Parker Study Guide Pg 1 Flashcards
1
Q
- What hormones have increased release during menopause?
A
FSH and Estrone (E1)
2
Q
- What hormones have decreased release during menopause?
A
Inhibin and E2 (Estradiol)
3
Q
Which of the three estrogens is not necessary for most adults, but pharmacies love it due to the money that can be made from it?
A
E3 - Estriol
4
Q
- What are three short term complications of menopause?
A
- Hot flushes (vasomotor instability - E withdrawal - narrowing of thermoreg. zone -> increase sensitivity to temp changes)
- Mood changes
- Atrophy of urogenital tissues (estrogen or other meds)
5
Q
- What are three long term consequences of menopause?
A
- Increased cardiovascular disease
- Fat redistritubion
- Osteoporosis
6
Q
- What are three treatments for the long term consequence of osteoporosis?
A
Bisphosphates and Calcium, vitamin D, and Estrogen
7
Q
- What are the dental concerns for women with osteoporosis?
- What are the concerns for them regarding the use of bisphosphates?
A
- Loosening of teeth
- Jaw osteonecrosis (from bisphosphates)
- Burning mouth syndrome
- Gingivostomatitis or atrophic gingivitis resulting from drying of the oral tissues
8
Q
- What kind of treatment may be recommended for postmenopausal women with gingival bleeding and risk of tooth loss?
A
Estrogen replacement therapy - associated with less gingival bleeding and may be beneficial in preventing tooth loss
9
Q
- What are the 2014 hormone replacement therapy recommendations?
A
- Use lowest dose for the shortest time
- Have other medication options for host flushes and other symptoms
- Keep ongoing surveillance for osteoporosis and oral health
10
Q
- List the three types of estrogen in decreasing potency
A
Estradiol (E2) > Estrone (E1)> Estriol (E3)
11
Q
- Which of the three types of estrogen is the primary hormone before menopause?
A
Estradiol (E2)
12
Q
- Which of the three types of estrogen is the primary hormone after menopause?
- Where is it found?
A
Estrone (E1)
Found in fat cells
13
Q
- Which of the three types of estrogen is made by the placenta and is not necessary in adults?
A
Estriol (E3)
14
Q
- What are two benefits of hormone replacement therapy?
A
Decreases bone fractures and risk of colon cancer
15
Q
- What are two negatives of hormone replacement therapy?
A
Increased breast / endometrial cancer Blood clots (Deep Vein Thrombosis)