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the NAMS Recommendations for Clinical Care of Midlife Women Article Mini Book Questions with 100% Actual correct answers | verified | latest update | Graded A+ | Already Passed | Complete Solution

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  • June 26, 2024
  • 5
  • 2023/2024
  • Exam (elaborations)
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  • the nams recommendations for clinical care of midl

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  • Men & Women's Health
  • Men & Women's Health
  • Men & Women's Health
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the NAMS Recommendations for Clinical
Care of Midlife Women Article/Mini Book
Natural menopause is from what to what ages - ANS-40-58. mean is 52

POI - ANS-menopause like s/s <40 yo

The risk of endometrial hyperplasia is _________ at the time of menopause transition -
ANS-elevated - due to serum estrogen concentrations being intermittently elevated and
ovarian progesterone production being diminished

Baseline assessment for POI - ANS-hCG, FSH, estradiol, prolactin, TSH. Diagnosis of
POI is confirmed by 2 elevated FSH levels drawn at least 1 month apart.

Hormone therapy or estrogen containing hormonal contraception is advised to treat
menopause symptoms and preserve bone mineral density in women with premature
menopause of POI. True or False - ANS-True

What is the leading cause of macular degeneration in the US? - ANS-age-related
macular degeneration.

What % of women treated for HMB have no anatomic pathology? - ANS-80%

What is the most effective tx for VMS? - ANS-Menopausal HT: systemic estrogen,
estrogen-progestogen, estrogen-bazedoxifene, progestogen alone, or combined OPCs.

Bioidentical hormones - ANS-are not recommended because of lack of regulation and
its sequelae of concerns

What is the only FDA approved SSRI for VSM s/s? - ANS-Paroxitine 7.5mg. (paxil)

What are some non HTs for VSM - ANS-vag lube and moisturizer - for vag s/s only
ospemifene -oral estrogen agonist/antagonist

Vaginal ET but not systemic - ANS-Reduced the risk of recurrent UTIs

Low dose vaginal ET results in minimal systemic absorption. - ANS-

, Healthcare providers should ask all perimenopausal and postmenopausal women about
vulvovaginal and urinary symptoms at every comprehensive visit. - ANS-

Women with GSM/VVA should consider nonhormonal vag lube and moisturizers as
initial therapy. - ANS-

Low-dose vaginal ET (cream, tablet, ring) is highly effective tx for persistent symptoms
of GSM/VVA. - ANS-

Estrogen agonist/antagonist ospemifene is an oral agent for the tx of moderate to
severe dyspareunia due to GSM/VVA. - ANS-

Progestogen therapy for endometrial protection is not recommended with the use of
low-dose vaginal ET, although studies of endometrial safety with vaginal ET do not
extend beyond 1 yr. - ANS-

Postmenopausal women with recurrent UTIs may consider tx with low-dose vaginal ET
or prophylactic abx. - ANS-

Any bldg. in post menopause ever post coital needs an eval - ANS-

Lifestyle changes for VMS - ANS-keep body temp low, maintain healthy weight, don't
smoke, exercise, practice relaxation

VMS - Nonprescription remedies are generally lowrisk but results are similar to placebo
- ANS-black cohosh, vit E, omega 3,

VMS - HT is most effective tx for VMS, what are some options - ANS-ET, E-P T,
E-bazedoxifene, P alone, comined oral contraceptives in those requiring contraception

VMS - SERM - bazedoxifene combined with conjugated estrogen is ... - ANS-FDA
approved for tx of hot flashes

VMS - SSRIs and SNRIs - ANS-Those more effective than placebo for hot flashes
include: paroxetine(Paxil), escitalopram (Lexapro), venlafaxine(Effexor) and
desvenlafaxine (Pristiq, Desfax, Ellefore). Paroxetine 7.5 mg is the only one FDA
approved.

VMS- Gabapentin and clonidine - ANS-reduce hot flashes but not approved by FDA

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