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A 52 year old woman had a partial hysterectomy 2 years
ago for AUB. She presents to your office with complaints
of hot flashes and night sweats for the past few months.
What is the best treatment option?
A. Combine HRT
B. Vaginal estrogen cream
C. Transdermal estrogen patch
D. Low dose SSRI - ANSWER-D. Low dose SSRI
,What is the advantage of transdermal over oral HT
delivery method?
A. Does not require the addition of progesterone
B. Decreases the effects on coagulation factors
C. Improves vulvovaginal symptoms quickly
D. Increased HDL-C and decreased LDL-C levels -
ANSWER-B. Decreases the effects on coagulation factors
The number #1 cause of death in US women age 65 and
over is:
A. Cancer
B. Diabetes
C. Heart disease
,D. COPD - ANSWER-C. Heart disease
- secondary to obesity and smoking
When should bone mineral density (BMD) screening for
osteopenia start in all women?
A. One year post menopause
B. 65 years
C. 55 years
D. Depends on risk factors - ANSWER-B. 65 years
A 51 year old Caucasian female presents to your practice
complaining of irregular menses, last one light and was 6
months ago. She endorses symptoms of depression,
, decreased libido, dyspareunia, and hot flashes. She has a
normal pap and mammogram within the last year. She
denies tobacco use and has no history of thrombosis. BMI
25, exercises, walks 30 minutes 4 times/week. What
treatment option would you consider your best option?
A. HT combined low dose estrogen and progestin
B. Order labs: TSH, LH, FSH, estrogen
C. HT estrogen low dose transdermal patch
D. Low dose SSRI - ANSWER-A. HT combined low dose
estrogen and progestin
What is the average age of menopause in the US? -
ANSWER-52 years old