Menopause

 Menopause:

1. An increased risk of Osteoporosis is associated with:

A. Bromocriptine use.

B. Excess glucocorticosteroid usage.

C. Androgen excess in the female.

D. Early menarche.

E. Excessive protein intake.

2. The use of estrogen alone in menopausal women increase the risk of :

A. Endometrial cancer

B. Ovarian cancer

C. Bone cancer

D. Bowel cancer

E. All of the above

3. Recently the main risk of hormone replacement therapy after menopause is:

A. fracture the neck of femur

B. Cancer of the colon

C. Hirsutism

D. Cancer of breast

E. Genital atrophy

4. In the menopause :

A. Osteoporosis is common in black women

B. They have increase tendency of fracture

C. Post menopausal bleeding is always due to endometrial carcinoma

D. HRT is always indicated

E. OCP can be used as hormone replacement

5. Postmenopausal women:

A. Malignancy is the commonest cause of postmenopausal bleeding.

B. FSH and LH are characteristically low.

C. Fibroid uterus tends to grow bigger.

D. Hormonal replacement therapy increases the risk of breast cancer.

E. Endometrium is characteristically thick on USS.

6. Which of the following is an indication for estrogen treatment?

A. Fibroid.

B. Threatened abortion.

C. Endometriosis.

D. Postmenopausal atrophic vaginitis.

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E. Induction of ovulation for anovulatory cycle.

7. The following is a symptom of Climacteric(menopause):

A. obesity.

B. Premenstrual tension.

C. Hot flushes.

D. Menorrhagia.

E. Ectopic pregnancy

8. Regarding hot flushes in the menopausal period. All the following are true,

EXCEPT :

A. They are reduced by exercise.

B. They are less in obese women.

C. They are more in smoking women.

D. The best treatment is HRT.

E. It usually disappears in 1 month.

9. Which of the following statement is INCORRECT:

A. Climacteric is the phase during which a woman passes form the

reproductive stage to non-reproductive stage.

B. Pre-menopause is the time during climacteric during which the periods

becomes irregular.

C. Menopause is the final menstruation which occurs during the climacteric.

D. Premature menopause is cessation of menstruation before the age of 40.

E. Oral contraceptive pills delay the onset of menopause.

10. True statement concerning the development of postmenopausal osteoporosis

include:

A. In typical patients, the yearly rate of bone loss remains constant.

B. Estrogen replacement therapy is not effective in treatment.

C. X-ray density of the wrist determines estrogen dosage.

D. In most patients, fractures of trabecular bone occur earlier than fractures

of cortical bone (e.g. Femur)

E. Very common in black population.

11. The severity of menopausal vasomotor symptoms correlates best with:

A. Mental status at the time if climacteric.

B. Rate of estrogen withdrawal.

C. Serum estrogen concentration.

D. Serum FSH concentration.

E. Serum LH Concentration.

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12. Which of the following is NOT a physical finding associated with the

climacteric:

A. Atrophic vaginitis.

B. Clitoromegaly.

C. Vaginal stenosis.

D. Small labia minora.

E. Amenorrhea.

13. Recognized feature of postmenopausal women is:

A. Low FSH & LH.

B. Increased bone mineral density.

C. High FSH.

D. High level of estrogen.

E. Increase the incidence of uterine fibroid.