What is the best indicator that the patient is experiencing menopause?
1. No menses for 8 consecutive months
2. Hot flashes and night sweats
3. High serum FSH with low serum estrogen
4. Diagnosed with osteoporosis 4 months ago
Correct Answer: 3
Rationale 1: Menopause is defined as 12 months of amenorrhea.
Rationale 2: Although hot flashes and night sweats are common in menopause, lab values or twelve months of amenorrhea are better indicators.
Rationale 3: Examining serum levels of the hormones FSH and estrogen is a very accurate indication of menopause.
Rationale 4: Menopause is not the only cause of osteoporosis; therefore, the diagnosis of osteoporosis 4 months ago is not an indicator of menopause.
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