Exam 55: Hormone Replacement Therapy

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:

Osteopenia is diagnosed in a 55-year-old woman who has not had a period in 15 months.She has a positive family history of breast cancer.The primary care NP should recommend:

A perimenopausal woman tells the primary care NP that she is having hot flashes and increasingly severe mood swings.The woman has had a hysterectomy.The NP should prescribe:

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 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:

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 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 50-year-old woman reports severe,frequent hot flashes and vaginal dryness.She is having irregular periods.She has no family history of CHD or breast cancer and has no personal risk factors.The primary care NP should recommend:

A male patient tells the primary care NP he is experiencing decreased libido,lack of energy,and poor concentration.The NP performs an examination and notes increased body fat and gynecomastia.A serum testosterone level is 225 ng/dL.The NP's next action should be to:

A man who has secondary hypogonadism associated with pituitary dysfunction will begin exogenous testosterone therapy.The patient asks the primary care NP about future chances of fathering children.The NP should tell him that:

A thin 52-year-old woman who has recently had a hysterectomy tells the primary care NP she is having frequent hot flashes and vaginal dryness.A recent bone density study shows early osteopenia.The woman's mother had CHD.She has no family history of breast cancer.The NP should prescribe:

A patient who has diabetes mellitus and congestive heart failure takes insulin and warfarin.The patient will begin taking exogenous testosterone to treat secondary hypogonadism.The primary care NP should recommend: