Women's Health

Question 1

If a women’s last menstrual period was September 25th and missed the following one, if she is pregnant, when should she expect delievery?

Answer 1

July 2nd
9th Month - 3 months = 6th month, June
+ 7 days = 25+7 = July 2nd

Question 2

What should be assessed on a 10 week prenatal visit?

Answer 2

Weight, Blood Pressure, Fetal Heart Tones, Fundal Height

Question 3

What are risks of hormonal therapy in menopause?

Answer 3

• • Increased risk of breast cancer and endometrial cancer
• • Increases stroke risk first few years
• • Need to use lowest dose possible

Question 4

What is the most important key in determining if a patient should start hormonal therapy?

Answer 4

They make their own decision, usually reflects on the quality of life they are struggling with, if they can’t function much anymore.

Question 5

When are cervical polyps most common?

Answer 5

Post Partum
Peri-menopausal
– can cause bleeding

Question 6

Risk factors for endometrial cancer?

Answer 6

Unopposed Estrogen

+ DM, HTN, Obesity

Question 7

After determining post menopausal bleeding is occuring, what are the next steps of further eval?

Answer 7

• Transvaginal US
• CBC
• Biopsy
• TSH level

Question 8

What are risks of osteoporosis?

Answer 8

• White
• Menopause
• FamHx
• Steroid use
• Smoking

Question 9

How can you prevent osteoporosis?

Answer 9

• Calcium and Vit D intake daily
• Weight bearing exercises
• Stop smoking

Question 10

When do you start doing a DEXA scan?

Answer 10

After the age of 65, or earlier if significant risk factors for decreased bone density.