal cEstrogen c- cCORRECT cANS✔✔-A csmall camount cis
cabsorbed cinto cthe cbloodstream; c100x cless cthan cif cyou cused can coral cestrogen
cmedication
Alternative cTreatment coptions: cAtrophic cVaginitis c- cCORRECT cANS✔✔-OTC
clubricants c- cKy cJelly, cAstroglide
, -OTC cvaginal cmoisturizers c- cLubrin, cKY clonglasting, cReplens. c----Allow cwater cto cbe
cretained cin cthe ctissues c- cnot cduring csex.
-Vaseline, cAquaphor, cVit cE coil c- cexternally c(can cdamage ccondoms)
-Mild csoaps c(Dove cunscented cbar csoap), cwarm csoaks cwith cbaking csoda
-Sex c- ccan ckeep cvaginal ctissues chealthy, csoft, celastic cand cprevent cstenosis
-Laser ctreatment c- creduces cvulvovaginal csymptoms cand crestores cvaginal cmucosa;
c3 ctreatments cevery c4-6 cweeks
Perimenopause c- cCORRECT cANS✔✔-transition cphase cbetween cregular cmenstrual
cperiods cand cno cperiods cat call
-Usually coccurs c~40 c( cdependent con cmultiple cfactors)
-Many cmenstrual cirregularities caround cthis ctime
-This ctime clast c2-8 cyrs, caverage c5
Risk cfactors cfor cexperiencing cMenopause cat can cearly cage? c- cCORRECT cANS✔✔-
Smokers
-Type c1 cDM
-Increased caltitude
-Undernourished/ cnewly cvegetarians
-Cancer ctreatment
-Hysterectomy
Treatment cfor c: cPerimenopause c- cCORRECT cANS✔✔-Catered ctowards cpresenting
csymptoms
-Bleeding c- cafter cconfirming cbleeding cis cbenign cand cfrom chormonal cinstability:
cCOC, cPOP, cLNG-IUD, ccycling cprogesterone, ccryoablation
-Vaginal catrophy c- cOTC clubricants, cvaginal cestrogen cRX
-Mood cirritability c- cantidepressants c- cSSRI c(fluoxetine c10mg), cEffexor c37.5mg
-Menopausal csymptoms c- coften crelieved cif cyou ccan cstabilize chormones. cCOC ca
cgood coption. cGabapentin c(neurontin) creduced cHF/NS
Perimenopause: cEducation c- cCORRECT cANS✔✔-Anticipatory cguidance c- cShould
cbegin cat cage c40 c
-Vaginal cdryness/Atrophy: cReplens, cAstroglide, cKY cjelly, clubrin, cCanola coil, cVit cE
c100-600/day, cevening cprimrose coil c2-4 ccapsule/day
-Diet, cExercise cfor cprevention cof costeoporosis, cCalcium c1000-1200mg/day cwith
c1000IU/day cof cVit cD
-Yearly cmammogram cand cpelvic cexamination c& cBSE
-Need cfor ccontraception cuntil c1 cyear cof cno cmenses
-Post cmenopausal cbleeding cand crisks
-Prolapse- cKegels/pelvic cfloor cPT
Menopause: cAverage cage? c- cCORRECT cANS✔✔51 cyears cold
Late cmenopause: c>55
CORRECT ANSWERS
Vulvo-Vaginal cAtrophy: cWhat cdo cyou csee con cexamination? c- cCORRECT cANS✔✔-
Loss cor cdiminishing cof cvaginal crugae
-Narrowing/Shortening cof cthe cvagina
-Shrinking cclitoris c& curethra
-Loss cof csubq cfat cin clabia: cmay cbe cflush cto cthe cwall
-Discharge
-Loss cof cpubic chair
-Fissures/vaginal ctearing
-decreased cintroital cmoisture
Vulvo-Vaginal cAtrophy: cPatients ccomplaints? c- cCORRECT cANS✔✔-Vaginal cdryness
-Discharge
-Itchiness
-pain cduring csex
-BV clike cs/s c( cVaginal cph cbecomes cmore calkaline)
-urethral cdiscomfort
-Bleeding
Treatment coptions: cAtrophic cVaginitis c- cCORRECT cANS✔✔-Vaginal cCreams/Rings
