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0 [{"id":196257,"quiz_id":"11743","answer_id":null,"answerType_id":"0","created_at":"2017-05-01 20:25:44","updated_at":"2017-05-01 20:25:44","questionName":"Which is NOT a cause of MENOPAUSE?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":null,"explanation":"Oophorectomy - removing ovaries. Hysterectomy - removing uterus (commonly with ovaries but not always_","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":195425,"quiz_id":"11743","answer_id":null,"answerType_id":"0","created_at":"2017-04-30 07:32:48","updated_at":"2017-05-01 18:43:18","questionName":"what is MIRENA?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":5,"explanation":"Mirena - IUD - containing Levonogesterel ","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":195421,"quiz_id":"11743","answer_id":null,"answerType_id":"0","created_at":"2017-04-30 07:12:40","updated_at":"2017-05-01 18:43:18","questionName":"What WOULD you prescribe for a menopausal woman who has undergone a HYSTERECTOMY?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":1,"explanation":"no uterus - no need for progesterone and no contraception to consider. can use PREMARIN (horse piss) or transdermal\/inra-vag for symptoms","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":195420,"quiz_id":"11743","answer_id":null,"answerType_id":"0","created_at":"2017-04-30 07:06:31","updated_at":"2017-05-01 18:43:18","questionName":"What is NOT a reason to use HRT?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":0,"explanation":"induced puberty - achieve normal development and optimal height and avoid issues of psychosocial adjustment with peers (induced mainly using contraceptive pills) POI = premature ovarian insufficiency ","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":196260,"quiz_id":"11743","answer_id":null,"answerType_id":"2","created_at":"2017-05-01 20:37:36","updated_at":"2017-05-01 20:37:36","questionName":"Match the symptoms to stage of menopause","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":null,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":195427,"quiz_id":"11743","answer_id":null,"answerType_id":"0","created_at":"2017-04-30 07:42:00","updated_at":"2017-05-01 18:43:18","questionName":"What is the key risk of ORAL HRT?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":7,"explanation":"ORAL HRT- can increase protein synthesis of clottogenic factors - increasing the risk of thromboembolism","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":195424,"quiz_id":"11743","answer_id":null,"answerType_id":"2","created_at":"2017-04-30 07:25:01","updated_at":"2017-05-01 18:43:18","questionName":"Match up the PRO terms","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":4,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":196259,"quiz_id":"11743","answer_id":null,"answerType_id":"0","created_at":"2017-05-01 20:34:28","updated_at":"2017-05-01 20:34:28","questionName":"Which is NOT a short term symptom of menopause?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":null,"explanation":"Short term symptoms can include WEIGHT GAIN","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":195423,"quiz_id":"11743","answer_id":null,"answerType_id":"0","created_at":"2017-04-30 07:22:57","updated_at":"2017-05-01 18:43:18","questionName":"What 2 ways can PROGESTERONE be used to prevent dangerous effects of oestrogen in HRT?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":3,"explanation":"Cyclical withdrawal - constant OES with withdrawal of PRO = monthly\/occasional menstural period , Continuous PRO and OES - induces an 'atrophic state' so endometrium never thickens","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":195422,"quiz_id":"11743","answer_id":null,"answerType_id":"0","created_at":"2017-04-30 07:17:26","updated_at":"2017-05-01 18:43:18","questionName":"Why is estradiol (E2) less effective when given orally?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":2,"explanation":"E2 estradiol is modified in the gut to E1 and E3 whcih are not active at the oestrogen receptor so best given transderamally. PREMARIN contains conjugated versions that have some activity","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":195428,"quiz_id":"11743","answer_id":null,"answerType_id":"0","created_at":"2017-04-30 08:06:37","updated_at":"2017-05-01 18:43:18","questionName":"Which 5 ARE risks of HRT?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":8,"explanation":"Unscheduled vaginal bleeding, CVD, venous thromboembolism, Breast cancer, Ovarian cancer (some evidence for risk after 5 years)","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":196258,"quiz_id":"11743","answer_id":null,"answerType_id":"2","created_at":"2017-05-01 20:30:50","updated_at":"2017-05-01 20:30:50","questionName":"Match the definitions","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":null,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":196261,"quiz_id":"11743","answer_id":null,"answerType_id":"0","created_at":"2017-05-01 20:43:25","updated_at":"2017-05-01 20:43:25","questionName":"Why does menopause often result in OSTEOPOROSIS?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":null,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":195426,"quiz_id":"11743","answer_id":null,"answerType_id":"2","created_at":"2017-04-30 07:36:56","updated_at":"2017-05-01 18:43:18","questionName":"Match up the ALTERNATIVE HRT treatments","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":6,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null}]
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Which is NOT a cause of MENOPAUSE?

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