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Menopause: Symptoms, Diagnosis, and Treatment - A Comprehensive Q&A, Exams of Nursing

A comprehensive q&a format covering various aspects of menopause, including symptoms, diagnosis, treatment options, and risk factors. it delves into the physiological changes during menopause, exploring hormonal shifts, their impact on the body, and the management of associated conditions like vaginal atrophy, osteoporosis, and cardiovascular disease. The resource is particularly valuable for healthcare professionals and students studying women's health, offering detailed information on hormone therapy, alternative treatments, and the importance of patient education. the questions and answers are well-structured and cover a wide range of topics, making it a useful study tool for understanding the complexities of menopause.

Typology: Exams

2024/2025

Available from 05/25/2025

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Menopause and Hormone Therapy Certification
Exam Questions with Correct and Well Verified
Answers Approved Exam Already A Graded
what risk factors increase a woman's risk for experiencing vasomotor s/s
- younger age
- AA
- Smoking
- Depression/anxiety
- stress
what study looked at vasomotor symptoms
Study of Womens Health Across the Nation
SWAN
untreated vasomotor s/s are associated with what poor outcomes
- loss of sleep
- loss of memory
- lethargy
- fatigue
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Menopause and Hormone Therapy Certification

Exam Questions with Correct and Well Verified

Answers Approved Exam Already A Graded

what risk factors increase a woman's risk for experiencing vasomotor s/s

  • younger age
  • AA
  • Smoking
  • Depression/anxiety
  • stress what study looked at vasomotor symptoms Study of Womens Health Across the Nation SWAN untreated vasomotor s/s are associated with what poor outcomes
  • loss of sleep
  • loss of memory
  • lethargy
  • fatigue

what other conditions may you want to rule out if a woman presents with only c/o hot flahes

  • TB
  • myelo proliferative disease
  • SE of SSRI
  • Sleep apnea
  • GERD
  • ETOH abuse
  • nocturnal hypoglycemia what are some psychologic discomforts associated with going through menopause
  • insomnia
  • mood swings
  • irritability
  • anxiety
  • depression
  • memory loss
  • general malaise does HT improve the feelings of anxiety and depression that may be experienced during menopause

hyperpigmentation age spots what breast changes may a woman experience during menopause loss of adipose tissue what hair pattern changes may a woman experience during menopause loss of axillary and pubic hair. Growth of hair on face and chin what changes may a woman going through menopause note in her mouth dry mouth during menopause what may happen to a womans lipid levels HDL decreases LDL, TG, Total cholesterol all increase during menopause a woman more likely to c/o bloating and weight gain especially in what area waist area

what is recommended for the treatment of decreased libidio due to menopause vaginal estrogen bone mineral density is directly correlated to what number of teeth what are some early signs of estrogen loss

  • hot flashes
  • insomnia
  • irritability
  • mood disturbance what are some physical changes of estrogen loss
  • vaginal atrophy
  • stress incont
  • skin atrophy what are some late s/s of estrogen loss

to diagnose menopause a woman less than what age must have FSH, LH and estradiol levels of what < 40 years old FSH > 30, LH > 40, Estradiol<15- 30 is a single random level of FSH, LH or estradiol a reliable indicator of menopause no do you need to draw labs to diagnose menopause no defined as the span of time from puberty to perimenopause premenopause defined as the span of time that begins with the onset of menstrual cycle changes and other menopause s/s and extend through menopause to 1 year after menopause perimenopause

when does the time frame known as perimenopause begin when a pt begins experiencing menstrual cycle changes and other menopause related s/s who long does the perimenopause period usually last 6 - 10 years perimenopause begins with the changing of the menstraul cycle and menopause s/s and continues until when through menopause and 1 year after menopause what is another name for the peri menopause period menopause transitions (MT) defined as the the final menstrual period which can be confirmed after going 12 consecutive months without a period menopause when can you diagnose menopause

  • LH levels rise 3 times is progesterone measurable during postmenopause no after menopause estrogen levels are available from what other sources
  • ovaries
  • adrenal glands
  • liver
  • fat cells after menopause estrogen is available from other sources such as the ovaries in what forms
  • androstenedione
  • testosterone after menopause estrogen is available from other sources such as the adrenal glands in what from
  • androstenedione

estrogen is converted in the liver and fat cells to what form estrone high levels of LH after menopause cause cells in the ovary to produce what two hormones

  • androestenedione
  • testosterone what 3 estrogens circulate in the body
  1. 17 beta estradiol
  2. estrone
  3. estriol what is the most biologically active form of estrogen that circulates in the body 17 beta estradiol very short acting estrogen that is the least biologically active estrogen in circulation estriol

during perimenopause a woman may begin to experience disturbances in her menstrual pattern which may include

  • dysfunctional uterine bleeding
  • irregular bleeding
  • variation in length of cycles during perimenopause a woman may begin to not variations in the length of her cycles usually shortened what are the 3 main s/s of perimenopause
  • disturbance in menstrual pattern
  • vasomotor insability
  • atrophic conditions what is that most commonly reported vasomotor s/s experienced during peri menopause hot flashes during peri menopause a woman may experience atrophic changes such as

vaginal itching, dryness, irritation, bleeding with intercourse, dyspareunia during peri menopause a woman will under go atrophic changes causing the PH to what and lactobacilli to what PH increases lactobacilli decreases most women experience menstrual cycle changes aprox how many years before menopause occurs 4 - 8 years if a pt experiences vaso motor s/s early in peri menopause will their s/s tend to last longer or be shorter last longer if a pt dosent begin to experience vasomotor s/s until the onset of post menopause will they experience these symptoms longer or shorter shoert what is the gold standard for treatment of hot flashes hormone therapy

Should you discourage the use of hormone therapy in postmenopausal women no when you can you assume induced menopause has occured after bilateral oophorectomy or ablation of ovarian function what are some management options for menopause

  • HT
  • SSRI and SNRI
  • Nutrition
  • Weight bearing exercise
  • Education
  • Herbs
  • Hypnosis have weight bearing exercises been proven effective a decreasing a menopausal womans risk for osteoporosis

no but does maintain the bone mass that they have are herbs fda approved or proven effective at treating the s/s menopause no does exercise decrease the number of hot flashes no what supplements should you encourage a menopausal woman take calcium and vitamin d why did the womens health initiatives (WHI) lead to a decrease in the use of HT concern for breast CA risk and CV risk what was the WHI study designed to look at effects of estrogen on CV health and slowing progession of cognitive decline did the WHI study evaluate the impact of HT on PM women

CAD

what is a greater risk for the development breast cancer in comparison to HT use obesity what is the most effective tx for menopausal s/s including vasomotor s/s and vaginal atrophy HT what is the preferred tx for women with s/s of vaginal dryness or dyspareunia local estrogen therapy what is an acceptable option for the treatment of healthy women aged <59 or within 10 years of menopause bothered by moderate to severe menopausal s/s systemic HT systemic HT is acceptable treatment for what age group of women up to age 59 or within 10 years of menopause

what factors should be considered when deciding to treat a menopausal woman

  • quality of life
  • age
  • time since menopause
  • risk of blood clots
  • HD
  • Stroke
  • Breast cancer is the risk for developing breast cancer statistically significant with the use of HT no < 1% there is an increased risk for developing breast cancer when EPT is used continuously for how long

5 years is there an increased risk for the development of breast cancer with the continuous use of estrogen for >5 years no