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Chapter 55: Hormone Replacement Therapy Test Bank

Chapter 55: Hormone Replacement Therapy Test Bank

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Chapter 55: Hormone Replacement Therapy
Test Bank
MULTIPLE CHOICE
1.   A 55-year-old woman has not had menstrual periods for 5 years and tells the primary care nurse practitioner (NP) that she is having increasingly frequent vasomotor symptoms. She has no family history or risk factors for coronary heart disease (CHD) or breast cancer but is concerned about these side effects of hormone therapy (HT). The NP should:
a.

tell her that starting HT now may reduce her risk of breast cancer.

b.

advise a short course of HT now that may decrease her risk for CHD.

c.

tell her that HT will not help control her symptoms during postmenopause.

d.

recommend herbal supplements for her symptoms to avoid HT side effects.

2.   The primary care NP sees a woman who has been taking HT for menopausal symptoms for 3 years. The NP decreases the dosage, and several weeks later, the woman calls to report having several hot flashes each day. The NP should:
a.

increase the HT dose.

b.

discontinue HT.

c.

recommend black cohosh to alleviate symptoms.

d.

reassure her that these symptoms will diminish over time.

3.   A 52-year-old woman reports having hot flashes and intense mood swings. After a year of having irregular menstrual periods, she has not had a period for 6 months. The primary care NP should diagnose:
a.

menopause.

b.

dysmenorrhea.

c.

perimenopause.

d.

postmenopause.

4.   A woman with a family history of breast cancer had her last menstrual period 12 months ago and is experiencing hot flashes. She has not had a hysterectomy. The primary care NP should recommend:
a.

black cohosh.

b.

estrogen-only therapy.

c.

progesterone-only therapy.

d.

limiting alcohol and caffeine intake.

5.   A 50-year-old woman with a family history of CHD is experiencing occasional hot flashes and is having periods every 3 to 4 months. She asks the primary care NP about HT to relieve her symptoms. The NP should:
a.

prescribe estrogen-only therapy.

b.

initiate oral contraceptive pills now.

c.

discuss using bioidentical HT.

d.

plan to use estrogen-progesterone therapy when menopause begins.


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