ObGyn

Question 1

menopause def and avg age

Answer 1

• amenorrhea for 12 months due to normal aging or surgical removal of ovaries
• avg age = 51

Question 2

Tx risk of endometrial cancer with ERT

Answer 2

-progestin

Question 3

WHI findings wrt ERT

Answer 3

• decreased risk of bone fractures, colon cancer

- increased risk of MI, breast cancer, VTE, stroke

Question 4

Tx vaginal dryness

Answer 4

intravaginal estrogen

Question 5

DDx vaginal bleeding in postmenopausal woman

Answer 5

-atrophic endometrium, endometrial polyps, endometrial cancer, endometrial hyperplasia, HRT, cervical cancer, fibroids

Question 6

Workup vaginal bleeding in postmenopausal woman

Answer 6

• TVUS

- if endometrium > 4mm, biopsy