Perimenopause (5)

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Perimenopause (5)

1) What is the most common change in the menstrual cycle that occurs during the menstrual transition in women with no pelvic pathology who continue to be ovulatory?

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a. Longer menstrual cycle (> 30 days)

b. Shorter menstrual cycle (< 25 days)

c. Heavier menstrual flow

d. Lighter menstrual flow

e. Option 5

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2) What is the most common symptom during menstrual transition?

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a. Urinary frequency

b. Palpitations

c. Vertigo

d. Hot flashes

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3) Which of the following is most helpful in assessing the menopausal transition?

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a. FSH assay

b. FSH and LH

c. Inhibin B

d. Anti-Müllerian hormone

e. Endometrial biopsy

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4) A 50-year-old woman presents due to the discontinuation of her menstrual periods for the past 3 months. She also reports hot flashes several times daily and disrupted sleep due to night sweats. What is the most appropriate blood test at this time?

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a. Follicle-stimulating hormone level

b. Thyroid stimulating hormone level

c. Antimüllerian hormone level

d. No blood test is needed at this time

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5) Not useful for hot flushes of menopause

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a. Low-dose estrogen plus progestin

b. Paroxetine

c. Raloxifene

d. Tibolone

e. Gabapentin

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