NAMS MENOPAUSE CERTIFICATION EXAM |
QUESTIONS AND VERIFIED ANSWERS |
RATED A+ | 100% CORRECT | LATEST
2025/2026 GUIDE
Describe the FPHL pattern.
- Correct Answer - Thinning at the crown of the head and widening of the
hair part.
Treating FPHL
- Correct Answer –
MINOXIDIL (only FDA approved option)
Spironolactone/Finasteride (NOT FDA approved)
Ketoconazole shampoo / Antidandruff shampoo
What ethnicity has the least likely chance of having bad hot flashes?
- Correct Answer - Japanese
What ethnicity is the most likely to have early and severe hot flashes?
- Correct Answer –
Black
more frequent, longer duration.
Median length of hot flashes
- Correct Answer - 10 years, early menopause transition women have
them the longest.
,THEORIES about etiology of hot flashes (6)
- Correct Answer –
1) lower ovarian estradiol
2) hypothalamic thermoregulatory dysfunction
3) narrowed thermoregulation zone
4) neurokinins-regulate GnRH secretion
5) hypertrophy of KNDy neurons
6) serotonin
7) cortisol and HPI axis dysregulation
8) endothelial dysfunction
What is VIN? What does it include? How is it classified?
- Correct Answer - Vulvar intraepithelial neoplasia. Vulvovaginal
neoplasias cause pain and/or itching. They can include VIN, squamous
cell carcinomas, basal cell carcinomas, and Paget disease.
Classified as low grade, high grade, and differentiated type.
What is low-grade VIN and what is its significance?
- Correct Answer - Low-grade VIN is consistent with HPV effect and is
not precancerous.
What is high-grade VIN and how should it be managed?
- Correct Answer - High-grade VIN is precancerous and requires
consultation with a GYN ONC.
What is differentiated VIN and what is its association?
,- Correct Answer - Differentiated VIN is associated with vulvar cancers
and may require wide local excision due to the high risk of invasive
carcinoma.
What is the most common type of vulvar cancer?
- Correct Answer - Squamous cell carcinoma (SCC)
Vulvar disorder commonly misdiagnosed as eczema or dermatitis? What
treatment will likely fail? What other conditions should you evaluate for?
- Correct Answer –
Paget's disease
Will not improve on steroids
Screen for co-existing breast, GI or GU cancer. They are present 20-
30% of the time.
Normal PVR.
Abnormal PVR.
- Correct Answer - <100mL
>200mL
Between 100-200mL consider repeat testing on alternative day.
Systemic and vaginal estrogen will not help with this type of urinary
incontinence?
- Correct Answer - Will NOT help with stress incontinence
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
What postmenopausal condition is associated with burning and diffuse
yellow/brown discharge and dyspareunia? Hint: it does not respond to
local ET. How do you treat it?
- Correct Answer - Desquamative inflammatory vaginitis (DIV). Treat 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
In DSMV, HSDD and FAD were combined into a single dysfunction
called?
- Correct Answer - Female Sexual Interest/Arousal Disorder
HSDD treatments
- Correct Answer - flibanserin and bremelanotide
FGAD treatments (genital arousal disorder)
- Correct Answer –
QUESTIONS AND VERIFIED ANSWERS |
RATED A+ | 100% CORRECT | LATEST
2025/2026 GUIDE
Describe the FPHL pattern.
- Correct Answer - Thinning at the crown of the head and widening of the
hair part.
Treating FPHL
- Correct Answer –
MINOXIDIL (only FDA approved option)
Spironolactone/Finasteride (NOT FDA approved)
Ketoconazole shampoo / Antidandruff shampoo
What ethnicity has the least likely chance of having bad hot flashes?
- Correct Answer - Japanese
What ethnicity is the most likely to have early and severe hot flashes?
- Correct Answer –
Black
more frequent, longer duration.
Median length of hot flashes
- Correct Answer - 10 years, early menopause transition women have
them the longest.
,THEORIES about etiology of hot flashes (6)
- Correct Answer –
1) lower ovarian estradiol
2) hypothalamic thermoregulatory dysfunction
3) narrowed thermoregulation zone
4) neurokinins-regulate GnRH secretion
5) hypertrophy of KNDy neurons
6) serotonin
7) cortisol and HPI axis dysregulation
8) endothelial dysfunction
What is VIN? What does it include? How is it classified?
- Correct Answer - Vulvar intraepithelial neoplasia. Vulvovaginal
neoplasias cause pain and/or itching. They can include VIN, squamous
cell carcinomas, basal cell carcinomas, and Paget disease.
Classified as low grade, high grade, and differentiated type.
What is low-grade VIN and what is its significance?
- Correct Answer - Low-grade VIN is consistent with HPV effect and is
not precancerous.
What is high-grade VIN and how should it be managed?
- Correct Answer - High-grade VIN is precancerous and requires
consultation with a GYN ONC.
What is differentiated VIN and what is its association?
,- Correct Answer - Differentiated VIN is associated with vulvar cancers
and may require wide local excision due to the high risk of invasive
carcinoma.
What is the most common type of vulvar cancer?
- Correct Answer - Squamous cell carcinoma (SCC)
Vulvar disorder commonly misdiagnosed as eczema or dermatitis? What
treatment will likely fail? What other conditions should you evaluate for?
- Correct Answer –
Paget's disease
Will not improve on steroids
Screen for co-existing breast, GI or GU cancer. They are present 20-
30% of the time.
Normal PVR.
Abnormal PVR.
- Correct Answer - <100mL
>200mL
Between 100-200mL consider repeat testing on alternative day.
Systemic and vaginal estrogen will not help with this type of urinary
incontinence?
- Correct Answer - Will NOT help with stress incontinence
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
What postmenopausal condition is associated with burning and diffuse
yellow/brown discharge and dyspareunia? Hint: it does not respond to
local ET. How do you treat it?
- Correct Answer - Desquamative inflammatory vaginitis (DIV). Treat 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
In DSMV, HSDD and FAD were combined into a single dysfunction
called?
- Correct Answer - Female Sexual Interest/Arousal Disorder
HSDD treatments
- Correct Answer - flibanserin and bremelanotide
FGAD treatments (genital arousal disorder)
- Correct Answer –
