NM 701 Exam 5 With All Correct & 100% Verified
Answers| Actual Complete Exam| Already Graded A+
menopause ✔Correct Answer-- change in HPO axis
- ovaries cease functioning & periods stop = end of reproductive yrs
usual age of menopause ✔Correct Answer-- 48-55
- average is 51
menopause is the point at which ✔Correct Answer-- periods stop for 12 consecutive months when
not taking exogenous hormones
menopause/vasomotor Sx ✔Correct Answer-- hot flashes
- hot flushes
- night sweats
- sleep disruptions
- urogenital changes
hot flashes occur with a ✔Correct Answer-- surge in LH levels
hot flushes occur d/t ✔Correct Answer-- peripheral vascular dilation
night sweats occur d/t ✔Correct Answer-- increase in temp followed by drop in core body temp
urogenital changes lead to ✔Correct Answer-- atrophy --> cxing vag dryness & dyspareunia
Dxing menopause ✔Correct Answer-- lab hormone testing
- report LMP
- age
are menopause labs accurate ✔Correct Answer-- no --> hormone levels fluctuate greatly during
this change
hormone fluctuations are r/t reduced responsive ovarian follicles & ✔Correct Answer-- FSH
- LH
- estrogen
- testosterone
FSH & menopause ✔Correct Answer-- as time goes follicles are less responsive to FSH = ovaries
produce less estradiol, progesterone, & androgens
FSH levels ✔Correct Answer-- increased in PMP
- > 30 --> likely indicates menopause --> but not required to Dx
typical negative feedback from reproductive yrs is lost cxing the ✔Correct Answer-- anterior pit
continues to produce FSH & LH at higher levels than in menstrual cycle
- FSH is higher than LH
LH levels ✔Correct Answer-- remains increased PMP in response to decrease in estrogen
, estrogen --> estradiol ✔Correct Answer-- decreased
estradiol is ✔Correct Answer-- main estrogen produced in reproductive yrs
estrogen --> estrone ✔Correct Answer-- primary estrogen PMP
- decreased
estrone ✔Correct Answer-- weakest estrogen produced in reproductive yrs
estrogen --> estriol ✔Correct Answer-- secreted by placenta
- is byproduct of estradiol & estrone
- levels decreased
testosterone ✔Correct Answer-- levels remain constant premenopause & PMP --> d/t rise in FSH &
LH --> stimulating ovarian stromal tissue to increase production
vasomotor Sx HT ✔Correct Answer-- standard Tx in appropriate candidates
- ET or EPT
micronized progesterone ✔Correct Answer-- 300 mg nightly
- decreases hot flashes, night sweats, & improves sleep
hot flashes lifestyle modifications ✔Correct Answer-- avoid hot drinks
- avoid spicy foods
- avoid ETOH
- avoid caffeine
- increase H2O
- wear breathable clothing
- cool room temp
- fans
- dress in layers
- stop smoking
- paced respirations --> yoga breathing
- reduce/manage stress & anxiety
vasomotor Sx lifestyle changes ✔Correct Answer-- avoid hot drinks, spicy food, caffeine
- increase cool H2O intake --> helps with skin dryness & d/c with hot flashes & sweating
- regular exercise
- breathable, moisture wicking clothing
- cool room temp via fan, chilled towels & pillows
- stress reduction
- soy isoflavones
sleep disturbances ✔Correct Answer-- d/t normal aging
- reduced time in sleep stage 3 & 4
- more periods of brief arousal
- overall decreased need for sleep
- hot flushes & sweats are contributing factors
sleep disturbances Sx HT ✔Correct Answer-- low dose ET or EPT
Answers| Actual Complete Exam| Already Graded A+
menopause ✔Correct Answer-- change in HPO axis
- ovaries cease functioning & periods stop = end of reproductive yrs
usual age of menopause ✔Correct Answer-- 48-55
- average is 51
menopause is the point at which ✔Correct Answer-- periods stop for 12 consecutive months when
not taking exogenous hormones
menopause/vasomotor Sx ✔Correct Answer-- hot flashes
- hot flushes
- night sweats
- sleep disruptions
- urogenital changes
hot flashes occur with a ✔Correct Answer-- surge in LH levels
hot flushes occur d/t ✔Correct Answer-- peripheral vascular dilation
night sweats occur d/t ✔Correct Answer-- increase in temp followed by drop in core body temp
urogenital changes lead to ✔Correct Answer-- atrophy --> cxing vag dryness & dyspareunia
Dxing menopause ✔Correct Answer-- lab hormone testing
- report LMP
- age
are menopause labs accurate ✔Correct Answer-- no --> hormone levels fluctuate greatly during
this change
hormone fluctuations are r/t reduced responsive ovarian follicles & ✔Correct Answer-- FSH
- LH
- estrogen
- testosterone
FSH & menopause ✔Correct Answer-- as time goes follicles are less responsive to FSH = ovaries
produce less estradiol, progesterone, & androgens
FSH levels ✔Correct Answer-- increased in PMP
- > 30 --> likely indicates menopause --> but not required to Dx
typical negative feedback from reproductive yrs is lost cxing the ✔Correct Answer-- anterior pit
continues to produce FSH & LH at higher levels than in menstrual cycle
- FSH is higher than LH
LH levels ✔Correct Answer-- remains increased PMP in response to decrease in estrogen
, estrogen --> estradiol ✔Correct Answer-- decreased
estradiol is ✔Correct Answer-- main estrogen produced in reproductive yrs
estrogen --> estrone ✔Correct Answer-- primary estrogen PMP
- decreased
estrone ✔Correct Answer-- weakest estrogen produced in reproductive yrs
estrogen --> estriol ✔Correct Answer-- secreted by placenta
- is byproduct of estradiol & estrone
- levels decreased
testosterone ✔Correct Answer-- levels remain constant premenopause & PMP --> d/t rise in FSH &
LH --> stimulating ovarian stromal tissue to increase production
vasomotor Sx HT ✔Correct Answer-- standard Tx in appropriate candidates
- ET or EPT
micronized progesterone ✔Correct Answer-- 300 mg nightly
- decreases hot flashes, night sweats, & improves sleep
hot flashes lifestyle modifications ✔Correct Answer-- avoid hot drinks
- avoid spicy foods
- avoid ETOH
- avoid caffeine
- increase H2O
- wear breathable clothing
- cool room temp
- fans
- dress in layers
- stop smoking
- paced respirations --> yoga breathing
- reduce/manage stress & anxiety
vasomotor Sx lifestyle changes ✔Correct Answer-- avoid hot drinks, spicy food, caffeine
- increase cool H2O intake --> helps with skin dryness & d/c with hot flashes & sweating
- regular exercise
- breathable, moisture wicking clothing
- cool room temp via fan, chilled towels & pillows
- stress reduction
- soy isoflavones
sleep disturbances ✔Correct Answer-- d/t normal aging
- reduced time in sleep stage 3 & 4
- more periods of brief arousal
- overall decreased need for sleep
- hot flushes & sweats are contributing factors
sleep disturbances Sx HT ✔Correct Answer-- low dose ET or EPT
