Exam (elaborations)
Menopause exam study test guide with actual questions
- Course
- Institution
Menopause exam study test guide with actual questions
[Show more]
Content preview
Menopause exam study test guide withactual questions
Which 2 nonpharmacologic treatments are HIGHLY recommended by the North American
Menopause Society (NAMS) to treat VMS? - ANS Cognitive behavioral therapy, clinical
hypnosis
What other nonpharmacologic options are used to treat VMS? - ANS Temperature control
(colder pillow)
Yoga/relaxation therapy
Avoid spicy foods, chocolate, caffeine
Exercise
Acupuncture
Paced respiration (slowed down breathing)
What are vasomotor symptoms? - ANS Hot flushes and night sweats
What are the non-VMS of menopause? - ANS Dyspareunia, vaginal dryness, mood
changes, sleep disturbances, concentration and memory issues, arthralgia
If patient has a uterus, you must give them - ANS estrogen + progestin combo
If patient does NOT have a uterus, you can give them - ANS estrogen alone
What are the 3 main differences in estrogen of transdermal estrogens? - ANS Lower VTE
risk
No impact on triglycerides
Potential lower stroke risk, so lower blood clot risk
What are the 2 main differences in estrogen of oral estrogens? - ANS Increases
triglycerides
Potential for decreased libido
What is the Women's Health Initiative (WHI)? - ANS Clinical study started in 1991. Studied
the use of conjugated equine estrogens (CEE) and medroxyprogesterone acetate (MPA) in
women with and without a uterus
What was the most important "shocking" result from the WHI? - ANS Estrogen + progestin
combo resulted in an increased risk of breast cancer
, What was the problem with how the WHI ended? - ANS There was some bias in the study,
since it stopped early. Upon further investigation 18 years later, increased mortality was not
associated with hormone therapy. Women would have less side effects over time
When is it considered safe to start menopause hormone therapy (MHT) in women? - ANS
Likely safe to start in patients with no contraindications who are within 10 years of menopause,
and/or <60 years old according to NAMS (North American Menopause Society)
Is tobacco use a contraindication to MHT? - ANS Tobacco use is NOT a contraindication to
hormone therapy, but transdermal therapy may be preferred
What is the 1st line treatment to help with VMS of menopause after trying nonpharmacologic
therapies? - ANS Systemic hormone therapy (HT), since it provides optimal relief of hot
flushes
What symptoms should be present for a woman to be on HT? - ANS VMS
If patients have vaginal symptoms only, only use what kind of products? - ANS Vaginal
products
What are the 2 most common estrogens used in HT? - ANS Estradiol and Conjugated
equine estrogens (CEE)
What are the 2 most common progestogens used in HT? - ANS Medroxyprogesterone
acetate (MPA) and Micronized progesterone (MP)
Which hormone should be used with caution in patients with a peanut allergy? - ANS
Micronized Progesterone (MP)
What are all of the contraindications to MHT? - ANS -History/concern for breast cancer
-Estrogen-sensitive malignancies
-Undiagnosed genital bleeding
-Untreated endometrial hyperplasia
-Past idiopathic or current DVT/PE
-Active or recent arterial thrombolic disease (stroke or MI)
-Uncontrolled hypertension >140/90
-Active liver disease
-Porphyria cutanea tarda (skin condition more sensitive to bruising)
What are the nonhormonal medications that can be used to treat VMS? - ANS SSRIs,
SNRIs, Clonidine, Gabapentin, Pregabalin
What SSRI should be used if the patient is taking Tamoxifen for breast cancer? - ANS
Escitalopram
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller excellentrevision964. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now