cor csuppository
-Premarin ccream c0.625, c
-Estrace c2-4 cgrQd cx c2w, c1-2 cgr cqd cx2w, cthen c1 cgr c1-3 cx cweek
-Estring cvaginal cring ccontinuous crelease cfor c90 cdays, cneeds creplacement cq c90
cdays c- c7.5mcg/day cestradiol
-Caplet cVagifem c10mcg cqd cx c2wk cthen c2 cx cweek
-Osphena c- c60mg cPO cQD c- cestrogen creceptor cmodulator c- cin cthe cvagina cacts
csimilarly cto cestrogen; cin cthe cbreast ctissue cit cacts cas can cestrogen cblocker c*can
cincrease crisk cof cblood cclots cand chot cflushes
-DHEA csuppository c(vaginal cprasterone) c- cPV c1x/day c* cgood coption cfor cthose cwho
ccan't ctake cestrogen
Patient cEducation: cVaginal cEstrogen c- cCORRECT cANS✔✔-A csmall camount cis
cabsorbed cinto cthe cbloodstream; c100x cless cthan cif cyou cused can coral cestrogen
cmedication
Alternative cTreatment coptions: cAtrophic cVaginitis c- cCORRECT cANS✔✔-OTC
clubricants c- cKy cJelly, cAstroglide
, -OTC cvaginal cmoisturizers c- cLubrin, cKY clonglasting, cReplens. c----Allow cwater cto cbe
cretained cin cthe ctissues c- cnot cduring csex.
-Vaseline, cAquaphor, cVit cE coil c- cexternally c(can cdamage ccondoms)
-Mild csoaps c(Dove cunscented cbar csoap), cwarm csoaks cwith cbaking csoda
-Sex c- ccan ckeep cvaginal ctissues chealthy, csoft, celastic cand cprevent cstenosis
-Laser ctreatment c- creduces cvulvovaginal csymptoms cand crestores cvaginal cmucosa;
c3 ctreatments cevery c4-6 cweeks
Perimenopause c- cCORRECT cANS✔✔-transition cphase cbetween cregular cmenstrual
cperiods cand cno cperiods cat call
-Usually coccurs c~40 c( cdependent con cmultiple cfactors)
-Many cmenstrual cirregularities caround cthis ctime
-This ctime clast c2-8 cyrs, caverage c5
Risk cfactors cfor cexperiencing cMenopause cat can cearly cage? c- cCORRECT cANS✔✔-
Smokers
-Type c1 cDM
-Increased caltitude
-Undernourished/ cnewly cvegetarians
-Cancer ctreatment
-Hysterectomy
Treatment cfor c: cPerimenopause c- cCORRECT cANS✔✔-Catered ctowards cpresenting
csymptoms
-Bleeding c- cafter cconfirming cbleeding cis cbenign cand cfrom chormonal cinstability:
cCOC, cPOP, cLNG-IUD, ccycling cprogesterone, ccryoablation
-Vaginal catrophy c- cOTC clubricants, cvaginal cestrogen cRX
-Mood cirritability c- cantidepressants c- cSSRI c(fluoxetine c10mg), cEffexor c37.5mg
-Menopausal csymptoms c- coften crelieved cif cyou ccan cstabilize chormones. cCOC ca
cgood coption. cGabapentin c(neurontin) creduced cHF/NS
Perimenopause: cEducation c- cCORRECT cANS✔✔-Anticipatory cguidance c- cShould
cbegin cat cage c40 c
-Vaginal cdryness/Atrophy: cReplens, cAstroglide, cKY cjelly, clubrin, cCanola coil, cVit cE
c100-600/day, cevening cprimrose coil c2-4 ccapsule/day
-Diet, cExercise cfor cprevention cof costeoporosis, cCalcium c1000-1200mg/day cwith
c1000IU/day cof cVit cD
-Yearly cmammogram cand cpelvic cexamination c& cBSE
-Need cfor ccontraception cuntil c1 cyear cof cno cmenses
-Post cmenopausal cbleeding cand crisks
-Prolapse- cKegels/pelvic cfloor cPT
Menopause: cAverage cage? c- cCORRECT cANS✔✔51 cyears cold
Late cmenopause: c>55
