Quiz Q20: Orally or topically? Copy

Quiz Summary

0 of 10 questions completed

Questions:

You have already completed this quiz. You cannot start it again.

Quiz is loading…

You must sign in or sign up to take this quiz.

You must first complete the following:

Results

Quiz complete. Results are being recorded.

Results

0 of 10 questions answered correctly

Your Time:

You have reached 0 of 0 point(s), (0)

Average Score
Your Score

Your grade: F
Your grade: D
Your grade: D+
Your grade: C-
Your grade: C
Your grade: C+
Your grade: B-
Your grade: B
Your grade: B+
Your grade: A-
Your grade: A
Your grade: A+

Current
Review
Answered
Correct
Incorrect

Question 1 of 10

1. Question
Oral estrogens:
- 1) Are not completely absorbed through the intestinal lining and, thus, are partially excreted in the feces.
- 2) Are partially metabolized in the gut wall.
- 3) Are taken up by the portal vein.
- 4) 30–60% of oral estrogens delivered by the portal vein are metabolized in the liver ("first pass").
- 5) Remaining portal vein estrogens are not metabolized and are then circulated as bioavailable hormones.
- 6) Require higher dosages to result in sufficient bioavailable estrogens.
- 7) Produce remarkably elevated levels of metabolites compared to transdermal estrogens.
- 8) Place an unnecessary additional burden on commonly taxed-to-the-max liver.
Correct

Incorrect
Question 2 of 10

2. Question
Optimal estrogen routes of administration include:
- 1) Transdermal
- 2) Transmucosal
- 3) Injectable
- 4) Oral
- 5) Sublingual
Correct

Incorrect
Question 3 of 10

3. Question
Compounded topical Bi-est & Progesterone resulted in favorable outcomes for
- cardiovascular biomarkers
- inflammatory factors
- immune signaling factors
Correct

Incorrect
Question 4 of 10

4. Question
First pass impacts:
- hepatic protein production including increases in C-reactive protein, Insulin like growth factor, and clotting factors
- hepatic protein production including increases in Sex Hormone binding globulin, thyroxine binding globulin, cortisol binding globulin
- adversely lipids, cardiovascular functions, inflammatory and thrombotic mechanisms, insulin resistance, and weight control
Correct

Incorrect
Question 5 of 10

5. Question
Transdermal estrogens as the route of administration…
- are superior as first pass effects from oral administration can be source of adverse estrogen effects.
- have no "first pass" effect thus can be administered in significantly lower dosages
- tend to absorb excellently
Correct

Incorrect
Question 6 of 10

6. Question
Commonly used oral doses of estradiol can create estrogen levels on 24 hour urine hormone tests…
- that are insufficient to protect bones and vagina
- that are astronomically high and pose a risk
- as well as estrogen metabolite levels that tend to be way out of optimal range
Correct

Incorrect
Question 7 of 10

7. Question
Which one is false:
- Oral estrogen in common dosages can raise the SHBG
- Oral estrogen in common dosages can lower the SHBG
Correct

Incorrect
Question 8 of 10

8. Question
According to an article by Dr. Jonathan Wright:
- 1) The common and traditionally recommended dosage of oral estradiol is 1–2 mg/day.
- 2) Oral estradiol results in urinary excretion of estrone at values 5 to 10 times the upper limit of the reference range for premenopausal women.
- 3) Sublingual estradiol circumvents any detriments of oral estrogens.
- 4) If oral estrogens are to be used at all, dosages should not exceed 0.25 mg.
Correct

Incorrect
Question 9 of 10

9. Question
24-hour urine hormone testing:
- 1) Should be done while a woman is taking her hormones.
- 2) Gives a real-time reading of the levels of hormones that have absorbed into a woman's body.
- 3) Instructions often call for eliminating any oral hormones the night prior to and the day of sample collections.
- 4) When oral hormones are not eliminated the night before and on the day of testing, the hormone levels in the urine are often dramatically elevated.
Correct

Incorrect
Question 10 of 10

10. Question
Oral estrogens cause an…
- 1) Increase in inflammatory proteins.
- 2) Increase in blood coagulability.
- 3) Increase in SGOT and SGPT.
- 4) Increase in steroid binding proteins, such as SHBG.
- 5) Increase in breast density.
Correct

Incorrect

Menopause Mastery Copy

Quiz Summary

Information

Results

Results

Categories

Your grade: F

Your grade: D

Your grade: D+

Your grade: C-

Your grade: C

Your grade: C+

Your grade: B-

Your grade: B

Your grade: B+

Your grade: A-

Your grade: A

Your grade: A+

1. Question

2. Question

3. Question

4. Question

5. Question

6. Question

7. Question

8. Question

9. Question

10. Question