Question 1 (1 point) ¥ Saved Which test is performed around the time of ovulation to diagnose the basis of infertility? © 1) Hysterosalpingogram 2) Ultrasonography ©) 3) Laparoscopy 4) Follicle-stimulating hormone (FSH) level Question 2 (1 point) ~ Saved For the woman with a history of DVT who is having significant vasomotor symptoms, which of the following can be can be used for symptom management? On — 1) 17- 178-estradiol patch © 2 arospirenone © 9) estrone. xa paroxetine.Question 3(1 point) Saved A female patient who has not reached menarche by age 15 should be considered for a diagnosis of OD oligomenorrhea © 2) amenorrhea © 3) primary amenorrhea ©.4) secondary amenorrhea Question 4 (1 point) Saved In advising a woman about menopause, the NP considers that: 1) the average age at last menstrual period for a North American woman is 47 ~ “" to 48 years. Xx hot flashes and night sweats occur in about 60% to 90% of women. ©) 3) women with surgical menopause usually have milder symptoms. 4) follicle-stimulating hormone (FSH) and luteinizing hormone (LH) levels are suppressed.Question 5(1 point) ~ Saved A.53-year-old woman who is taking hormone therapy (HT) with conjugated equine estrogen, 0. 45 mg/d, with MPA, 1. 5 mg, has bothersome atrophic vaginitis symptoms. You advise that: © 1 her oral estrogen dose should be increased. 2) the addition of a topical estrogen can be helpful. ©3) the MPA component should be discontinued. ©4) baking soda douche should be tried. Question 6(1 point) ~ Saved Which of the following statements regarding perimenopause is false? © 1) Menstruation ceases during perimenopause. © 2) Hot flashes and flushes are common during the week before menses. © 3) Pregnancy is still possible during perimenopause. 4) ovulation becomes more erratic during perimenopause.Question 7 (1 point) v Saved Which of the medications can be prescribed to a patient to treat and or prevent osteoporosis in the postmenopausal patient and should be taken weekly. 1) Actonel 150 mg x Fosamax 70 mg ©) NSAIDs 4) Calcium Question 8 (1 point) v Saved In postmenopausal women, a major benefit from the use of topical or local estrogen is: 1) decreased rate of breast cancer. © 2) reduced risk of recurrent UTIs. © 3) reduced risk of type 2 diabetes. 4) increased levels of androgens.Question 9 (1 point) ~ Saved A 48-year-old woman complains of increased frequency and severity of hot flashes. Her last menses occurred 6 months ago. You would expect all of the following laboratory findings except: © 1) increased levels of LH. (©) 2) elevated levels of testosterone. © 9) reduced levels of estradiol. ©.) reduced levels of progesterone. Question 10(1 point) v Saved During perimenopause, which of the following is likely to be noted? © 1) symptoms are most likely in the week before the onset of the menses. © 2) The length of the perimenopausal period is predictable. ©) symptoms are less severe in women who smoke. © 4) Hot flashes are uncommon.Question 1(1 point) v Saved Absolute contraindications to postmenopausal HT include: (©) 1) unexplained vaginal bleeding. ) 2) seizure disorder. OS) dystipidemia. ©4) migraine headache. Question 2(1 point) ~~ Saved In advising a perimenopausal woman about HT, you consider that it may: ) 1) reduce the risk of venous thrombotic events. © 2) significantly reduce serum triglyceride levels. ) 3) worsen hypertension in most women. ©4 help preserve bone density.Question 3(1 point) v Saved The progestin component of HT is given to: © 1) counteract the negative lipid effects of estrogen. ») 2) minimize endometrial hyperplasia. © 3) help with vaginal atrophy symptoms. CO) prolong ovarian activity. Question 4 (1 point) Saved For a woman with bothersome hot flashes who cannot take HT, alternative options with demonstrated efficacy and limited adverse effects include the use of all of the following except: © 2) ventafaxine. © 2) sertraline. ) 3) gabapentin. © 4 clonidine.Question 5 (1 point) v Saved A patient presents to you with a chief complaint of primary dysmenorrhea, which nonpharmacologic intervention might you recommend she try first? © 1 participating in physical activity ©2) increase iron rich foods to replace blood that is lost © 3) use of a heating pad on the pelvis for cramping ©.4) use of an NSAID Question 6 (1 point) ~~ Saved (© 1) "My flow is very heavy all the time” © 2) “Ihave occasionally spot in between cycles” ©.3) “My menstrual cycles varies from 25 to 30 days.” 4) “Ihave cramping prior to my cycle starting”Question 7 (1 point) v Saved The average onset of perimenopause is between the ages of: O10) 35 to 40 years. © 2) 40 to 45 years. (3) 45 to 50 years. ) 4) 50 to 55 years. Question 8 (1 point) Saved Which body area has the greatest concentration of estrogen receptors? (©) 1) vulva ©2) vascular bed O23) heart O4) brainQuestion 9 (1 point) v Saved Concerning selective estrogen receptor modulator therapy such as raloxifene (Evista), which of the following statements is correct? ) 1) Concurrent progestin opposition is needed. © 2) Hot flashes are reduced in frequency and severity. ©) Use is contraindicated when a woman has a history of breast cancer. ») 4) Osteoporosis risk is reduced with use. Question 10 (1 point) Saved Findings in estrogen deficiency (atrophic) vaginitis clude: © 2) a malodorous vaginal discharge. © 2) an increased number of lactobacilli © 3) a reduced number of white blood cells. © 4 apH greater than 5.0. Question 1 (1 point) v Saved Examples of phytoestrogens include all of the following except: O 1) red clover. O2) ginseng. ©) vitamin €. 4) s0y products.