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NAMS MENOPAUSE CERTIFICATION EXAM 2024 | ACTUAL REAL EXAM TEST BANK WITH 2 CURRENTLY TESTING VERSIONS WITH 100 QUESTIONS EACH AND A STUDY GUIDE $19.99   Add to cart

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NAMS MENOPAUSE CERTIFICATION EXAM 2024 | ACTUAL REAL EXAM TEST BANK WITH 2 CURRENTLY TESTING VERSIONS WITH 100 QUESTIONS EACH AND A STUDY GUIDE

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NAMS MENOPAUSE CERTIFICATION EXAM 2024 | ACTUAL REAL EXAM TEST BANK WITH 2 CURRENTLY TESTING VERSIONS WITH 100 QUESTIONS EACH AND A STUDY GUIDE NAMS MENOPAUSE CERTIFICATION EXAM 2024 | ACTUAL REAL EXAM TEST BANK WITH 2 CURRENTLY TESTING VERSIONS WITH 100 QUESTIONS EACH AND A STUDY G...

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  • September 17, 2024
  • 32
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • nams menopause
  • NAMS MENOPAUSE CERTIFICATION
  • NAMS MENOPAUSE CERTIFICATION
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DOCJAMES
NAMS MENOPAUSE CERTIFICATION EXAM
2024 | ACTUAL REAL EXAM TEST BANK
WITH 2 CURRENTLY TESTING VERSIONS
WITH 100 QUESTIONS EACH AND A STUDY
GUIDE
Red flags for headache - ANSWER>>Systemic symptoms (fever, weight loss,
rash)
Systemic illness malignancy, immunosupression
Neurologic symptoms and/or signs in consciousness
Sudden/abrupt onset
new onset or progressive
New/different from previoux headache hx


Abortive therapy for migraine - ANSWER>>triptans, NSAIDs


Preventative therapy for migraines - ANSWER>>Beta Blockers (propranolol) ,
Antiepileptic Drugs (divalproex), Tricyclic Antidepressants (amitriptyline)


Hormone therapy for headache - ANSWER>>CAn be used to mitigate falling
estrogen levels, no product FDA approved; can add lowdose estrogen
supplement during w/d phase of ocp, use continuous HT; if progesterogen
causes, switch to micronized


What to consider when evaluating women with arthralgia - ANSWER>>2/2 to
menopause
2/2 to arthritis
2/2 to other rheumatologic condition


Causes of myalgia - ANSWER>>drug induced (statines, fibrates)
endocrine (vit D deficiency, thyroid, cushings)

,Menopause
plymyalgia rheumatica


Causes of bone pain - ANSWER>>metagolic (pagets disease)
neoplasia (multiple myeloma, metastatic
infections
fracture


Perimenopause STRAW staging - ANSWER>>-2 to +1a;



POI - ANSWER>>Loss of ovarian follicular activity prior to the age of 40


Prevalence of POI in US - ANSWER>>3%


T/F Premature menopause is a risk factor for CAD - ANSWER>>True
- higher risk for abdominal adiposity, dm, dyslipidemia


Etiology of premature menopause - ANSWER>>1) Iatrogenic/Indused (surgery,
chemotherapy, cystectomy, hysterectomy, radiation)
2) spontaneous (genetic disorders, x-chromosome disorder (monosomy,
trisomy); specific mutations: POF1, POF2, FMR genes
3) autoimmune causes: polyendocrine syndromes, other endocrinopathies, non-
endocrine auto-immune conditions
4) idiopathic


Diagnosis of POI - ANSWER>>H&P
Labs:
- TSH
- Prolactin
- Pregnancy test
- Elevated FSH (>25 IU/L on 2 checks/4-6 weeks apart)

,- AMH
- E2 can fluctuate greatly
- Low AFC


Assessment of etiology of POI - ANSWER>>Genetic testing
Autoimmune workup
- TSH, thyroperoxidase antibody, 21-OH antibodies, fasting glucose, HbA1C
- Ovarian antibodies lack sensitivity and specificity


Estrogen therapy in premature menopause - ANSWER>>Transdermal 17 (100
mcg/d patch or gel)
Oral 17B estradiol 2mg/day
vaginal ring: 17B .1mg/day
Oral CEE: .9-`1.25mcg/day


Should you check estradiol levels for prematures - ANSWER>>Can consider,
adjust therapy to achieve goal range of 80-120 pg/ml


Use of progestogen in premature menopause - ANSWER>>No studied
General principle, use higher doses; micronized 200-400 mg/d (cont/cyclically)
or IUD


COCs vs estrogen in younger women - ANSWER>>May be more socially
acceptable; lower cost
Better bone outcomes and lower blood pressure with replacement estradiol
(limited evidence)


Production of androgens - ANSWER>>Comes from zone retic and ovaries


Consider testosterone replacement in POI and surgically postmenopausal women
- ANSWER>>yes

, T/F Fat and lean mass increase prior to menopausal transition - ANSWER>>true


Rate of fat gain doubles and lean mass declines during menopausal transition;
when do things stabilize? - ANSWER>>about 2 years after FMP


Weight gain during menopausal transition - ANSWER>>2-4 fold increase in fat
mass (6%, 1.6kg over 3.5 years
.5% loss of lean muscle


Changes in weight gain during peri/meno - ANSWER>>Premenopaust weight
increase,MT - stead increase, post meno no change


Should calorie intake decrease in post menopause - ANSWER>>yes likely driven
by decreased active energy expenditure


HRT on cardiovascular risk factors - ANSWER>>IN women w/o DM, HRT (oral or
transdermal E+/-P) improves lean body mass, reduces abdominal adiposity,
improves insulin resistance, improves lipids, decreases BP


When to add anti-obesity medication - ANSWER>>Initiate weight loss
medication as adjunct to lifestyle:
- if BMI (27-29.9 in presence of comorbid)
- If BMI >30 and failure of lifestyle


Weight loss w/ orlistat - ANSWER>>~8%
GI lipase inhibitor
poop in your pants


Climacteric phase - ANSWER>>The period of endrocrinologic, somatic, and
transitory psychologic changes that occur around the time of menopause.


Early menopause - ANSWER>>LMP before age 45

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