Menopause Exam 2 Questions and Answers
1. Maliyah is experiencing severe hot flushes, night D
sweats and severe vaginal atrophy from menopause.
She is 2 years post chemotherapy and radiation for
breast cancer. She only takes tamoxifen. She is con-
fused on what is known to be safe for a breast cancer
survivor. Your best recommendation for her to try first
is?
a. Soy isoflavones 50 - 150 mg per day from diet or
supplements
b. Black cohosh (Remifemin) with St. John's wort
c. Conjugated equine estrogens and medroxyproges-
terone (Prempro) 0.3 mg/1.5 mg po daily
d. Citalopram (Celexa) and Replens
1/
11
, Menopause Exam 2 Questions and Answers
2. Zoey is a naturalist. She had a stroke 3 years ago when B
she stopped taking her two prescription high blood
pressure medications. She has tried soy isoflavone 100
mg supplements 2 daily for her hot flushes and night
sweats but they have been ineffective. She wants to
take Triest bid, which her natural healing book pro-
motes. Since you are her neighbor, she thought she'd
ask you what you thought. Your response is?
a. Triest is a natural product that you can take but make
sure you go to a reputable pharmacy since compound-
ing errors occur at other places.
b. Triest is not safe for you. You should try remifemin
(black cohosh), a natural product, instead.
c. Estradiol is better than Triest for you, and if you use
micronized progesterone, then you are still taking a
natural product.
d. Conjugated equine estrogens and medroxyproges-
terone are natural and safe for you.
2/
11
1. Maliyah is experiencing severe hot flushes, night D
sweats and severe vaginal atrophy from menopause.
She is 2 years post chemotherapy and radiation for
breast cancer. She only takes tamoxifen. She is con-
fused on what is known to be safe for a breast cancer
survivor. Your best recommendation for her to try first
is?
a. Soy isoflavones 50 - 150 mg per day from diet or
supplements
b. Black cohosh (Remifemin) with St. John's wort
c. Conjugated equine estrogens and medroxyproges-
terone (Prempro) 0.3 mg/1.5 mg po daily
d. Citalopram (Celexa) and Replens
1/
11
, Menopause Exam 2 Questions and Answers
2. Zoey is a naturalist. She had a stroke 3 years ago when B
she stopped taking her two prescription high blood
pressure medications. She has tried soy isoflavone 100
mg supplements 2 daily for her hot flushes and night
sweats but they have been ineffective. She wants to
take Triest bid, which her natural healing book pro-
motes. Since you are her neighbor, she thought she'd
ask you what you thought. Your response is?
a. Triest is a natural product that you can take but make
sure you go to a reputable pharmacy since compound-
ing errors occur at other places.
b. Triest is not safe for you. You should try remifemin
(black cohosh), a natural product, instead.
c. Estradiol is better than Triest for you, and if you use
micronized progesterone, then you are still taking a
natural product.
d. Conjugated equine estrogens and medroxyproges-
terone are natural and safe for you.
2/
11
