NM701 MODULE 5 EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Match the dietary calcium requirement with life stages for woman:
premenopausal under age 50
1000 mg/day
Normal bone density t-score
+1, 0,
Osteopenia t-score
-1.0, -2.0
Osteoporosis t-score
-2.5, -3.0 or lower
Match the dietary calcium requirement with life stages for woman:
postmenopausal on estrogen and under age 65
1000 mg/day
Match the dietary calcium requirement with life stages for woman:
postmenopausal not on estrogen
1500 mg/day
Match the dietary calcium requirement with life stages for woman:
premenopausal over age 50
1200 mg/day
Which T-score indicates the most bone loss
-3 (the more negative the more bone loss)
,- CASE 2: J. is a 52-year-old woman who comes to the office for a problem visit
because she hasn't had a period recently. She is having 8 -10 hot flashes during
the day and wakes 3-4 times each night with sweats that require changing the
sheets. She does not sleep at night even though she has to get up at 5 am to go
to work. She is not interested in having sex with her husband. She feels as
though she is forgetful, and just wants to cry because she does not know what is
wrong with her. J.'s mother had osteoporosis and had a stroke at age 82. J.'s
sister had endometrial cancer, and J.'s maternal grandmother had dementia. J.'s
medical history is significant for fibrocystic breast changes. She is a smoker. She
has never had surgery.J.'s mother had told her that she should only have
menopausal symptoms for the first few months after her periods stop or
something is wrong.
Q: The clinician responds, understanding that: (There are 4 answer options):
The timing and severity of symptomatic peri-menopause varies from woman to woman-
it is not possible to predict how long a woman will have symptoms or how severe the
symptoms will be in the peri-menopause. There is a wide range of normal.
- CASE 2: J. is a 52-year-old woman who comes to the office for a problem visit
because she hasn't had a period recently. She is having 8 -10 hot flashes during
the day and wakes 3-4 times each night with sweats that require changing the
sheets. She does not sleep at night even though she has to get up at 5 am to go
to work. She is not interested in having sex with her husband. She feels as
though she is forgetful, and just wants to cry because she does not know what is
,wrong with her. J.'s mother had osteoporosis and had a stroke at age 82. J.'s
sister had endometrial cancer, and J.'s maternal grandmother had dementia. J.'s
medical history is significant for fibrocystic breast changes. She is a smoker. She
has never had surgery.J.'s mother had told her that she should only have
menopausal symptoms for the first few months after her periods stop or
something is wrong.
Q: To make a menopause diagnosis, the clinician MUST:
ask the date of last period- a woman is menopausal when she has not had a period for
12 months thus the clinician must know the date of the woman's LMP
- CASE 2: J. is a 52-year-old woman who comes to the office for a problem visit
because she hasn't had a period recently. She is having 8 -10 hot flashes during
the day and wakes 3-4 times each night with sweats that require changing the
sheets. She does not sleep at night even though she has to get up at 5 am to go
to work. She is not interested in having sex with her husband. She feels as
though she is forgetful, and just wants to cry because she does not know what is
wrong with her. J.'s mother had osteoporosis and had a stroke at age 82. J.'s
sister had endometrial cancer, and J.'s maternal grandmother had dementia. J.'s
medical history is significant for fibrocystic breast changes. She is a smoker. She
has never had surgery.J.'s mother had told her that she should only have
menopausal symptoms for the first few months after her periods stop or
something is wrong.
, Q: Regarding J.'s family, medical, and surgical histories, which is true as J.
considers hormone therapy (HT)?
could reduce her risk for osteoporosis by using estrogen- while clinicians should not
prescribe estrogen for the sole reason of osteoporosis prevention, estrogen therapy can
help increase bone density.
- CASE 2: J. is a 52-year-old woman who comes to the office for a problem visit
because she hasn't had a period recently. She is having 8 -10 hot flashes during
the day and wakes 3-4 times each night with sweats that require changing the
sheets. She does not sleep at night even though she has to get up at 5 am to go
to work. She is not interested in having sex with her husband. She feels as
though she is forgetful, and just wants to cry because she does not know what is
wrong with her. J.'s mother had osteoporosis and had a stroke at age 82. J.'s
sister had endometrial cancer, and J.'s maternal grandmother had dementia. J.'s
medical history is significant for fibrocystic breast changes. She is a smoker. She
has never had surgery.J.'s mother had told her that she should only have
menopausal symptoms for the first few months after her periods stop or
something is wrong.
Q: If J. wants to proceed with pharmacologic therapy for vasomotor symptom
relief, the clinician could appropriately write which prescription?
