A Patient Who Will Begin Combination Estrogen/progestin Therapy (EPT)for Menopause

question 10

Multiple Choice

A patient who will begin combination estrogen/progestin therapy (EPT) for menopause asks the nurse why she can't take an estrogen-only preparation. The patient has not had a hysterectomy,has a slightly increased risk of cardiovascular disease,and has mild osteopenia. The nurse will tell her that the progestin is necessary to:

• A) decrease her risk of endometrial cancer.
• B) increase bone resorption to prevent fractures.
• C) lower her risk of myocardial infarction (MI).
• D) prevent deep vein thrombosis (DVT).

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Definitions:

1-Bromohexane

A compound consisting of a six-carbon chain with a bromine atom attached to the first carbon.

Amide Synthesis

The process of forming amide bonds between carboxylic acids and amines, commonly involving methods such as direct coupling or activation of the carboxylic acid.

Acylation

A chemical process that introduces an acyl group into a compound, often used in organic syntheses to modify molecules.

Amine

An organic compound derived from ammonia (NH3) by replacement of one or more hydrogen atoms by alkyl or aryl groups.