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Post menopause burning and diffuse yellow/brown discharge and dyspareunia that does not
respond to local ET? - CORRECT ANSWER desquamative inflammatory vaginitis. Treat
different with clindamycin or hydrocortisone+ET
What hormones are associated with sexual desire in women? - CORRECT ANSWER circulating
androgens
Women who have had a BSO experience an abrupt and persistent decline in what hormone? -
CORRECT ANSWER circulating androgen levels
HSDD and FSAD were combined into a single dysrunction called - CORRECT ANSWER
female sexual interest/arousal disorder
HSDD treatments - CORRECT ANSWER flibanserin and bremelanotide
FGAD treatments (genital arousal disorder) - CORRECT ANSWER L-arginine, topical
alprostadil, wellbutrin, oxytosin.
Phosphodiesterase inhibitors-lacking in efficacy
Eros therapy device $300- vaccum-like the penis pump
FOD (orgasmic disorder) treatments - CORRECT ANSWER directed masturbation is most
researched behavioral treatment.
Does systemic ET cause fibroids to resume growth? - CORRECT ANSWER Rarely. They often
shrink after menopause.
,What is true about cognition and menopause? - CORRECT ANSWER Difficulty concentrating
and remembering are common.
What is true about cognition and surgical menopause - CORRECT ANSWER memory for
verbal information can be compromised immediately after surgical menopause, especially if it is
before the typical age of mesopause.
Meta analysis of rcts have shown small benefit of what diet/exercise for global cognition and
memory? - CORRECT ANSWER Mediterranean diet with olive oil and tai chi exercise helps
with global cognition
Mediterranean diet with olive oil and isoflavone supplements helps with memory.
Effect of HRT on cognition - CORRECT ANSWER small or no overall effect on cognition
What HRT can increase your risk for dementia based on the WHIMS study in 65+ year old
healthy women? - CORRECT ANSWER EPT replacement was shown to double the risk of
developing dementia.
There was no significant increased risk in ET alone.
This is why HRT is not recommended after 65 for primary prevention of dementia
3 reasons supporting the idea that HRT in early menopause may decrease a woman's chance of
developing alzheimer's disease? - CORRECT ANSWER 1. Observational studies imply it
2. Clinical trial of transdermal estradiol during the early postmenopause stage is associated with
reductions in AD pathology.
3. 18 year cumulative follow up data from WHI found that women randomized to ET had
significantly lower risk of dying from AD or dementia compared with women randomized to
receive placebo.
,Triptans are contraindicated in what? - CORRECT ANSWER patients with cardiovascular
disease, as are nsaids
Menstrual migraine treatment - CORRECT ANSWER NSAID or triptan 2 days before expected
to get your period, and take for 5-7 days.
Cdc and who guidelines for migraine treatment - CORRECT ANSWER migraine with aura-
advise to not use combined hormone contraception
Caution in women with migraine without aura
How long can it take for arthralgia from vitamin d deficiency or hypothyroidism to fully resolve?
- CORRECT ANSWER it can take several months.
What is th emost common form of arthritis? - CORRECT ANSWER osteoarthritis
What areas of th ebrain have th emost estrogen receptors? - CORRECT ANSWER hippocampus
and prefrontal cortex
What is the most common thyroid disorder in women? - CORRECT ANSWER hashimoto
thyroiditis
If a patient on levothyroxine is started on estrogen, when do you recheck and what can you
anticipate happening? - CORRECT ANSWER recheck 6-8 weeks later.
Anticipate that the dose of levothyroxine may need to be increased.
Oral estrogens increase thyroid binding globulin which in turn reduces the levels of free T4.
When is treatment of subclinical hypothyroidism recommended? - CORRECT ANSWER when
the TSH level is higher than 10.
, Are hot or cold thyroid nodules typically most likely to be malignant? - CORRECT ANSWER
cold nodules
How does HRT impact gallbladder disease? - CORRECT ANSWER increases risk of gallstones
with oral HRT, lower risk with transdermal.
When did they start screening blood for hep c? - CORRECT ANSWER 1992, so women who
have received blood products or organ transplants prior to 1992 may have acquired heptatitis c
Why do we screen for hep C? - CORRECT ANSWER most infections become chronic and most
are asymptomatic until liver damage is detected years later. Our treatments are improving so if
we catch this earlier in people, outcomes will be better
All adults born from what year to what year should recieve one time hep c testing? - CORRECT
ANSWER 1945 to 1965
Routine screening of all adults for hepatitis c. Is it reocmmended? - CORRECT ANSWER
routine screening for all adults is not recommended, however baby boomers are at the highest
risk. Infection rates are 5x other birth cohorts.
What hpv is high risk? - CORRECT ANSWER 16 and 18
By age 50 what percentage of US women will have acquired a genital HPV infection? -
CORRECT ANSWER 80%-HPV is very common, but it is the high risk ones to worry about
What is the most commonly sexually transmitted infection in the US? - CORRECT ANSWER
HPV
What percentage of bone loss do women have from the menopause transition? - CORRECT
ANSWER 10-12% on average, about 1 t score
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