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Menopausal vasomotor symptoms — USMLE Step 3 MCQ

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ModerateOB/GYN (prenatal care, contraception, screening)Menopausal vasomotor symptomsUSMLE Step 3

A 53-year-old woman has severe hot flashes and sleep disruption 1 year after her final menstrual period. She has no history of breast cancer, venous thromboembolism, stroke, or liver disease. Uterus is intact. Which of the following would you recommend at the follow-up visit?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Discuss systemic estrogen-progestin menopausal hormone therapy

For bothersome vasomotor symptoms in an appropriate candidate with a uterus, systemic estrogen plus progestin is effective after shared decision-making.

Reference: North American Menopause Society Hormone Therapy Position Statement; ACOG Menopause Guidance