Researchers at the Mayo Clinic, Roc...

Researchers at the Mayo Clinic, Rochester, Minn, have fix that a medication used to treat depression also is effective in treating of high temperature flashes, according to a Dec 15 2000 novels story from CNN.com. Hot flashes are individual of the most disturbing symptoms of menopause.

scalding;-very warm flashes often pose a point to be solved [i]or[/i] settled for women undergoing chemotherapy treatment for cancer. Chemotherapy can induce premature menopause. A commonly prescribed medication, tamoxifen, for breast cancer patients is known to cause heated flashes.

Women undergoing treatment for breast cancer ofttimes are prohibited from using traditional hormone replacement therapy because the cancer can be sensitive to estrogen Although hormone-free treatments are available, not many scientific studies have been conducted

Evidence hints that venlafaxine, a new exemplar of antidepressant, may relieve of high temperature flashes. This medication is nonhormonal. A four-week trial of 229 women showed that venlafaxine was 60% effective against hasty flashes. The majority of the women involved in the close attention had a history of breast cancer.

Several dosages were studied, and researchers place 75 mg per day to be the optimum dose. forces were seen within one week. Side events were mild and included arid mouth and some vomiting. greatest in number patients who continued to take venlafaxine overcame the general intents as their bodies adjusted to the medication.

heated flashes may occur several times for day and often feel disabling. When furious flashes occur at night, they many times disrupt sleep. Generally, symptoms begin forward the chest, neck, and face and may be accompanied from headache, nausea, or difficulty concentrating, according to the story.

"Anti-depressant calculators hot flashes from menopause, chemotherapy," CNNcom http://wwwcnncom/2000 /HEALTH/wome/12/15/hot.flashes/index.html (accessed 15 Jan 2001)

Examination

UTERINE ARTERY EMBOLIZATION

1 Uterine fibroid tumors, also called uterine leiomyomatas, are nodules of unruffled muscle cells and fibrous connective tissue that exhibit within the wall of the uterus.

a. true

b false

2 Uterine fibroid tumors are the mostly frequently diagnosed malignant tumor of the female pelvis.

a. true

b false

3 Fibroids can cause enlargement of the uterus, abnormal uterine bleeding, pelvic pain, and infertility in approximately what percent of women?

a. 10%

b 20%

c 30%

d 40%

4 Fibroids are classified as

a. intramural, intraserosal, and subserosal.

b submucosal, intraserosal, and intramural.

c intramural, subserosal, and submucosal.

d intraserosal, subserosal, and intermucosal.

5 Which hormone is first released in the processe that regulate the female reproductive system?

a. luteinizing hormone (LH)

b estrogen

c gonadotropin releasing hormone (GnRH)

d follicle-stimulating hormone (FSH)

6 Which hormone plays no part in the growth of fibroids?

a. estrogen

b progesterone

c basic fibroblast vegetation factor (bFGF)

d LH

7 Which hormone regulates the proces called angiogenesis, which is conceit to play a role in fibroid development?

a. estrogen

b progesterone

c bFGF

d LH

8 Which hormone is not quelled in the premenstrual cycle in women with fibroids?

a. estrogen

b progesterone

c bFGF

d LH

9 Fibroids are diagnosed in Caucasian women three times more commonly than in African-American women.

a. true

b false

10 What factors are cogitation to increase a woman's risk for fibroid tumors?

a. menarche before age 12 obesity, nulliparity, and sedentary lifestyle

b late menarche, multiparity, and sedentary lifestyle

c menarche before age 12 obesity, pregnancy after age 30 and active lifestyle

d late menarche, sedentary lifestyle, and history of miscarriage

11 Many fibroid symptoms are related to

a. a woman's age, weight, and ethnicity.

b the size, location, and number of fibroid(s).

c the location of the fibroid(s), history of miscarriage, and age of woman.

d the ethnicity, number of pregnancies, and age of the woman.

12 Fibroids can cause infertility and late miscarriages.

a. true

b false

13 A diagnosis of fibroids is confirmed by

a. ultrasound and physical examination.

b magnetic resonance imaging (MRI), ultrasound, and comput tomography (CT) scan.

c ultrasound, MRI, and physical examination.

d physical examination and patient history.

14 Asymptomatic fibroids require mix with drugs therapy for control of menstrual bleeding.

a. true

b false

15 Hormonal therapy deductions in a mean uterine bulk reduction of

a. 60%

b 20%

c 40%

d 50%

16 Hormonal therapy should not be used for more than six to nine month because

a. the patient may be supplyed sterile.

b. fibroid compass reduction occurs within 12 weeks, and no further change present itselfs after 24 weeks.

c side forces (ie, osteoporosis, menopausal symptoms, amenorrhea) become permanent after nine months

d fibroids become immune to the medications used.

17 Which statement is false?

a. Hysteroscopic myomectomy may be performed for fibroids that are subserosal.