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15 post-test questions and 5 program evaluation questions follow:

Please remember to answer all questions!

1. Perimenopause usually occurs between what ages?
1. 45-55
2. 55-65
3. 65-75
4. none of the above
2. The perimenopausal estrogen "roller coaster" is associated with the following:
1. hot flushes
2. mood changes
3. sleep changes
4. all the above
3. Consequences of estrogen loss is associated with all the following except:
1. vaginal atrophy
2. skin atrophy
3. skin rash
4. osteoporosis
4. After menopause, there is/are a:
1. lower levels of cholesterol
2. lower insulin levels
3. increased body weight
4. lower triglyceride levels
5. Estrogens may have cardioprotective effects by:
1. improving pulsatility index
2. vasodilatation
3. improved blood flow
4. all the above
6. Which of the following is not true regarding hormone replacement in the prevention of osteoporosis?
1. can prevent and treat osteoporosis
2. is second or third-line therapy
3. is first-line therapy
4. may provide additional health benefits
7. The main reason cited by women for refusing to take supplement estrogen is:
1. cost
2. medication taste
3. fear of breast cancer
4. risk of osteoporosis
8. Compliance with hormone replacement therapy is: 
1. historically good
2. very important because of long-term benefits
3. discontinued most frequently due to GI distess
4. all the above
9. Approximately what percentage of women have never used hormone replacement therapy?
1. 25%
2. 35%
3. 45%
4. 55%
10. Challenges to hormone replacement therapy analysis includes:
1. long-term follow-up required
2. tendency to underestimate total costs
3. variation in incidence and complications of estrogen decline
4. all the above
11. The Clark and Schuttinga model found:
1. no savings
2. present value of savings over 40 years to be $5.1 million
3. hormone replacement therapy to have no relevance compared to current therapies
4. none of the above
12. When measuring the cost and effectiveness of hormone replacement therapy, the Tosteson, Weinstein, Schiff model consider the following items:
1. hormone replacement therapy costs
2. long-term nursing home costs
3. breast cancer treatment costs
4. all the above
13. Whittington and Faulds found that hormone replacement therapy is most cost-effective in women:
1. who smoke
2. with a hysterectomy
3. at low risk of osteoporotic fractures
4. all the above
14. The results and conclusions of the pharmacoeconomic literature found all the following except:
1. hormone replacement therapy has a beneficial net economic and clinical impact on prevention of fractures
2. short-term therapy (<5 yrs) is more cost-effective then long-term therapy (>10 yrs)
3. QOL is significantly improved in women receiving hormone replacement therapy
4. Cost-effectiveness is directly related to compliance with hormone replacement therapy
15. Net clinical and economic benefit of hormone replacement therapy is most improved in women:
1. with menopausal symptoms
2. who have undergone hysterectomy
3. with greatest risk of fractures
4. all the above

1. How would you rate this program overall?
1. Excellent
2. Good
3. fair
4. poor
2. To what degree has this program improved your knowledge of the subject matter?
1. extensively
2. moderately
3. somewhat
4. not at all
3. How relevant was the program content to your practice?
1. very relevant
2. relevant
3. somewhat relevant
4. not relevant
4. How effectively did the program meet the learning objectives?
1. very effectively
2. effectively
3. somewhat effectively
4. not at all
5. The program was free from undue commercial bias:
1. strongly agree
2. agree
3. disagree
4. strongly disagree

To submit by mail or fax, click the print button on your browser to print your post-test and program evaluation. 

The printed copy can then be faxed or mailed to:

Teri Cruz, Program Assistant
Rutgers College of Pharmacy
Office of External Professional Programs
160 Frelinghuysen Road 
Piscataway, NJ 08854
Phone: (732) 445-5960
Fax: (732) 445-2533 

Those achieving a score over 75% will be mailed a Certificate of Completion within 2 weeks. Those scoring less than 75% will have their tests returned. You can then review the material and resubmit your post-test at your convenience.