Exam (elaborations)
2024 MENOPAUSE AND HORMONE THERAPY EXAM WITH CORRECT ANSWERS
- Course
- Institution
2024 MENOPAUSE AND HORMONE THERAPY EXAM WITH CORRECT ANSWERS
[Show more]
Content preview
2024 MENOPAUSE AND HORMONETHERAPY EXAM WITH CORRECT
ANSWERS
what is the gold standard for treatment of hot flashes - CORRECT-
ANSWERShormone therapy
what are your treatment options for atrophic vaginitis - CORRECT-ANSWERS-
esterase cream
- premarin cream
- estring
- vagifem
- femring
- Ospemifene (osphena)
would you use Femring for the tx of atrophic vaginitis alone - CORRECT-
ANSWERSno but may use to tx atrophic vaginitis if also having menopausal
s/s
if prescribing femring what will you also need if a uterus is present -
CORRECT-ANSWERSprogestin
with estrogen cream therapies for the treatment of atrophic vaginitis a pt
can expect to experience relief in what time frame - CORRECT-ANSWERS2
weeks
a pt should avoid sexual contact for what time period after applying local
estrogen cream - CORRECT-ANSWERS12 hours
what drug category does ospemifene or osphena fall under - CORRECT-
ANSWERSselective estrogen receptor modulator (SERM) estrogen
agonist/antagonist
Orphan makes vaginal tissue thicker and less fragile but may lead to what
complication - CORRECT-ANSWERSendometrial hyperplasia
Ospemifene (Osphena) is indicated for the treatment of what 2 conditions -
CORRECT-ANSWERS- Atrophic vaginitis
- Dyspareunia
,Ospemifene (osphena) can lead to endometrial hyperplasia what s/s should
you monitor for which may indicate this complication - CORRECT-
ANSWERSuterine bleeding
why is ospemifene (Osphena) not first line therapy for atrophic vaginitis -
CORRECT-ANSWERSsystemic treatment for local problem
what is the black box warning associated with ospemifene (osphena) -
CORRECT-ANSWERSincreased risk for endometrial cancer
if a pt has an increased risk for endometrial cancer such as obesity, HTN, DM
and is taking ospemifene (osphena) for dyspareunia what med should you
also prescribe and why - CORRECT-ANSWERSProgestin. Increased risk for
endometrial cancer
what are some side effects of ospemifene (osphena) - CORRECT-ANSWERS-
hot flashes
- vaginal d/c
- muscle spasms
- excessive sweating
would you prescribe ospemifene (osphena) to a women c/o of dyspareunia
who is also c/o hot flahses - CORRECT-ANSWERSno - most common side
effect is hot flashes
what drugs is ospemifene (osphena) known to interact with - CORRECT-
ANSWERS- azole ATB's
- Rifampin
- other SERMS
- Estrogen therapy
Use of ospemifene (osphena) is contraindicated in what pts - CORRECT-
ANSWERS- undiagnosed vaginal bleeding
- pregnancy
- estrogen dependent neoplasia
- active/hx VTA
- HX stroke, HD, MI
- Liver problems
what are some non hormonal options for the treatment of atrophic vaginitis -
CORRECT-ANSWERS-moisturizers
-lubricants
what are the 2 basic lubricant formulations - CORRECT-ANSWERSwater
silicone
, lubricants are used primarily for what - CORRECT-ANSWERSdyspareunia
what is the only FDA approved treatment for female low libido or hypoactive
sexual desire disorder - CORRECT-ANSWERSFlibanserin (Addyi)
how long does flibanserin (addyi) take to work - CORRECT-ANSWERS4-8
weeks
flibranserin (addyi) is contraindicated in what - CORRECT-ANSWERSliver
disease
ETOH use
can NP's prescribe flibanserin (addyi) for low libido - CORRECT-ANSWERSonly
if take online course
what must a pt sign before being given flibanserin (addyi) - CORRECT-
ANSWERSstatement that says they will not drink ETOH
there is a decreased risk for dvt with use of what preparation of estrogens -
CORRECT-ANSWERStransdermals and gels
before starting HT what risk factors should you work your pt up for -
CORRECT-ANSWERS-CVA
-CHD
-VTE
-Osteoporosis
-Breast CA
before starting HT your pt should of had a mammogram within what time
frame - CORRECT-ANSWERSprevious 12 months
should HT be used for primary or secondary prevention of heart disease -
CORRECT-ANSWERSno
is a 64y female with menopause at age 52y eligible for HT for her c/o hot
flashes - CORRECT-ANSWERSno - current age over 60. menopause > 10
years ago
would you prescribe fenlafaxine to a pt with a hx of htn - CORRECT-
ANSWERSno
Femring is ideal for a pt who has had a hysterectomy and also c/o what -
CORRECT-ANSWERS- hot flashes
- night sweats
- vaginal dryness
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Elitaa. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $19.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now