Menopause Flashcards
0
Q
Initial change signaling onset of menopause
A
Dec ovarian inhibin
Inc pituitary FSH
1
Q
Menopause
A
12 month amenorrhea after LNMP
3 mos with FSH LH elevation
2
Q
Fat and weight
A
Inc body weight
Gynecoid to android distribution
3
Q
Skin and teeth
A
Collagen content dec
Teeth loss in upper jaw
4
Q
GUT
A
Senile vaginitis (atrophy)
Urge incontinence
Uterine descent or prolapse due to dec collagen
Cysticoele rectocorle
5
Q
Pathognomonic sign of menopause
A
Hot flush/flash
6
Q
Long term effects
A
Inc CVD
Trabecular>cortical bone resorption
7
Q
MC fracture in post menopausal women
A
Vertebra
8
Q
Most accurate method to measure bone density
A
Dual Energy X ray
9
Q
ERT
A
Dec vasomotor symptoms Stabilize trabecula Acidic vaginal pH Dec dyspareunia Inc breast cancer, heart disease, stroke, GB disease NOT ENDOMETRIAL CA
10
Q
CI HRT
A
Undiagnosed vaginal bleeding Active thrombophlebitis Chronic impaired liver function Thromboembolic disease Hormonally dependent ca
11
Q
Those CI for HRT use
A
SERM
Raloxifene: agonist at bone, antagonist at uterus and breast
