A 51-year-old woman presents to her family physician with 6 months of frequent hot flashes and night sweats that wake her several times a night and affect her concentration at work. Her last menstrual period was 14 months ago. She has an intact uterus, a BMI of 33 kg/m², and hypertension well controlled with ramipril. She does not smoke, and she has no personal or family history of breast cancer or venous thromboembolism. Her mammogram 2 months ago was normal, and the physical examination is unremarkable. She has decided she would like to try hormone therapy for symptom relief.
| Heart rate | 74/min |
| Respiratory rate | 14/min |
| Temperature | 36.8 °C |
| O2 saturation | 98%, room air |
| Blood pressure | 128/78 mm Hg |
Question 1 of 45
Which of the following are the most appropriate medication options to start at this time?
Select 2. (0 / 2 selected)
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