Menopause Exam Questions with
100% Correct Solutions
clinical absence of menses for 12 months. THe result of normal aging an the result of
loss of ovarian follicular function
-it is the end of the female reproductive age - ANS-What is menopause?
48-55 years
average age is 51(notes) 52 (book) - ANS-What is the average age of menopause?
True - ANS-T or F
Women overall see menopause as a positive change
Classic symptoms:
• Change in menstrual cycle pattern (during perimenopause)
• Vasomotor symptoms (hot flashes & night sweats)
• Vulvovaginal symptoms, dyspareunia
• Sleep disturbances
Other symptoms sometimes associated with menopause:
• Cognitive concerns (memory, concentration)
• Psychological symptoms (depression, anxiety, moodiness) - ANS-What are classic an
other s/s of menopause?
Premature menopause occurs before age 40
occurs spontaneously - ANS-What classifies premature menopause?
cessation of menstruation
that follows bilateral oophorectomy (with or without
hysterectomy), chemotherapy, or pelvic radiation
therapy - ANS-What is induced menopause?
Primary ovarian insufficiency• A continuum of impaired ovarian function (intermittent
to permanent) usually with extended periods of
amenorrhea in women younger than age 40
(previous known as POF-premature ovarian failure-is not permanent) - ANS-What is
POI
-usually last 2-8 years prior to last period
-begins with variation in cycle length (>7 days) associated with rise in FSH
-variable s/s
-ends 1 year after final menstrual period - ANS-What is the length of perimenopause?
, peri-menopause - ANS-Women report more symptoms during perimenopause or
menopause?
1/3 to 1/2 of lifespan of north american women - ANS-How long is the postmenopausal
period ?
The normal menstrual cycle is controlled via a complex
interplay of the hypothalamic-pituitary-ovarian axis - ANS-What controls menses
Estrogen and progesterone remain low, an FSH an LH remain high - ANS-What is the
end result in the hypothalmic pituitary ovarian access that represents menopause
-decrease Circulating estrogens
-decrease Ratio of estrogen to androgen
-decrease Sex hormone-binding globulin secretion
-increased Peripheral aromatization of DHEA to estrone
-Reversal of estradiol (E2) to estrone (E1) ratio
-No significant change in testosterone levels - ANS-What happen to serum hormone
levels at menopause?
-women gain 5lbs due to aging an lifestyle.
-decrease in activity
-decrease in muscle mass
-in midlife adipose tissues is redistributed to the middle - ANS-How does aging affect
weight gain
• 70% of women ages 55-75 and 65% of women ages
45-55 are overweight
• Approximately 40% are obese - ANS-OBesity epidemic stats
• Tooth loss after menopause has been associated with
osteoporosis, although periodontal disease and tooth
decay are the leading causes
• For each 1% per year decrease in whole-body bone
mineral density (BMD), the risk for tooth loss more
than quadruples - ANS-What is the link between osteoporosis and dental decay in
menopause
• The menopause transition acts as a trigger of a
relatively rapid age-related hearing decline in
healthy women - ANS-How does menopause affect hearing?
30% decline in skin collagen in the first 5 years after
menopause, ~2% per year decline over next 20 years
• Greater correlation between skin thickness and skin
100% Correct Solutions
clinical absence of menses for 12 months. THe result of normal aging an the result of
loss of ovarian follicular function
-it is the end of the female reproductive age - ANS-What is menopause?
48-55 years
average age is 51(notes) 52 (book) - ANS-What is the average age of menopause?
True - ANS-T or F
Women overall see menopause as a positive change
Classic symptoms:
• Change in menstrual cycle pattern (during perimenopause)
• Vasomotor symptoms (hot flashes & night sweats)
• Vulvovaginal symptoms, dyspareunia
• Sleep disturbances
Other symptoms sometimes associated with menopause:
• Cognitive concerns (memory, concentration)
• Psychological symptoms (depression, anxiety, moodiness) - ANS-What are classic an
other s/s of menopause?
Premature menopause occurs before age 40
occurs spontaneously - ANS-What classifies premature menopause?
cessation of menstruation
that follows bilateral oophorectomy (with or without
hysterectomy), chemotherapy, or pelvic radiation
therapy - ANS-What is induced menopause?
Primary ovarian insufficiency• A continuum of impaired ovarian function (intermittent
to permanent) usually with extended periods of
amenorrhea in women younger than age 40
(previous known as POF-premature ovarian failure-is not permanent) - ANS-What is
POI
-usually last 2-8 years prior to last period
-begins with variation in cycle length (>7 days) associated with rise in FSH
-variable s/s
-ends 1 year after final menstrual period - ANS-What is the length of perimenopause?
, peri-menopause - ANS-Women report more symptoms during perimenopause or
menopause?
1/3 to 1/2 of lifespan of north american women - ANS-How long is the postmenopausal
period ?
The normal menstrual cycle is controlled via a complex
interplay of the hypothalamic-pituitary-ovarian axis - ANS-What controls menses
Estrogen and progesterone remain low, an FSH an LH remain high - ANS-What is the
end result in the hypothalmic pituitary ovarian access that represents menopause
-decrease Circulating estrogens
-decrease Ratio of estrogen to androgen
-decrease Sex hormone-binding globulin secretion
-increased Peripheral aromatization of DHEA to estrone
-Reversal of estradiol (E2) to estrone (E1) ratio
-No significant change in testosterone levels - ANS-What happen to serum hormone
levels at menopause?
-women gain 5lbs due to aging an lifestyle.
-decrease in activity
-decrease in muscle mass
-in midlife adipose tissues is redistributed to the middle - ANS-How does aging affect
weight gain
• 70% of women ages 55-75 and 65% of women ages
45-55 are overweight
• Approximately 40% are obese - ANS-OBesity epidemic stats
• Tooth loss after menopause has been associated with
osteoporosis, although periodontal disease and tooth
decay are the leading causes
• For each 1% per year decrease in whole-body bone
mineral density (BMD), the risk for tooth loss more
than quadruples - ANS-What is the link between osteoporosis and dental decay in
menopause
• The menopause transition acts as a trigger of a
relatively rapid age-related hearing decline in
healthy women - ANS-How does menopause affect hearing?
30% decline in skin collagen in the first 5 years after
menopause, ~2% per year decline over next 20 years
• Greater correlation between skin thickness and skin
