menopause

Question 1

menopause is evidence by _____consecutive months with no menstrual bleeding

Answer 1

12

Question 2

the period before menopause that is transition b/w reproductive to nonreproductive years

Answer 2

perimenopause

Question 3

when the ovarian estrogen production fluctuates unpredictably

Answer 3

perimenopause

Question 4

the time period during which the changes of menopause occur

Answer 4

climacteric

Question 5

avg age of menopause

Answer 5

51

Question 6

what happens to ovaries during menopausal transition

Answer 6

ovarian follicles become resistance to FSH stimulation

Question 7

loss of PMS sx in menopause is due to loss of what hormone?

Answer 7

progesterone

Question 8

what is the cardinal sx of vasomotor instabilty assc’d with perimenopause

Answer 8

hot flash

Question 9

1 morbidity in menopausal women

Answer 9

osteoporosis

Question 10

best way to assess for osteoporosis

Answer 10

DEXA

Question 11

normal DEXA T score

Answer 11

under -1 SD

Question 12

DEXA T score indicative of osteoporisis

Answer 12

> -2.5 SD

Question 13

what type of tx can be used to slow osteoporosis

Answer 13

estrogen

Question 14

estrogen aids in osteoporosis by ____osteoclast activity

Answer 14

decreasing

Question 15

when to screen for osteoporosis before age 65 (7)

Answer 15

1. h/o fragility fracture
2. weight under 127 lbs
3. medical causes of bone loss
4. parental h/o hip fracture
5. current smoker
6. alcoholism
7. RA

Question 16

1 cause of morality in menopausal women

Answer 16

CV disease

Question 17

if a woman has a uterus, how to tx menopause

Answer 17

estrogen + progesterone

Question 18

if a woman has NO uterus, how to tx menopause

Answer 18

estrogen

Question 19

relationship b/w standard HRT and endometrial hyperplasia

Answer 19

incr unless progestin is added

Question 20

relationship b/w standard HRT and breast cancer

Answer 20

slight risk incr

Question 21

relationship b/w standard HRT and HTN

Answer 21

none

Question 22

relationship b/w standard HRT and stroke/MI

Answer 22

slight risk incr

Question 23

relationship b/w standard HRT and venous thrombosis

Answer 23

2x risk incr

Question 24

hormone tx should be used for how long?

Answer 24

under 5 yrs

Question 25

recommended amt Ca

Answer 25

1200-1500 mg

Question 26

SERMS have estrogen like effect on____ and ____

Answer 26

lipids and bones

Question 27

when menopause occurs spontaneously before age 40

Answer 27

premature ovarian failure

Question 28

tx of premature ovarian failure

Answer 28

HRT immediately