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</p> Signup and view all the answers

    What is the primary indication for hormone therapy?

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

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

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

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

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

    Which hormone is given to females without a uterus?

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

    What is the primary indication for estrogen replacement therapy?

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

    What does hormone therapy help lower the risk of?

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

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

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

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

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

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

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

    What is a common urogenital symptom experienced by menopausal women?

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

    What is a common psychological symptom linked with menopause transition?

    <p>Irritability</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</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</p> Signup and view all the answers

    "Chronic insomnia" is linked with menopause due to:

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

    What symptom is experienced by nearly every female during menopause?

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

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

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

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

    <p>Ospemifene</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</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</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</p> Signup and view all the answers

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

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

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

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

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

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

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

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

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

    <p>Paroxetine</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</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</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</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</p> Signup and view all the answers

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

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

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