NU 665D -Exam 1 2025/2026 With
Correct Questions And Answers
Vulvo-Vaginal Atrophy: What do you see on examination? - correct answer.💖💖💖💖✔<<<<<-Loss
or diminishing of vaginal rugae
-Narrowing/Shortening of the vagina
-Shrinking clitoris & urethra
-Loss of subq fat in labia: may be flush to the wall
-Discharge
-Loss of pubic hair
-Fissures/vaginal tearing
-decreased introital moisture
Vulvo-Vaginal Atrophy: Patients complaints? - correct answer.💖💖💖💖✔<<<<<-Vaginal dryness
-Discharge
-Itchiness
-pain during sex
-BV like s/s ( Vaginal ph becomes more alkaline)
-urethral discomfort
-Bleeding
Treatment options: Atrophic Vaginitis - correct answer.💖💖💖💖✔<<<<<-Vaginal Creams/Rings or
suppository
-Premarin cream 0.625,
-Estrace 2-4 grQd x 2w, 1-2 gr qd x2w, then 1 gr 1-3 x week
-Estring vaginal ring continuous release for 90 days, needs replacement q 90 days - 7.5mcg/day estradiol
, -Caplet Vagifem 10mcg qd x 2wk then 2 x week
-Osphena - 60mg PO QD - estrogen receptor modulator - in the vagina acts similarly to estrogen; in the
breast tissue it acts as an estrogen blocker *can increase risk of blood clots and hot flushes
-DHEA suppository (vaginal prasterone) - PV 1x/day * good option for those who can't take estrogen
Patient Education: Vaginal Estrogen - correct answer.💖💖💖💖✔<<<<<-A small amount is
absorbed into the bloodstream; 100x less than if you used an oral estrogen medication
Alternative Treatment options: Atrophic Vaginitis - correct answer.💖💖💖💖✔<<<<<-OTC
lubricants - Ky Jelly, Astroglide
-OTC vaginal moisturizers - Lubrin, KY longlasting, Replens. ----Allow water to be retained in the tissues -
not during sex.
-Vaseline, Aquaphor, Vit E oil - externally (can damage condoms)
-Mild soaps (Dove unscented bar soap), warm soaks with baking soda
-Sex - can keep vaginal tissues healthy, soft, elastic and prevent stenosis
-Laser treatment - reduces vulvovaginal symptoms and restores vaginal mucosa; 3 treatments every 4-6
weeks
Perimenopause - correct answer.💖💖💖💖✔<<<<<-transition phase between regular menstrual
periods and no periods at all
-Usually occurs ~40 ( dependent on multiple factors)
-Many menstrual irregularities around this time
-This time last 2-8 yrs, average 5
Risk factors for experiencing Menopause at an early age? - correct answer.💖💖💖💖✔<<<<<-
Smokers
-Type 1 DM
-Increased altitude
-Undernourished/ newly vegetarians
-Cancer treatment
-Hysterectomy
Correct Questions And Answers
Vulvo-Vaginal Atrophy: What do you see on examination? - correct answer.💖💖💖💖✔<<<<<-Loss
or diminishing of vaginal rugae
-Narrowing/Shortening of the vagina
-Shrinking clitoris & urethra
-Loss of subq fat in labia: may be flush to the wall
-Discharge
-Loss of pubic hair
-Fissures/vaginal tearing
-decreased introital moisture
Vulvo-Vaginal Atrophy: Patients complaints? - correct answer.💖💖💖💖✔<<<<<-Vaginal dryness
-Discharge
-Itchiness
-pain during sex
-BV like s/s ( Vaginal ph becomes more alkaline)
-urethral discomfort
-Bleeding
Treatment options: Atrophic Vaginitis - correct answer.💖💖💖💖✔<<<<<-Vaginal Creams/Rings or
suppository
-Premarin cream 0.625,
-Estrace 2-4 grQd x 2w, 1-2 gr qd x2w, then 1 gr 1-3 x week
-Estring vaginal ring continuous release for 90 days, needs replacement q 90 days - 7.5mcg/day estradiol
, -Caplet Vagifem 10mcg qd x 2wk then 2 x week
-Osphena - 60mg PO QD - estrogen receptor modulator - in the vagina acts similarly to estrogen; in the
breast tissue it acts as an estrogen blocker *can increase risk of blood clots and hot flushes
-DHEA suppository (vaginal prasterone) - PV 1x/day * good option for those who can't take estrogen
Patient Education: Vaginal Estrogen - correct answer.💖💖💖💖✔<<<<<-A small amount is
absorbed into the bloodstream; 100x less than if you used an oral estrogen medication
Alternative Treatment options: Atrophic Vaginitis - correct answer.💖💖💖💖✔<<<<<-OTC
lubricants - Ky Jelly, Astroglide
-OTC vaginal moisturizers - Lubrin, KY longlasting, Replens. ----Allow water to be retained in the tissues -
not during sex.
-Vaseline, Aquaphor, Vit E oil - externally (can damage condoms)
-Mild soaps (Dove unscented bar soap), warm soaks with baking soda
-Sex - can keep vaginal tissues healthy, soft, elastic and prevent stenosis
-Laser treatment - reduces vulvovaginal symptoms and restores vaginal mucosa; 3 treatments every 4-6
weeks
Perimenopause - correct answer.💖💖💖💖✔<<<<<-transition phase between regular menstrual
periods and no periods at all
-Usually occurs ~40 ( dependent on multiple factors)
-Many menstrual irregularities around this time
-This time last 2-8 yrs, average 5
Risk factors for experiencing Menopause at an early age? - correct answer.💖💖💖💖✔<<<<<-
Smokers
-Type 1 DM
-Increased altitude
-Undernourished/ newly vegetarians
-Cancer treatment
-Hysterectomy
