FSH Level and Ovarian Failure Quiz

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Questions and Answers

At what age does natural menopause typically occur?

  • 40 years
  • 51 years (correct)
  • 60 years
  • 45 years

What is the definition of primary ovarian insufficiency?

  • 12 consecutive months of amenorrhea in a non-pregnant woman
  • Irregular or cessation of ovulatory menstrual cycles after the age of 40 years
  • Irregular or cessation of ovulatory menstrual cycles before the age of 40 years (correct)
  • Removal of functioning ovaries leading to immediate menopause

What characterizes perimenopause/menopausal transition?

  • Five consecutive years of amenorrhea
  • Greater than 40 years
  • Removal of functioning ovaries
  • Onset of irregular menses to the final menstrual cycle (correct)

In which ethnic group does menopause typically occur earlier?

<p>Hispanic women (B)</p> Signup and view all the answers

What is the primary indication for hormone therapy?

<p>Treatment of moderate to severe vasomotor symptoms (D)</p> Signup and view all the answers

What does an FSH level greater than 30.IU/mL indicate?

<p>Ovarian failure (B)</p> Signup and view all the answers

Why is it important to do a pregnancy test for women who have not completely ceased bleeding?

<p>To check for unwanted pregnancies (D)</p> Signup and view all the answers

What is the recommended frequency for mammograms according to the U.S. Preventative Services Task Force for women aged 50 to 74?

<p>Every 2 years (B)</p> Signup and view all the answers

Which tool can be used to assess the risk for fracture in postmenopausal women?

<p>FRAX tool (A)</p> Signup and view all the answers

Which hormone is given to females without a uterus?

<p>Estrogen alone (C)</p> Signup and view all the answers

What does estrogen combined with progestin aim to minimize and improve?

<p>Minimize vasomotor symptoms and improve urogenital atrophy (A)</p> Signup and view all the answers

Why must females with a uterus take estrogen and progesterone together?

<p>To lower the risk of endometrial cancer (D)</p> Signup and view all the answers

What is the primary indication for estrogen replacement therapy?

<p>Treatment of urogenital atrophy (A)</p> Signup and view all the answers

What does hormone therapy help lower the risk of?

<p>Osteoporotic fractures (A)</p> Signup and view all the answers

What is the recommended frequency for bone mineral density screening with DEXA scan in postmenopausal women?

<p>Every 2 years (A)</p> Signup and view all the answers

Which hormone therapy option comes in transdermal, oral, spray, gels, vaginal, and injectable forms?

<p>Unopposed estrogen (D)</p> Signup and view all the answers

What is the main cause of anovulation as mentioned in the passage?

<p>Lack of luteinizing hormone surge (C)</p> Signup and view all the answers

What can help offset the risks of cardiovascular disease during menopause?

<p>Avoiding tobacco use (A)</p> Signup and view all the answers

What symptom do about 80% of menopausal women report experiencing?

<p>Vasomotor symptoms (C)</p> Signup and view all the answers

What is the recommended daily intake of vitamin D for offsetting the risks of osteoporotic fractures during menopause?

<p>800 to 1200 IUs (B)</p> Signup and view all the answers

What is a common urogenital symptom experienced by menopausal women?

<p>Vaginal vulvar dryness (D)</p> Signup and view all the answers

What is a common psychological symptom linked with menopause transition?

<p>Irritability (A)</p> Signup and view all the answers

What is one effect of atrophic vulva and vaginal mucosa on menopausal women?

<p>Increased risk of vaginal infections (B)</p> Signup and view all the answers

What change in breast size is typically observed in menopausal women?

<p>&quot;Extreme&quot; decrease in breast size (D)</p> Signup and view all the answers

"Chronic insomnia" is linked with menopause due to:

<p>'Hormonal imbalances' (A)</p> Signup and view all the answers

What is one way to reduce the risks of osteoporotic fractures during menopause?

<p>Undertaking weight-bearing exercise (D)</p> Signup and view all the answers

What symptom is experienced by nearly every female during menopause?

