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MRCOG PART 2 SBAs and EMQs

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Menopause update

Menopause update Posted by Farrukh G.

Instructions

 

For each scenario described below, choose the single most appropriate management from the above list of options. Each option may be used once, more than once, or not at all.

 

 

Question

 

A healthy 51 year old woman attends the gynaecology clinic because of severe hot flushes. Her last menstrual period was 3 months ago and she has been having irregular periods every 1-6 months for the last 2 years. She has no significant personal or family history.

 

A.    Reassure and discharge

 

B.    Explain that risks of HRT outweigh benefits

 

C.    Oral oestrogen + progestogen replacement

 

D.    Oral oestrogen + progestogen replacement for up to 6 months

 

E.     Oral oestrogen + progestogen replacement for up to 12 months

 

F.     Trans-dermal oestrogen + progestogen replacement                        

 

G.    Oral or trans-dermal oestrogen + progestogen replacement

 

H.    Selective serotonin re-uptake inhibitors

 

I.       Oral oestrogens + levonorgestrel IUS

 

J.     Oral oestrogen

 

K.    Trans-dermal oestrogen

 

L.     Oral progestogen

 

Posted by ibrahim E.

correct E