KVV E-Modules

A key reproductive history question in a menopausal woman is:

A: a) Date of menarche B: b) Age of last childbirth C: c) Last menstrual period (LMP) / bleeding pattern D: d) Duration of lactation

2. The most common vasomotor symptom of menopause is:

A: a) Night sweats B: b) Hot flashes C: c) Palpitations D: d) Weight gain

3. A common breast finding in postmenopausal women that requires urgent evaluation is:

A: a) Decrease in breast size B: b) Inversion or discharge from nipple C: c) Loss of firmness D: d) Fatty replacement of glandular tissue

4. A past history of hysterectomy is important in menopause because:

A: a) It prevents osteoporosis B: b) It prevents cardiovascular risk C: c) It alters menopausal symptoms and hormone therapy needs D: d) It increases fertility

5. Dyspareunia (painful intercourse) in menopause is usually due to:

A: a) Decreased libido B: b) Vaginal dryness and atrophy C: c) Uterine fibroids D: d) Ovarian cysts

6. What is an important aspect to include while collecting the history of a menopausal woman?

A: a) Menstrual cycle length only B: b) Age at menarche only C: c) Age of onset of menopause and current symptoms D: d) Age of puberty only

7. Which chronic illness is important to ask about in the medical history of a menopausal woman?

A: a) Chickenpox B: b) Asthma only C: c) Diabetes or hypertension D: d) Tuberculosis only

8. The most specific lab test confirming menopause is:

A: a) Serum estradiol B: b) Follicle-stimulating hormone (FSH) C: c) Thyroid function test D: d) Lipid profile

9. An FSH level consistent with menopause is:

A: a) <10 mIU/ml B: b) 10–20 mIU/ml C: c) 20–30 mIU/ml D: d) ≥40 mIU/ml

10. Which of the following emotional or psychological symptom should be screened for?

A: a) Insomnia only B: b) Mood swings, anxiety, depression C: c) Panic due to exams D: d) Social media addiction