<p>Chronic insomnia (A)</p> Signup and view all the answers

What is a recommended method to diagnose menopause according to the passage?

<p>Lab testing including hormone levels (D)</p> Signup and view all the answers

What is the recommended initial treatment duration for vaginal estrogen therapy?

<p>One to two weeks (A)</p> Signup and view all the answers

Which medication is specifically recommended for moderate to severe dyspareunia associated with vaginal atrophy?

<p>Ospemifene (A)</p> Signup and view all the answers

What is the primary purpose of water-based and silicone-based moisturizers and lubricants in non-hormonal treatments?

<p>To provide relief from vaginal dryness (C)</p> Signup and view all the answers

What is the main concern about calcium supplements for post-menopausal women?

<p>They may cause kidney stones (D)</p> Signup and view all the answers

What is the purpose of encouraging post-menopausal women to engage in weight-bearing exercise more than 30 minutes at a time, three times weekly?

<p>To prevent osteoporosis (B)</p> Signup and view all the answers

Which therapy can improve elasticity, vascularity, and epithelial proliferation in post-menopausal women?

<p>Laser therapy (A)</p> Signup and view all the answers

Why should bleeding be evaluated before starting vaginal topical creams, tablets, or rings?

<p>To rule out any underlying conditions (D)</p> Signup and view all the answers

What is the primary benefit of topical estrogen therapy for genitourinary syndrome or vulvar/vaginal atrophy?

<p>It reverses the vaginal atrophy (B)</p> Signup and view all the answers

What is the recommended age for post-menopausal women to undergo a DEXA scan?

<p>At the age of 65 (A)</p> Signup and view all the answers

What is the purpose of vitamin D supplementation for post-menopausal women?

<p>To prevent osteoporosis (A)</p> Signup and view all the answers

What should be evaluated before starting non-hormonal treatments such as moisturizers and lubricants?

<p>Bleeding frequency (B)</p> Signup and view all the answers

What is the primary role of Kegel exercises in post-menopausal women?

<p>To strengthen pelvic floor muscles (A)</p> Signup and view all the answers

What did the Women's Health Initiative study demonstrate about women who took estrogen with progesterone?

<p>Increased risk of stroke and urinary incontinence (C)</p> Signup and view all the answers

What is the primary concern associated with higher doses of estrogen?

<p>Hypercoagulability and hypertension (C)</p> Signup and view all the answers

Which app aims to aid in shared decision-making between clinicians and patients regarding hormone therapy?

<p>MenoPro (D)</p> Signup and view all the answers

What is a non-hormonal treatment option for vasomotor symptoms mentioned in the passage?

<p>Paroxetine (A)</p> Signup and view all the answers

According to the American College of Obstetricians and Gynecologists, how should hormone therapy be approached?

<p>With the lowest effective dose for the shortest duration needed (A)</p> Signup and view all the answers

What is a common side effect associated with hormone replacement therapy mentioned in the passage?

<p>Urinary incontinence (D)</p> Signup and view all the answers

What is the primary rheumatic symptom that Gabapentin has been shown to have an effect on during menopause?

<p>Hot flashes (D)</p> Signup and view all the answers

What do studies since the Women's Health Initiative show about hormone therapy when introduced early into menopause?

<p>Benefits when introduced early and with low estrogen doses (A)</p> Signup and view all the answers

What is a contraindication for hormone therapy according to the passage?

<p>Active liver disease (D)</p> Signup and view all the answers

What did the Women's Health Initiative study demonstrate about women who took estrogen alone?

<p>4 increased risk of abnormal mammograms requiring follow-up investigations (C)</p> Signup and view all the answers

What is the primary role of Clonidine in treating menopausal symptoms?

<p>To treat mild hot flashes, although less effective than SSRIs or SNRIs (B)</p> Signup and view all the answers

What did the Women's Health Initiative study demonstrate about women who took estrogen with progesterone versus placebo?

<p>Increased heart disease events, invasive breast cancer, stroke, pulmonary embolus, dementia, gallbladder disease, and urinary incontinence (A)</p> Signup and view all the answers

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