Vasomotor Symptoms: ABFM practice questions

4 board-style questions on vasomotor symptoms in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.

Sample question 1

A 54-year-old postmenopausal woman (last period 3 years ago) presents with moderate-to-severe hot flashes occurring 10-12 times daily, significantly disrupting her sleep and quality of life. She has tried lifestyle modifications without relief. She has no personal or family history of breast cancer, VTE, or cardiovascular disease. Her BMI is 26. She has an intact uterus. What is the most appropriate pharmacologic therapy?

1. Conjugated equine estrogen 0.45 mg plus medroxyprogesterone acetate 1.5 mg daily
2. Paroxetine 7.5 mg daily
3. Black cohosh supplement
4. Low-dose conjugated equine estrogen 0.3 mg daily alone

Sample question 2

A 58-year-old woman who is 6 years postmenopausal presents to discuss hormone therapy for persistent vasomotor symptoms. Her medical history includes a DVT at age 50 after knee surgery. She also has osteopenia (T-score -1.8 at the spine). What is the most appropriate management of her vasomotor symptoms?

1. Prescribe venlafaxine or another SNRI as a non-hormonal alternative
2. Recommend testosterone pellet therapy
3. Start conjugated equine estrogen plus medroxyprogesterone
4. Start transdermal estradiol plus oral micronized progesterone

Create a free PulseMD account to answer these, see the explanations, and practice five minutes a day.

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