Exam (elaborations)
2024 MENOPAUSE EXAM WITH CORRECT ANSWERS
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2024 MENOPAUSE EXAM WITH CORRECT ANSWERS
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2024 MENOPAUSE EXAM WITHCORRECT ANSWERS
Which formulation of estrogen may be favored in patients that smoke? -
CORRECT-ANSWERSEstradiol patches
Are compounded hormones recommended? - CORRECT-
ANSWERSCompounded hormones/plant-derived hormones are not
recommended by the guidelines. Lack of FDA oversight, variability in dosing
and absorption, conventional hormone therapy preferred
What are Genitourinary Syndromes of Menopause (GSM)? - CORRECT-
ANSWERSGenital, sexual, and urinary symptoms
What is the ideal first step for patients with urinary symptoms of GMS? -
CORRECT-ANSWERSPelvic floor therapy
What therapy is recommended for vaginal dryness/irritation/pain GMS
symptoms? - CORRECT-ANSWERSNonpharmacological gel or a vaginal
moisturizer/lubricant like Replens
What is the name of the 1st line therapy vaginal moisturizer/lubricant? -
CORRECT-ANSWERSReplens
What other medications are also used to treat vaginal symptoms of
menopause? - CORRECT-ANSWERSLow dose vaginal estrogen
Prasterone
Ospemifene
Can also use a water-based lubricant like GoodCleanLove or Yes! Has better
osmolality for the vagina
Do you need a progestogen for vaginal estrogens? - CORRECT-ANSWERSNot
needed if it has a localized effect on the vagina
Brand name of conjugated equine estrogen (CEE) - CORRECT-
ANSWERSPremarin
Indication of Premarin - CORRECT-ANSWERSVulvar and vaginal atrophy with
menopause
Dosing of Premarin - CORRECT-ANSWERS0.3-1.25 mg daily
, Brand name of Estradiol tablet - CORRECT-ANSWERSEstrace
Estrace indication - CORRECT-ANSWERSVMS associated with menopause,
vulvar and vaginal atrophy associated with menopause, osteoporosis
prevention
Dosing of Estrace - CORRECT-ANSWERS0.5-2 mg daily
What are the brand names of the Estradiol transdermal systems? - CORRECT-
ANSWERSClimara, Minivelle
Indication of estradiol patches Climara and Minivelle - CORRECT-
ANSWERSVMS associated with menopause
Dosing of Minivelle - CORRECT-ANSWERS0.025-0.1 mg twice a week
Brand names of estradiol vaginal rings - CORRECT-ANSWERSEstring, Femring
Indication of estradiol vaginal rings - CORRECT-ANSWERSVMS symptoms of
menopause
Dosing of Estring and Femring - CORRECT-ANSWERS12.4 mg or 24.8 mg
(released as 0.05mg/day or 0.1mg/day)
Indication of MPA - CORRECT-ANSWERSContraception, endometriosis,
combined with estrogen to treat VMS of menopause
Dosing of MPA - CORRECT-ANSWERS2.5mg/day or 5-10mg for
10-14days/month
Brand name of micronized progesterone - CORRECT-ANSWERSPrometrium
What is micronized progesterone? - CORRECT-ANSWERSBioidentical
hormone/product that has the same chemical structure of what is produced
in the ovaries
Brand name of conjugated estrogens/Bazedoxifene - CORRECT-
ANSWERSDuavee
Indication of Duavee - CORRECT-ANSWERSPostmenopausal women with a
uterus; treats VMS symptoms and prevents osteoporosis
MOA of Duavee - CORRECT-ANSWERSTissue-Selective Estrogen Complex
(TSEC); CEE + SERM
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