Exam 4

Question 1

Define premenopausal

Answer 1

The time period of endocrine changes BEFORE cessation of menstruation

Question 2

Define perimenopausal

Answer 2

The Period of endocrine changes SURROUNDING the menopause

Question 3

Define postmenopausal

Answer 3

The time period of endocrine changes AFTER cessation of menstruation

Question 4

What are the three types of treatment for menopausal symptoms?

Answer 4

Nonpharmacologic therapy, menopausal hormone therapy, non-hormonal alternatives

Question 5

What are the three indications for menopausal hormone therapy?

Answer 5

Vasomotor symptoms, vulvovaginal atrophy, osteoporosis prevention

Question 6

Absolute contraindications to MHT

Answer 6

unexplained vaginal bleeding, pregnancy, estrogen-dependent cancer, stroke, active or history of thromboembolic disorders, active liver disease

Question 7

Relative contraindications to MHT

Answer 7

uterine leiomyoma, migraine with aura, seizure disorder, diabetes, hypertriglyceridemia, active gallbladder disease, high risk for heart disease, family history of breast cancer

Question 8

In MHT, estrogen monotherapy is only for

Answer 8

women without an uterus

Question 9

Women with an intact uterus should be prescribed a progestin in addition to estrogen in order to

Answer 9

decrease the risk of endometrial hyperplasia and endometrial cancer

Question 10

Initiation of MHT treatment should be limited to women…

Answer 10

age < 60 or within 10 years of last period

Question 11

Three methods of combined estrogen and progestin administration

Answer 11

continuous cyclic therapy, continuous long cycle, continuous combined

Question 12

Design an individualized treatment plan using pharmacologic options for menopausal symptoms

Question 13

Evaluate a treatment plan on the basis of a patient’s response to pharmacologic management of menopausal symptoms

Question 14

Describe the circumstances under which non-hormonal therapies for menopausal symptoms should be considered