menopause

Question 1

premature ovarian failure is defined as ..?

Answer 1

the onset of menopausal symptoms and elevated gonadotrophin levels before the age of 40

Question 2

oestrogen only HTR increases the risk of which type of cancer

Answer 2

endometrial

Question 3

increased risk of ? if HRT taken more than 10 years after menopause

Answer 3

ischaemic heart disease

Question 4

which has most increased risk of breast cancer - oestrogen only or oestrogen + progesterone HRT

Answer 4

higher risk in O + P

Question 5

does the risk of breast cancer stay higher after stopping HRT?

Answer 5

risk begins to decline when HRT stopped and by 5 years after stopping the risk is back to normal

Question 6

2 FSH levels > ? is suggestive of menopause

Answer 6

30

Question 7

early menopause

Answer 7

< 45

Question 8

late menopause

Answer 8

> 54

Question 9

s/e’s of HRT

Answer 9

wt gain
premenstrual syndrome
cholestasis
vomiting

Question 10

contraindications to HRT

Answer 10

phlebitis 
previous PE 
undiagnosed PV bleeding
^ LFTs
oestrogen dependent cancer

Question 11

only give oestrogen only HRT if ?

Answer 11

has had hysterectomy

Question 12

stop HRT if ? cancer develops

Answer 12

lung

Question 13

stop ? pre elective surgery

Answer 13

4 weeks