Ethinyl estradiol (estrogen) + norethindrone acetate (femhrt-progestin) orally once daily-
this therapy contains estrogen to help her vasomotor symptoms and a progestogen to
COMPLETE SOLUTIONS VERIFIED
Match the dietary calcium requirement with life stages for woman:
premenopausal under age 50
1000 mg/day
Normal bone density t-score
+1, 0,
Osteopenia t-score
-1.0, -2.0
Osteoporosis t-score
-2.5, -3.0 or lower
Match the dietary calcium requirement with life stages for woman:
postmenopausal on estrogen and under age 65
1000 mg/day
Match the dietary calcium requirement with life stages for woman:
postmenopausal not on estrogen
1500 mg/day
Match the dietary calcium requirement with life stages for woman:
premenopausal over age 50
1200 mg/day
Which T-score indicates the most bone loss
-3 (the more negative the more bone loss)
,- CASE 2: J. is a 52-year-old woman who comes to the office for a problem visit
because she hasn't had a period recently. She is having 8 -10 hot flashes during
the day and wakes 3-4 times each night with sweats that require changing the
sheets. She does not sleep at night even though she has to get up at 5 am to go
to work. She is not interested in having sex with her husband. She feels as
though she is forgetful, and just wants to cry because she does not know what is
wrong with her. J.'s mother had osteoporosis and had a stroke at age 82. J.'s
sister had endometrial cancer, and J.'s maternal grandmother had dementia. J.'s
medical history is significant for fibrocystic breast changes. She is a smoker. She
has never had surgery.J.'s mother had told her that she should only have
menopausal symptoms for the first few months after her periods stop or
something is wrong.
Q: The clinician responds, understanding that: (There are 4 answer options):
The timing and severity of symptomatic peri-menopause varies from woman to woman-
it is not possible to predict how long a woman will have symptoms or how severe the
symptoms will be in the peri-menopause. There is a wide range of normal.
- CASE 2: J. is a 52-year-old woman who comes to the office for a problem visit
because she hasn't had a period recently. She is having 8 -10 hot flashes during
the day and wakes 3-4 times each night with sweats that require changing the
sheets. She does not sleep at night even though she has to get up at 5 am to go
to work. She is not interested in having sex with her husband. She feels as
though she is forgetful, and just wants to cry because she does not know what is
,wrong with her. J.'s mother had osteoporosis and had a stroke at age 82. J.'s
sister had endometrial cancer, and J.'s maternal grandmother had dementia. J.'s
medical history is significant for fibrocystic breast changes. She is a smoker. She
has never had surgery.J.'s mother had told her that she should only have
menopausal symptoms for the first few months after her periods stop or
something is wrong.
Q: To make a menopause diagnosis, the clinician MUST:
ask the date of last period- a woman is menopausal when she has not had a period for
12 months thus the clinician must know the date of the woman's LMP
- CASE 2: J. is a 52-year-old woman who comes to the office for a problem visit
because she hasn't had a period recently. She is having 8 -10 hot flashes during
the day and wakes 3-4 times each night with sweats that require changing the
sheets. She does not sleep at night even though she has to get up at 5 am to go
to work. She is not interested in having sex with her husband. She feels as
though she is forgetful, and just wants to cry because she does not know what is
wrong with her. J.'s mother had osteoporosis and had a stroke at age 82. J.'s
sister had endometrial cancer, and J.'s maternal grandmother had dementia. J.'s
medical history is significant for fibrocystic breast changes. She is a smoker. She
has never had surgery.J.'s mother had told her that she should only have
menopausal symptoms for the first few months after her periods stop or
something is wrong.
, Q: Regarding J.'s family, medical, and surgical histories, which is true as J.
considers hormone therapy (HT)?
could reduce her risk for osteoporosis by using estrogen- while clinicians should not
prescribe estrogen for the sole reason of osteoporosis prevention, estrogen therapy can
help increase bone density.
- CASE 2: J. is a 52-year-old woman who comes to the office for a problem visit
because she hasn't had a period recently. She is having 8 -10 hot flashes during
the day and wakes 3-4 times each night with sweats that require changing the
sheets. She does not sleep at night even though she has to get up at 5 am to go
to work. She is not interested in having sex with her husband. She feels as
though she is forgetful, and just wants to cry because she does not know what is
wrong with her. J.'s mother had osteoporosis and had a stroke at age 82. J.'s
sister had endometrial cancer, and J.'s maternal grandmother had dementia. J.'s
medical history is significant for fibrocystic breast changes. She is a smoker. She
has never had surgery.J.'s mother had told her that she should only have
menopausal symptoms for the first few months after her periods stop or
something is wrong.
Q: If J. wants to proceed with pharmacologic therapy for vasomotor symptom
relief, the clinician could appropriately write which prescription?
Ethinyl estradiol (estrogen) + norethindrone acetate (femhrt-progestin) orally once daily-
this therapy contains estrogen to help her vasomotor symptoms and a progestogen to
