A 35-Year-Old Woman Comes to the Office Due to Hot

question 88

Multiple Choice

A 35-year-old woman comes to the office due to hot flashes.  Her last menstrual period was a year ago, and she began having hot flashes 4 months ago.  The patient's symptoms have become progressively worse and are starting to interfere with sleep and normal daily activities.  Medical history is notable for Hodgkin lymphoma, for which she underwent treatment with chemotherapy and radiation 18 months ago.  Family history is unremarkable.  The patient lives with her husband and 2 children, and underwent a tubal ligation after the delivery of her second child 5 years ago.  She does not use tobacco or alcohol.  Current medications include calcium and vitamin D supplements.  Blood pressure is 110/70 mm Hg and pulse is 80/min.  BMI is 19 kg/m².  Physical examination, including breast and pelvic examination, is unremarkable.  Laboratory results show a normal complete blood count and basic metabolic panel.  LH is 25 mU/mL (normal, 3-20 mU/mL) and FSH is 56 mU/mL (normal, 0.8-13 mU/mL) .  Bone density using DXA reveals a Z-score of -2.5 at the lumbar spine and -1.7 at the hip.  Which of the following is the most appropriate treatment for this patient?

• A)Calcitonin
• B)Conjugated equine estrogen alone
• C)Conjugated equine estrogen with medroxyprogesterone acetate
• D)Raloxifene
• E)Risedronate

Understand the implications of marital status on filing and exemptions.

Recognize the tax adjustments and penalties related to filing status, inaccuracies, and deadlines.

Understand the impact of age, blindness, and other factors on standard deductions and exemptions.

Grasp the restrictions and benefits related to tax return extensions and payment deadlines.

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Definitions:

Bad Moods

Emotional states characterized by feelings of sadness, irritability, or negativity, affecting individual behavior and perception.

Good Moods

A psychological state characterized by feelings of contentment, happiness, or positivity.

Moods Last

A reference to the duration or persistence of emotional states that are less specific and more prolonged than immediate feelings or reactions.

External Information

Data and insights obtained from sources outside an organization, used for decision-making and strategic planning.