Menopause Practice Questions

Question 1

A 46-year-old woman presents for her annual examination. Her main complaint is frequent sweating episodes with a sensation of intense heat starting at her upper chest and spreading up to her head. These have been intermittent for the past 6 to 9 months but are gradually worsening. She has three to four flushing/sweating episodes during the day and two to three at night. She occasionally feels her heart race for about a second, but when she checks her pulse it is normal. She reports feeling more tired and has difficulty with sleep due to sweating. She denies major life stressors. She also denies weight loss, weight gain, or change in bowel habit. Her last menstrual cycle was 3 months ago. Physical examination is normal. Which treatment is most appropriate in alleviating this woman's symptoms?

Accepted Answer

Estrogen plus progesterone

Answer

Citalopram

Answer

Estrogen

Answer

Levothyroxine

Question 2

Match List-I with List-II and select the correct answer using the code given below the Lists:

Accepted Answer

A→2  B→1  C→4  D→3

Answer

A→4  B→1  C→3  D→2

Answer

A→3  B→4  C→1  D→2

Answer

A→1  B→2  C→3  D→4

Question 3

35 yr old with 4 months amenorrhea with increased FSH, decreased estrogen. What is the diagnosis?

Accepted Answer

Premature ovarian failure

Answer

Pituitary dysfunction

Answer

Hypothalamic dysfunction

Answer

Polycystic Ovary Syndrome

Question 4

Hormone Replacement Therapy (HRT) in postmenopausal women is beneficial in all these except

Accepted Answer

Prevention of CAD

Answer

Vaginal atrophy

Answer

Osteoporosis

Answer

Vasomotor symptoms

Question 5

Earliest menopausal symptom is :

Accepted Answer

Hot flushes

Answer

Vaginal discharge

Answer

Osteoporosis

Answer

Spotting

Question 6

Which one of the following is a prerequisite for Endometrial Ablation ?

Accepted Answer

Completed childbearing

Answer

Desire to maintain fertility

Answer

Uterine size >16 weeks

Answer

Presence of large submucous fibroids

Question 7

Which of the following is NOT an indication for postoperative radiotherapy in a case of carcinoma endometrium?

Accepted Answer

Tumour positive for estrogen receptors

Answer

Positive lymph nodes

Answer

Endocervical involvement

Answer

Myometrial invasion >1/2 thickness

Question 8

Which of the following markers is not used in quadruple test for antenatal detection of Down syndrome?

Accepted Answer

Estradiol

Answer

Inhibin

Answer

AFP

Answer

ss-hCG

Question 9

A 26-year-old woman presents with vaginal discharge and dyspareunia. Wet mount microscopy shows clue cells. Which of the following additional findings would confirm the diagnosis?

Accepted Answer

Positive whiff test and vaginal pH > 4.5

Answer

Pseudohyphae on microscopy

Answer

WBCs > 10 per high power field

Answer

Motile trichomonads

Question 10

Which of the following are Amsel's diagnostic criteria?
I. Vaginal pH>4.5
II. Positive Whiff test
III. Presence of clue cells >20 %
IV. Positive bacterial vaginal culture

Select the correct answer using the code given below :

Accepted Answer

I, II and III

Answer

I, III and IV

Answer

I, II and IV

Answer

II, III and IV

Menopause

Study Resources

Lessons

Questions

Flashcards

Lessons

Physiology of Menopause

Perimenopausal Transition

Menopausal Symptoms and Management

Hormone Replacement Therapy

Non-hormonal Management Options

Osteoporosis Prevention and Management

Cardiovascular Health in Menopause

Urogenital Atrophy

Psychological Aspects of Menopause

Premature Menopause

Practice Questions

Flashcards

About Menopause for NEET-PG

Lessons in Menopause

Master Menopause