arlete
Intern in 2009!!!!!
Topics: 39
Posts: 2,761
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A 55-year-old woman comes to the physician because of hot flashes. She first noted them about 9 months ago, and since then they have been worsening. She states that the flashes come on at various times throughout the day, but that they are especially intense at night. She had her last menstrual period approximately 5 months ago. Her medical history is significant for a pulmonary embolus at the age of 36 and severe depression. She takes fluoxetine for depression and has no allergies to medications but smokes one pack of cigarettes per day. Physical examination is unremarkable, including a normal pelvic examination. Which of the following is the most appropriate pharmacotherapy for this patient?
A. Clonidine
B. Estrogen and progesterone
C. Estrogen only
D. Glucophage
E. Tamoxifen
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84/99/99, grad. 92, GC, 14 public., 2 y USCE
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| vradojc1
Forum Elite
Topics: 21
Posts: 309
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A. She has history of thromboembolic event. Absolute contraindication for HRT.
I didn't know about Clonidine, but by simple exclusion you'd get there.
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| usmle12
Forum Senior
Topics: 19
Posts: 194
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whats the answer arlete we are waiting
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