FSH Level and Ovarian Failure Quiz

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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?

Hispanic women (B) Signup and view all the answers

What is the primary indication for hormone therapy?

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

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

Ovarian failure (B) Signup and view all the answers

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

To check for unwanted pregnancies (D) 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?

Every 2 years (B) Signup and view all the answers

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

FRAX tool (A) Signup and view all the answers

Which hormone is given to females without a uterus?

Estrogen alone (C) Signup and view all the answers

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

Minimize vasomotor symptoms and improve urogenital atrophy (A) Signup and view all the answers

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

To lower the risk of endometrial cancer (D) Signup and view all the answers

What is the primary indication for estrogen replacement therapy?

Treatment of urogenital atrophy (A) Signup and view all the answers

What does hormone therapy help lower the risk of?

Osteoporotic fractures (A) Signup and view all the answers

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

Every 2 years (A) Signup and view all the answers

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

Unopposed estrogen (D) Signup and view all the answers

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

Lack of luteinizing hormone surge (C) Signup and view all the answers

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

Avoiding tobacco use (A) Signup and view all the answers

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

Vasomotor symptoms (C) Signup and view all the answers

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

800 to 1200 IUs (B) Signup and view all the answers

What is a common urogenital symptom experienced by menopausal women?

Vaginal vulvar dryness (D) Signup and view all the answers

What is a common psychological symptom linked with menopause transition?

Irritability (A) Signup and view all the answers

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

Increased risk of vaginal infections (B) Signup and view all the answers

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

"Extreme" decrease in breast size (D) Signup and view all the answers

"Chronic insomnia" is linked with menopause due to:

'Hormonal imbalances' (A) Signup and view all the answers

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

Undertaking weight-bearing exercise (D) Signup and view all the answers

What symptom is experienced by nearly every female during menopause?

Chronic insomnia (A) Signup and view all the answers

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

Lab testing including hormone levels (D) Signup and view all the answers

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

One to two weeks (A) Signup and view all the answers

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

Ospemifene (A) Signup and view all the answers

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

To provide relief from vaginal dryness (C) Signup and view all the answers

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

They may cause kidney stones (D) 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?

To prevent osteoporosis (B) Signup and view all the answers

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

Laser therapy (A) Signup and view all the answers

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

To rule out any underlying conditions (D) Signup and view all the answers

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

It reverses the vaginal atrophy (B) Signup and view all the answers

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

At the age of 65 (A) Signup and view all the answers

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

To prevent osteoporosis (A) Signup and view all the answers

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

Bleeding frequency (B) Signup and view all the answers

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

To strengthen pelvic floor muscles (A) Signup and view all the answers

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

Increased risk of stroke and urinary incontinence (C) Signup and view all the answers

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

Hypercoagulability and hypertension (C) Signup and view all the answers

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

MenoPro (D) Signup and view all the answers

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

Paroxetine (A) Signup and view all the answers

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

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

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

Urinary incontinence (D) Signup and view all the answers

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

Hot flashes (D) Signup and view all the answers

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

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

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

Active liver disease (D) Signup and view all the answers

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

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

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

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

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

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

FSH Level and Ovarian Failure Quiz

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Questions and Answers

At what age does natural menopause typically occur?

What is the definition of primary ovarian insufficiency?

What characterizes perimenopause/menopausal transition?

In which ethnic group does menopause typically occur earlier?

What is the primary indication for hormone therapy?

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

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

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

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

Which hormone is given to females without a uterus?

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

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

What is the primary indication for estrogen replacement therapy?

What does hormone therapy help lower the risk of?

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

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

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

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

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

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

What is a common urogenital symptom experienced by menopausal women?

What is a common psychological symptom linked with menopause transition?

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

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

"Chronic insomnia" is linked with menopause due to:

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

What symptom is experienced by nearly every female during menopause?

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

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

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

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

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

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?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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