Deck 23: Menopause

Question 1

Common symptoms during the menopause transition include all except:

A) Vasomotor symptoms
B) Vaginal dryness
C) Uncontrollable crying
D) Dyspareunia

Answer 1

C

Question 2

At least half of menopausal women experience vaginal dryness.

Answer 2

True

Question 3

All of the following should be included in the differential diagnosis for amenorrhea in a 50-year-old woman except:

A) Uterine fibroids
B) Prolactinoma
C) Asherman's syndrome
D) Thyroid disease

Answer 3

A

Question 4

An important aspect of the sexual history to explore in a woman with low libido includes asking about her partner's desire for sexual activity and the couple's baseline sexual activity.

Question 5

Common symptoms of menstrual cycle disturbance during the menopause include all of the following except:

A) Menorrhagia
B) Dysmenorrhea
C) Intermittent amenorrhea
D) Intermenstrual bleeding

Question 6

Which of the following is an absolute contraindication to hormone therapy?

A) Family history of breast cancer
B) Hypertension
C) Undiagnosed vaginal bleeding
D) Cholecystectomy

Question 7

Physical exam findings in a woman with vaginal atrophy include all of the following except:

A) Pale and dry vaginal tissues
B) Red urethral meatus
C) Small vaginal introitus
D) Focal areas of ulceration and friability

Question 8

Which of the following statements about bioidentical hormones is true?

A) A compounding pharmacist always prepares them.
B) They are identical to the hormones found in the body.
C) They are inherently safe.
D) They are always effective.

Question 9

Indications for hormonal therapy during the menopause transition include all of the following except:

A) Vasomotor symptoms
B) Prevention of osteoporosis
C) Vaginal atrophy
D) Cystocele

Question 10

The nonhormonal treatments for the symptoms of menopause with the most evidence for efficacy and safety include:

A) Paroxetine, gabapentin, clonidine
B) Venlafaxine, gabapentin, clonazepam
C) Paroxetine, soy isoflavones, black cohosh
D) Black cohosh, soy isoflavones, acupuncture

Question 11

Risks of hormone therapy include all of the following except:

A) Ischemic stroke
B) Venous thromboembolism (VTE)
C) Breast cancer
D) Myocardial infarction

Question 12

Which of the following statements is false?

A) The benefits of hormone therapy outweigh the risks for women with vasomotor symptoms when given before age 60 and within the first 10 years of menopause.
B) Estrogen alone may decrease the risk of coronary heart disease (CHD) in women < 60 and within 10 years of menopause.
C) There are no known risks of prescribing low-dose estrogen alone in a postmenopausal woman with an intact uterus.
D) Transdermal administration of hormones confers less risk for VTE and ischemic stroke than oral administration.