NAMS MENOPAUSE CERTIFICATION EXAM 2024 ACTUAL
EXAM COMPLETE 350 QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS) ALREADY GRADED A+
Which topical vaginal estrogen has the highest dose? -
CORRECT ANSWER >>>>the vaginal rings
FEMRING IS THE HIGHEST
Most common cause of vulvovaginitis? - CORRECT ANSWER
>>>>BV
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
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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.
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
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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 woman's chance of developing alzheimer's
disease? - CORRECT ANSWER >>>>1. Observational studies
imply it
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2. Clinical trial 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.
Migraine headache and pregnancy - CORRECT ANSWER
>>>>typically migraines improve-estrogen levels stabilize
Migraine without aura after menopause - CORRECT ANSWER
>>>>usually decrease with natural menopause
menstrual migraine after menopause - CORRECT ANSWER
>>>>should resolve completely
When to consider preventative medication for migraines -
CORRECT ANSWER >>>>>2 times per week or severe and
effecting QOL
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.
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