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Menopause vasomotor symptoms — USMLE Step 3 MCQ

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

A 53-year-old woman has hot flashes and night sweats disrupting sleep. Her last menstrual period was 14 months ago. She has no history of breast cancer, venous thromboembolism, stroke, coronary disease, or unexplained vaginal bleeding. Which of the following is the most appropriate at this time?

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

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Correct answer: D — Discuss menopausal hormone therapy risks and benefits

Healthy symptomatic patients near menopause without contraindications may consider hormone therapy after shared decision-making.

Reference: North American Menopause Society hormone therapy statement: https://www.menopause.org/