HRT

Question 1

Which oestrogens are natural oestrogens ?

3 points

Answer 1

Estradiol

Estriol

Estrone

Question 2

Are natural or synthetic oestrogens better for HRT?

Answer 2

Natural oestrogens better

Question 3

Is ethinylestradiol a natural or synthetic oestrogen?

Answer 3

Synthetic

Question 4

Which drug is used to alleviate vasomotor symptoms in menopausal women who can’t take oestrogens?

Answer 4

Clonidine

Question 5

Why must oestrogens be combined with progestogens for HRT in women with a uterus ?

Answer 5

Oestrogen used alone carries a risk of endometrial cancer

Question 6

How long before surgery should HRT be stopped?

Answer 6

4-6 weeks Due to risk of VTE

Continue again after full mobilisation

Question 7

Is norgestrel a testosterone analogue or a progesterone analogue ?

Answer 7

Testosterone

Desogestrel is a derivative of norgestrel

Levonorgestrel is the active isomer of norgestrel (2x more potent)