Menopause Exam with 100% with
Accurate Solutions
Cognitive behavioral therapy, clinical hypnosis - ANS-Which 2 nonpharmacologic
treatments are HIGHLY recommended by the North American Menopause Society
(NAMS) to treat VMS?
Micronized Progesterone (MP) - ANS-Which hormone should be used with caution in
patients with a peanut allergy?
-History/concern for breast cancer
-Estrogen-sensitive malignancies
-Undiagnosed genital bleeding
-Untreated endometrial hyperplasia
-Past idiopathic or current DVT/PE
-Active or recent arterial thrombolic disease (stroke or MI)
-Uncontrolled hypertension >140/90
-Active liver disease
-Porphyria cutanea tarda (skin condition more sensitive to bruising) - ANS-What are all
of the contraindications to MHT?
SSRIs, SNRIs, Clonidine, Gabapentin, Pregabalin - ANS-What are the nonhormonal
medications that can be used to treat VMS?
Escitalopram - ANS-What SSRI should be used if the patient is taking Tamoxifen for
breast cancer?
Fluoxetine, Paroxetine - ANS-Which 2 SSRIs should be avoided in patients taking
Tamoxifen?
Estradiol patches - ANS-Which formulation of estrogen may be favored in patients that
smoke?
Compounded hormones/plant-derived hormones are not recommended by the
guidelines. Lack of FDA oversight, variability in dosing and absorption, conventional
hormone therapy preferred - ANS-Are compounded hormones recommended?
Genital, sexual, and urinary symptoms - ANS-What are Genitourinary Syndromes of
Menopause (GSM)?
, Pelvic floor therapy - ANS-What is the ideal first step for patients with urinary symptoms
of GMS?
Nonpharmacological gel or a vaginal moisturizer/lubricant like Replens - ANS-What
therapy is recommended for vaginal dryness/irritation/pain GMS symptoms?
Replens - ANS-What is the name of the 1st line therapy vaginal moisturizer/lubricant?
Low dose vaginal estrogen
Prasterone
Ospemifene
Can also use a water-based lubricant like GoodCleanLove or Yes! Has better osmolality
for the vagina - ANS-What other medications are also used to treat vaginal symptoms of
menopause?
Not needed if it has a localized effect on the vagina - ANS-Do you need a progestogen
for vaginal estrogens?
Premarin - ANS-Brand name of conjugated equine estrogen (CEE)
Vulvar and vaginal atrophy with menopause - ANS-Indication of Premarin
0.3-1.25 mg daily - ANS-Dosing of Premarin
Estrace - ANS-Brand name of Estradiol tablet
VMS associated with menopause, vulvar and vaginal atrophy associated with
menopause, osteoporosis prevention - ANS-Estrace indication
0.5-2 mg daily - ANS-Dosing of Estrace
Climara, Minivelle - ANS-What are the brand names of the Estradiol transdermal
systems?
VMS associated with menopause - ANS-Indication of estradiol patches Climara and
Minivelle
0.025-0.1 mg twice a week - ANS-Dosing of Minivelle
Estring, Femring - ANS-Brand names of estradiol vaginal rings
VMS symptoms of menopause - ANS-Indication of estradiol vaginal rings
12.4 mg or 24.8 mg (released as 0.05mg/day or 0.1mg/day) - ANS-Dosing of Estring
and Femring
Accurate Solutions
Cognitive behavioral therapy, clinical hypnosis - ANS-Which 2 nonpharmacologic
treatments are HIGHLY recommended by the North American Menopause Society
(NAMS) to treat VMS?
Micronized Progesterone (MP) - ANS-Which hormone should be used with caution in
patients with a peanut allergy?
-History/concern for breast cancer
-Estrogen-sensitive malignancies
-Undiagnosed genital bleeding
-Untreated endometrial hyperplasia
-Past idiopathic or current DVT/PE
-Active or recent arterial thrombolic disease (stroke or MI)
-Uncontrolled hypertension >140/90
-Active liver disease
-Porphyria cutanea tarda (skin condition more sensitive to bruising) - ANS-What are all
of the contraindications to MHT?
SSRIs, SNRIs, Clonidine, Gabapentin, Pregabalin - ANS-What are the nonhormonal
medications that can be used to treat VMS?
Escitalopram - ANS-What SSRI should be used if the patient is taking Tamoxifen for
breast cancer?
Fluoxetine, Paroxetine - ANS-Which 2 SSRIs should be avoided in patients taking
Tamoxifen?
Estradiol patches - ANS-Which formulation of estrogen may be favored in patients that
smoke?
Compounded hormones/plant-derived hormones are not recommended by the
guidelines. Lack of FDA oversight, variability in dosing and absorption, conventional
hormone therapy preferred - ANS-Are compounded hormones recommended?
Genital, sexual, and urinary symptoms - ANS-What are Genitourinary Syndromes of
Menopause (GSM)?
, Pelvic floor therapy - ANS-What is the ideal first step for patients with urinary symptoms
of GMS?
Nonpharmacological gel or a vaginal moisturizer/lubricant like Replens - ANS-What
therapy is recommended for vaginal dryness/irritation/pain GMS symptoms?
Replens - ANS-What is the name of the 1st line therapy vaginal moisturizer/lubricant?
Low dose vaginal estrogen
Prasterone
Ospemifene
Can also use a water-based lubricant like GoodCleanLove or Yes! Has better osmolality
for the vagina - ANS-What other medications are also used to treat vaginal symptoms of
menopause?
Not needed if it has a localized effect on the vagina - ANS-Do you need a progestogen
for vaginal estrogens?
Premarin - ANS-Brand name of conjugated equine estrogen (CEE)
Vulvar and vaginal atrophy with menopause - ANS-Indication of Premarin
0.3-1.25 mg daily - ANS-Dosing of Premarin
Estrace - ANS-Brand name of Estradiol tablet
VMS associated with menopause, vulvar and vaginal atrophy associated with
menopause, osteoporosis prevention - ANS-Estrace indication
0.5-2 mg daily - ANS-Dosing of Estrace
Climara, Minivelle - ANS-What are the brand names of the Estradiol transdermal
systems?
VMS associated with menopause - ANS-Indication of estradiol patches Climara and
Minivelle
0.025-0.1 mg twice a week - ANS-Dosing of Minivelle
Estring, Femring - ANS-Brand names of estradiol vaginal rings
VMS symptoms of menopause - ANS-Indication of estradiol vaginal rings
12.4 mg or 24.8 mg (released as 0.05mg/day or 0.1mg/day) - ANS-Dosing of Estring
and Femring
