When obtaining the health history of a 60-year-old female, it is ...

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When obtaining the health history of a 60-year-old female, it is important to ask:
 
  A. The age of menopause
  B. About any bleeding since menopause
  C. Use of any hormone replacement treatment
  D. All of the above

Question 2

In the health history, you ask a young adult female patient about safe sex and the use of contraception. The patient does not understand what you mean by safe sex. This is an indication for:
 
  A. Patient teaching and counseling
  B. Promotion of oral contraceptive use
  C. Pregnancy testing and counseling
  D. STD, HIV, and hepatitis testing

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Answer to Question 1

ANS: D
Bleeding that occurs after menopause has been established is cause for concern. It may indicate endometrial cancer, and referral for endometrial biopsy or dilation and curettage (D&C) is warranted. If the patient is menopausal, ask about age of menopause, symptoms of menopause, and past or current use of hormone replacement therapy (HRT).

Answer to Question 2

ANS: A
Ask the patient about the type of birth control being used, if any. Ask about condom use. Be sure to inquire as to the consistency with which the patient uses birth control methods. Often patients deny the use of birth control, deny the desire for pregnancy, and yet admit to being sexually active. This definitely indicates the need for health teaching and counseling.

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Thank you

[iceage]

No problemo