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Unmanned

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
In which group of women is HRT most commonly used?   Postmen women  
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Give the routes of admin of HRT other than oral   Transdermal patch, subcutaneous, intramuscular  
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Forms in which HRT is available   Oral (pill), Intravaginal cream, Intramuscular depot, subcutaneous depot implant, transdermal patch  
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State uses of HRT   Local relief to urogenital tract ex atrophic vaginitis Relief of hot flushes  
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Give an advantage of each type of HRT prep   Oral: non-invasive, widely available, affordable Cream: Local relief of UG tract IM & subderm prep: decreased freq of admin Transderm: non-invasive, decreased freq of admin, lower dose, red risk of gallbladder disease, easy removal  
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What are the risks of hRT?   1. Breast ca 2. Endometrial Ca 3. Stroke 4. Coronary artery disease  
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how may the risks of hRT be mitigated   Risk due to unopposed oestrogen so progestin component may be added for 12-14 dys or using a combined oestrogen/progestin prep  
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Absolute C/I to HRT   1. Unexplained vag bleeding 2. Liver disease 3. Breast ca 4. endometrial Ca  
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Relative C/I to hRT   1. HTN 2. Fibroids 3. Gallbladder disease 4. Migraines 5. Thrombophlebitis  
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List changes that may occur in menopause   1. Hot flushes 2. GU: atrophic vaginitis 3. CVS risk increases (atherosclerosis) 4. Altered Ca met- osteoporosis 5. Psych: anxiety & depression 6. Skin: wrinkling, increased dependence  
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