2024 NAMS MENOPAUSE
CERTIFICATION EXAM WITH
CORRECT ANSWERS
Climacteric phase - CORRECT-ANSWERSThe period of endrocrinologic,
somatic, and transitory psychologic changes that occur around the time of
menopause.
Early menopause - CORRECT-ANSWERSLMP before age 45
Late menopause - CORRECT-ANSWERSLMP after age 54
Primary ovarian insufficiency - CORRECT-ANSWERSMenopause that occurs
before age 40
Meta analysis of RCTs have shown small benefit of what diet/exercise for
global cognition and memory? - CORRECT-ANSWERSMediterranean 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-ANSWERSsmall 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-ANSWERSEPT 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-ANSWERS1.
Observational studies imply it
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-ANSWERStypically migraines
improve-estrogen levels stabilize
Migraine without aura after menopause - CORRECT-ANSWERSusually
decrease with natural menopause
menstrual migraine after menopause - CORRECT-ANSWERSshould resolve
completely
When to consider preventative medication for migraines - CORRECT-
ANSWERS>2 times per week or severe and effecting QOL
Triptans are contraindicated in what? - CORRECT-ANSWERSpatients with
cardiovascular disease, as are NSAIDs
Menstrual migraine treatment - CORRECT-ANSWERSNSAID or triptan 2 days
before expected to get your period, and take for 5-7 days.
cdc and who guidelines for migraine treatment - CORRECT-
ANSWERSmigraine 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-ANSWERSit can take several
months.
what is th emost common form of arthritis? - CORRECT-
ANSWERSosteoarthritis
what areas of th ebrain have th emost estrogen receptors? - CORRECT-
ANSWERShippocampus and prefrontal cortex
what is the most common thyroid disorder in women? - CORRECT-
ANSWERShashimoto thyroiditis
if a patient on levothyroxine is started on estrogen, when do you recheck
and what can you anticipate happening? - CORRECT-ANSWERSrecheck 6-8
weeks later.
anticipate that the dose of levothyroxine may need to be increased.
CERTIFICATION EXAM WITH
CORRECT ANSWERS
Climacteric phase - CORRECT-ANSWERSThe period of endrocrinologic,
somatic, and transitory psychologic changes that occur around the time of
menopause.
Early menopause - CORRECT-ANSWERSLMP before age 45
Late menopause - CORRECT-ANSWERSLMP after age 54
Primary ovarian insufficiency - CORRECT-ANSWERSMenopause that occurs
before age 40
Meta analysis of RCTs have shown small benefit of what diet/exercise for
global cognition and memory? - CORRECT-ANSWERSMediterranean 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-ANSWERSsmall 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-ANSWERSEPT 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-ANSWERS1.
Observational studies imply it
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-ANSWERStypically migraines
improve-estrogen levels stabilize
Migraine without aura after menopause - CORRECT-ANSWERSusually
decrease with natural menopause
menstrual migraine after menopause - CORRECT-ANSWERSshould resolve
completely
When to consider preventative medication for migraines - CORRECT-
ANSWERS>2 times per week or severe and effecting QOL
Triptans are contraindicated in what? - CORRECT-ANSWERSpatients with
cardiovascular disease, as are NSAIDs
Menstrual migraine treatment - CORRECT-ANSWERSNSAID or triptan 2 days
before expected to get your period, and take for 5-7 days.
cdc and who guidelines for migraine treatment - CORRECT-
ANSWERSmigraine 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-ANSWERSit can take several
months.
what is th emost common form of arthritis? - CORRECT-
ANSWERSosteoarthritis
what areas of th ebrain have th emost estrogen receptors? - CORRECT-
ANSWERShippocampus and prefrontal cortex
what is the most common thyroid disorder in women? - CORRECT-
ANSWERShashimoto thyroiditis
if a patient on levothyroxine is started on estrogen, when do you recheck
and what can you anticipate happening? - CORRECT-ANSWERSrecheck 6-8
weeks later.
anticipate that the dose of levothyroxine may need to be increased.
