NAMS MENOPAUSE CERTIFICATION EXAM 2024 2
VERSIONS WITH 100 QUESTIONS EACH
LATEST UPDATE GRADED A+
Post menopause burning and diffuse yellow/brown discharge and
dyspareunia that does not respond to local ET? - CORRECT
ANSWER desquamative inflammatory vaginitis. Treat different
with clindamycin or hydrocortisone+ET
What hormones are associated with sexual desire in women? - CORRECT
ANSWER circulating androgens
Women who have had a BSO experience an abrupt and persistent
decline in what hormone? - CORRECT ANSWER circulating
androgen levels
HSDD and FSAD were combined into a single dysrunction called -
CORRECT ANSWER female sexual interest/arousal disorder
HSDD treatments - CORRECT ANSWER flibanserin and bremelanotide
FGAD treatments (genital arousal disorder) - CORRECT ANSWER
L-arginine, topical alprostadil, wellbutrin, oxytosin.
Phosphodiesterase inhibitors-lacking in efficacy
Eros therapy device $300- vaccum-like the penis pump
FOD (orgasmic disorder) treatments - CORRECT ANSWER
directed masturbation is most researched behavioral treatment.
Does systemic ET cause fibroids to resume growth? - CORRECT
ANSWER Rarely. They often shrink after menopause.
,NAMS MENOPAUSE CERTIFICATION EXAM 2024 2
VERSIONS WITH 100 QUESTIONS EACH
LATEST UPDATE GRADED A+
What is true about cognition and menopause? - CORRECT ANSWER
Difficulty concentrating and remembering are common.
What is true about cognition and surgical menopause - CORRECT
ANSWER memory for verbal information can be compromised
immediately after surgical menopause, especially if it is before the
typical age of mesopause.
Meta analysis of rcts have shown small benefit of what diet/exercise for
global cognition and memory? - CORRECT ANSWER Mediterranean
diet with olive oil and tai chi exercise helps with global cognition
Mediterranean diet with olive oil and isoflavone supplements helps with
memory.
Effect of HRT on cognition - CORRECT ANSWER small or no overall effect
on cognition
What HRT can increase your risk for dementia based on the WHIMS
study in 65+ year old healthy women? - CORRECT ANSWER EPT
replacement was shown to double the risk of developing dementia.
There was no significant increased risk in ET alone.
This is why HRT is not recommended after 65 for primary prevention of
dementia
3 reasons supporting the idea that HRT in early menopause may decrease a
,NAMS MENOPAUSE CERTIFICATION EXAM 2024 2
VERSIONS WITH 100 QUESTIONS EACH
LATEST UPDATE GRADED A+
woman's chance of developing alzheimer's disease? - CORRECT ANSWER
1. Observational studies imply it
2. Clinicaltrial of transdermal estradiol during the early postmenopause
stage is associated with reductions in AD pathology.
3. 18
year cumulative follow up data from WHI found that women
randomized to ET had significantly lower risk of dying from AD or
dementia compared with women randomized to receive placebo.
, NAMS MENOPAUSE CERTIFICATION EXAM 2024 2
VERSIONS WITH 100 QUESTIONS EACH
LATEST UPDATE GRADED A+
Triptans are contraindicated in what? - CORRECT ANSWER
patients with cardiovascular disease, as are nsaids
Menstrual migraine treatment - CORRECT ANSWER NSAID or
triptan 2 days before expected to get your period, and take for 5-7 days.
Cdc and who guidelines for migraine treatment - CORRECT
ANSWER migraine with aura- advise to not use combined hormone
contraception
Caution in women with migraine without aura
How long can it take for arthralgia from vitamin d deficiency or
hypothyroidism to fully resolve?
- CORRECT ANSWER it can take several months.
What is th emost common form of arthritis? - CORRECT ANSWER
osteoarthritis
What areas of th ebrain have th emost estrogen receptors? - CORRECT
ANSWER hippocampus and prefrontal cortex
What is the most common thyroid disorder in women? - CORRECT
ANSWER hashimoto thyroiditis
If a patient on levothyroxine is started on estrogen, when do you
recheck and what can you anticipate happening? - CORRECT
ANSWER recheck 6-8 weeks later.
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