Women's Health Final Module 6
Review Exam Questions and Answers
A 47 y/o female with history of stage 3 breast cancer, completed chemotherapy and
radiation which induced menopause presents complaining of hot flashes, GSM, sleep
disturbances and dyspareunia. What is the best treatment option?
A. SSRI
B. Education on sleep hygiene, exercise, diet and vaginal lubrication
C. Alternative medicine options
D. Tell her that sucks and good luck - ANSWER-B. Education on sleep hygiene,
exercise, diet and vaginal lubrication
A 48 y/o female is told by her FNP she is in menopause. All of the following are possible
findings except:
A. Hot flashes
B. Irregular menses cycles, no cycle for 12 months
C. Severe vaginal atrophic changes
D. Mood liability/depression - ANSWER-C. Severe vaginal atrophic changes
A 51 y/o Caucasian female presents to your practice complaining of irregular menses,
last one "light" 6-months ago, depression, decreased libido, vaginal dryness,
dyspareunia, and "hot flashes." Normal pap and mammogram within the last year. No
tobacco use, no history of thrombosis. BMI 25, activity walks 30 mins 4x a week. What
treatment options 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 gel
D. SSRI - ANSWER-A. HT combined low dose estrogen and progestin
A 54 y/o women who had a partial hysterectomy two years ago for dysfunctional uterine
bleeding presents with complaints of hot flashes and night sweats for the past few
months. What is the appropriate treatment option?
A. Continuous combined HT
B. Vaginal estrogen cream
C. Transdermal estrogen patch
D. Low dose SSRI - ANSWER-D. Low dose SSRI
, A menopausal women that has been in menopause for 6 years presents complaining of
vaginal bleeding for 5 days. She denies intercourse or trauma. What is the best next
step?
A. HT estrogen and progestin
B. Colposcopy
C. Endometrial biopsy
D. Labs: CBC/CMP - ANSWER-C. Endometrial biopsy
Among the midlife health issues of women, the number one cause of mortality in the
United States is
a. primary osteoporosis.
b. cardiovascular disease.
c. overweight and obesity.
d. cancer (of the lung and bronchus, breast, and colon) - ANSWER-b. cardiovascular
disease.
Cancer - ANSWER-Most frequently diagnosed breast (30%), lung (13%), colon and
rectum (8%), pancreatic (8%)
CVD: HTN, Valvular disease, CAD - ANSWER-- #1 cause of mortality in women and
men in the US
- Risk increases significantly after menopause, increase in left ventricle wall thickness
and decreased vascular elasticity
Hormone Therapy (HT) - ANSWER-Estradiol starting dose 1mg po qd or transdermal
0.05 mg qd. Start low then titrate up to relieve symptoms
Progestins: Progesterone 200mg qd for 12 days/month (Cyclic mimics luteal phase) or
100mg daily. May cause somnolence (take HS)
BIoidentical hormones meaning "natural" are not FDA approved and show no benefit as
opposed to HT
In general, natural menopause occurs for most women between the ages of _____
years.
a. 40 and 50
b. 44 and 46
c. 48 and 55
d. 39 and 47 - ANSWER-c. 48 and 55
Induced menopause - ANSWER--surgically (bilateral oophorectomy)
- chemotherapy or radiation
Review Exam Questions and Answers
A 47 y/o female with history of stage 3 breast cancer, completed chemotherapy and
radiation which induced menopause presents complaining of hot flashes, GSM, sleep
disturbances and dyspareunia. What is the best treatment option?
A. SSRI
B. Education on sleep hygiene, exercise, diet and vaginal lubrication
C. Alternative medicine options
D. Tell her that sucks and good luck - ANSWER-B. Education on sleep hygiene,
exercise, diet and vaginal lubrication
A 48 y/o female is told by her FNP she is in menopause. All of the following are possible
findings except:
A. Hot flashes
B. Irregular menses cycles, no cycle for 12 months
C. Severe vaginal atrophic changes
D. Mood liability/depression - ANSWER-C. Severe vaginal atrophic changes
A 51 y/o Caucasian female presents to your practice complaining of irregular menses,
last one "light" 6-months ago, depression, decreased libido, vaginal dryness,
dyspareunia, and "hot flashes." Normal pap and mammogram within the last year. No
tobacco use, no history of thrombosis. BMI 25, activity walks 30 mins 4x a week. What
treatment options 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 gel
D. SSRI - ANSWER-A. HT combined low dose estrogen and progestin
A 54 y/o women who had a partial hysterectomy two years ago for dysfunctional uterine
bleeding presents with complaints of hot flashes and night sweats for the past few
months. What is the appropriate treatment option?
A. Continuous combined HT
B. Vaginal estrogen cream
C. Transdermal estrogen patch
D. Low dose SSRI - ANSWER-D. Low dose SSRI
, A menopausal women that has been in menopause for 6 years presents complaining of
vaginal bleeding for 5 days. She denies intercourse or trauma. What is the best next
step?
A. HT estrogen and progestin
B. Colposcopy
C. Endometrial biopsy
D. Labs: CBC/CMP - ANSWER-C. Endometrial biopsy
Among the midlife health issues of women, the number one cause of mortality in the
United States is
a. primary osteoporosis.
b. cardiovascular disease.
c. overweight and obesity.
d. cancer (of the lung and bronchus, breast, and colon) - ANSWER-b. cardiovascular
disease.
Cancer - ANSWER-Most frequently diagnosed breast (30%), lung (13%), colon and
rectum (8%), pancreatic (8%)
CVD: HTN, Valvular disease, CAD - ANSWER-- #1 cause of mortality in women and
men in the US
- Risk increases significantly after menopause, increase in left ventricle wall thickness
and decreased vascular elasticity
Hormone Therapy (HT) - ANSWER-Estradiol starting dose 1mg po qd or transdermal
0.05 mg qd. Start low then titrate up to relieve symptoms
Progestins: Progesterone 200mg qd for 12 days/month (Cyclic mimics luteal phase) or
100mg daily. May cause somnolence (take HS)
BIoidentical hormones meaning "natural" are not FDA approved and show no benefit as
opposed to HT
In general, natural menopause occurs for most women between the ages of _____
years.
a. 40 and 50
b. 44 and 46
c. 48 and 55
d. 39 and 47 - ANSWER-c. 48 and 55
Induced menopause - ANSWER--surgically (bilateral oophorectomy)
- chemotherapy or radiation
