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Menopause Management and Hormonal Therapies: MCQ Challenge

M3 India Newsdesk Nov 06, 2023

This MCQ Challenge discusses various clinical scenarios related to menopausal symptoms and hormone replacement therapy, providing recommendations for appropriate treatments and addressing contraindications based on individual patient characteristics and needs.

 

Menopause management MCQ

  1. A 52-year-old woman presents to your clinic with hot flashes, night sweats, and vaginal dryness over the past few months. She does not have any other medical conditions and is not on any medications. She asks about treatment options for her menopausal symptoms. Which of the following is the most appropriate first-line treatment for this patient?
  1. A 48-year-old woman comes to your clinic complaining of hot flashes, night sweats, vaginal dryness, and dyspareunia over the past six months. She does not smoke and has no other medical conditions. Which of the following is an appropriate indication to consider starting this patient on systemic hormone replacement therapy?
  1. A 55-year-old woman presents with hot flashes and night sweats, impacting her quality of life. She underwent a hysterectomy five years ago for benign reasons. She had a history of breast cancer two years ago and is currently in remission after completing adjuvant therapy. Which of the following is a contraindication for prescribing systemic HRT in this patient?
  1. A 49-year-old woman presents with mild hot flashes a few times per week and irregular periods over the last two months. She is otherwise healthy. Which of the following would not be appropriate initial advice for this perimenopausal patient?
  1. A 56-year-old woman has been on oral estrogen 0.3mg daily for eight weeks for menopausal hot flashes and night sweats. She reports no improvement in her symptoms. What is the most appropriate next step in management?
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