Quiz Q4: Checklisting Copy

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Question 1 of 7

1. Question
Which of the following items is/are NOT included on the “Menopause Treatment Consultation Agreement” for patients to sign? [Please review the details of this document in the “Downloads” section of the “Member’s Area” prior to answering questions 1 and 2.] *
- 1) Your initial evaluation and treatment program will be a process. The initial consultation will be the most extensive. Follow-up consultations for dose adjustment and hormone testing results will be considerably shorter.
- 2) Prior to your first consultation, please complete our initial questionnaire. We will email you a link to it.
- 3) Fax or mail to us any recent or relevant medical reports such as blood tests, imaging studies, etc.
- 4) An initial (as well as annual) physical and female examinations are part of the evaluation. These can be performed by your own primary healthcare provider or by us.
- 5) If your female exam is performed by your primary healthcare provider, please authorize him or her to release all pertinent medical records to us, including records of any physical exams, relevant labs, and imaging studies.
- 6) Two or more additional consultations, which will be considerably shorter, will be required during your initial dose adjustment and test confirmation process. Prior to each follow-up consultation, we will email you a link to a short follow-up questionnaire.
- 7) Annual consultations: prior to this consultation, we will email you a link to our annual follow-up questionnaire as well as requisitions for appropriate testing, which are to be completed prior to this consultation.
- 8) If applicable, these agreements must also be co-signed by your spouse or significant other.
- None are correct.
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Question 2 of 7

2. Question
In the “Menopause Treatment Consultation Agreement,” which of the following items is/are NOT included in the testing and imaging requirements?
- 1) Blood tests: initial and annual, which will include the customary basics as well as SHBG, TSH, free T3, free T4, reverse T3, FSH, and LH.
- 2) A 24-hour urine hormone test is required prior to beginning any treatment with hormones.
- 3) 24-hour urine hormone tests: usually one (but occasionally two) test(s) will be performed during the initial series of follow-up consultations.
- 4) The 24-hour urine hormone test is also repeated annually.
- 5) Mammogram: initial, then every 1 to 5 years.
- 6) Bone Mineral Density: initial, then every 1 to 5 years.
- 7) Breast thermography: if needed, for women with increased breast density, robust estrogen levels, or genetic risk indicators.
- 8) Transvaginal ultrasound, if needed.
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Question 3 of 7

3. Question
Prior to the first consultation:
- 1) Create a PDF or print a checklist for your patient's chart and fill it out as you go.
- 2) Email the patient a link to the initial questionnaire.
- 3) Request that relevant previous labs, imaging reports, etc. be transmitted to your office.
- 4) Give the patient a requisition for relevant and sometimes extensive blood work.
- 5) Have a hormone test kit shipped to the patient.
- 6) Email the patient your office HIPAA agreements and your office information document.
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Question 4 of 7

4. Question
During the first consultation, upon review of any blood test results provided by the patient, give patient a requisition to have a fasting blood draw for which of the following?
- 1) HS-CRP
- 2) TSH
- 3) Free T4
- 4) Free T3
- 5) Reverse T3
- 6) Thyroid antibody panel
- 7) SHBG
- 8) FSH & LH
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Question 5 of 7

5. Question
With regard to an initial physical and female exam, these can be performed by:
- 1) You
- 2) Your professional staff
- 3) A woman's primary healthcare provider
- 4) The primary healthcare provider, with the agreement that you will receive office notes of these exams
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Question 6 of 7

6. Question
Pertaining to the first consultation, “The Menopause Method Complete Treatment Checklist” calls for:
- 1) Proactively addressing the subject of risk and benefits when treating women in menopause with hormones.
- 2) Discussing the subject of risk only if the patient asks.
- 3) Referring the patient to the extensive bibliography if the subject of risk comes up.
- 4) Being very well informed about the subject of risk and benefits.
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Question 7 of 7

7. Question
A menopausal woman who is properly treated with bio-identical hormones is at:
- 1) Less risk for breast cancer than an untreated woman.
- 2) A Greater risk for breast cancer than an untreated woman.
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Menopause Mastery (The Institute of Bioidentical Medicine) Copy

Quiz Q4: Checklisting Copy

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