NAMs MENOPAUSE CERTIFICATION EXAM 2023-2024 ACTUAL EXAM
250 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
What amount of women require long term care after hip fracture?
What amount of women have long term loss of mobility after hip
fracture? - ANSWER-1 in 4 women (25%) require long term care
1 in 2 woemn (50%) have long term loss of mobility
Asians have ____BMD than white people? - ANSWER-lower
Black women have ____BMD than white people? - ANSWER-higher
Over 3 servings of alcohol daily and risk for fracture? - ANSWER-38% for
osteoporotic fracture and 68% for hip fracture
What 4 ethnic specific versions of FRAX are there? - ANSWER-white,
asiain, black, hispanic
Dairy free diet amount of calicum. How much do they need to
supplement? - ANSWER-dairy free diet-300mg calcium daily.
Needs 800-1200mg
Tibolone and osteoporosis
where is it approved?
, NAMs MENOPAUSE CERTIFICATION EXAM 2023-2024 ACTUAL EXAM
250 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
why wasn't it submitted for approval in the US and canada? - ANSWER-
approved in mexico
decreased risk of vertebral and nonvertebral fracture
increased risk of stroke
Why was estrogen not approved for osteoporosis? - ANSWER-
decreased risk of vertebral and hip fracture in low fracture risk
population, but estrogen has not been shown to decrease fracture risk
in women with osteoporosis. More prevention than treatment.
Black box warning for PTH receptor agonists? - ANSWER-osteosarcoma
caution using PTH receptor agonists in what condition? - ANSWER-
hypercalcemia
when would you use PTH receptor agonists? - ANSWER-someone
incredibly high risk for vertebral fracture
raloxifene helps with what kind of fractures? - ANSWER-vertebral
fractures
raloxifene risk factors - ANSWER-increased risk of death from stroke in
high risk patients, estrogen like risk of VTE, worsens hot flashes
, NAMs MENOPAUSE CERTIFICATION EXAM 2023-2024 ACTUAL EXAM
250 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
atypical femur risk in women on bisphosphonate? - ANSWER-1 in 1000
after 2-3 years.
Salmon calcitonin and osteoporosis? - ANSWER-small increase in spine
BMD. daily SQ injections or nasal.
Implications of estrogen drop on skin during menopause - ANSWER-
Decreased fibroblast activity
disrupted elastin
decreased GAG production
Disrupted melanocyte regulation
Decreased blood flow and cellular oxygenation effects on keratinocytes
Disruption of cellular growth factors and repair enzymes
accelerated lipoatrophy
Fat pad modification
Bone resorptuon
Definition of stress incontinence - ANSWER-Involuntary loss of urine
that occurs with an activity such as coughing or sneezing that increases
intraabdominal pressure. Leakage is in drops, usually 2/2 to poor
urethral support, urethral sphincter weakness, dysfunction of pelvic
floor
, NAMs MENOPAUSE CERTIFICATION EXAM 2023-2024 ACTUAL EXAM
250 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
Definition of urgency incontinence - ANSWER-Involuntary loss of urine
preceded by sensation of urgency to urinate. Generally associated with
losses of larger volumes of urine that soak through pads and clothing.
Leakage results from detrusor (bladder) overactivity/uninhabited
contractions of detrusser
Definition of mixed incontinence - ANSWER-includes stress and urgency
A postvoid residuals (w/in 15 minutes of emptying) of what volume is
considered normal - ANSWER-100 or less, whereas >200 is abnormal,
between 100-200 advised to repeat on different day
how to test for incontinence - ANSWER-pyridium challenge
OAB - ANSWER-Term used to describe idiopathic urinary urgency (w or
w/o incontinennce) with urinary frequency (>8voids w/in 24h) adn
sometimes nocturia (awakening to urinate more than 2x/night
ISSWSH Sexual Disorders in Menopause - ANSWER-Hypoactive sexual
desire disorder
Female genital arousal disorder
Persistent genital arousal disorder
Female orgasm disorder
250 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
What amount of women require long term care after hip fracture?
What amount of women have long term loss of mobility after hip
fracture? - ANSWER-1 in 4 women (25%) require long term care
1 in 2 woemn (50%) have long term loss of mobility
Asians have ____BMD than white people? - ANSWER-lower
Black women have ____BMD than white people? - ANSWER-higher
Over 3 servings of alcohol daily and risk for fracture? - ANSWER-38% for
osteoporotic fracture and 68% for hip fracture
What 4 ethnic specific versions of FRAX are there? - ANSWER-white,
asiain, black, hispanic
Dairy free diet amount of calicum. How much do they need to
supplement? - ANSWER-dairy free diet-300mg calcium daily.
Needs 800-1200mg
Tibolone and osteoporosis
where is it approved?
, NAMs MENOPAUSE CERTIFICATION EXAM 2023-2024 ACTUAL EXAM
250 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
why wasn't it submitted for approval in the US and canada? - ANSWER-
approved in mexico
decreased risk of vertebral and nonvertebral fracture
increased risk of stroke
Why was estrogen not approved for osteoporosis? - ANSWER-
decreased risk of vertebral and hip fracture in low fracture risk
population, but estrogen has not been shown to decrease fracture risk
in women with osteoporosis. More prevention than treatment.
Black box warning for PTH receptor agonists? - ANSWER-osteosarcoma
caution using PTH receptor agonists in what condition? - ANSWER-
hypercalcemia
when would you use PTH receptor agonists? - ANSWER-someone
incredibly high risk for vertebral fracture
raloxifene helps with what kind of fractures? - ANSWER-vertebral
fractures
raloxifene risk factors - ANSWER-increased risk of death from stroke in
high risk patients, estrogen like risk of VTE, worsens hot flashes
, NAMs MENOPAUSE CERTIFICATION EXAM 2023-2024 ACTUAL EXAM
250 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
atypical femur risk in women on bisphosphonate? - ANSWER-1 in 1000
after 2-3 years.
Salmon calcitonin and osteoporosis? - ANSWER-small increase in spine
BMD. daily SQ injections or nasal.
Implications of estrogen drop on skin during menopause - ANSWER-
Decreased fibroblast activity
disrupted elastin
decreased GAG production
Disrupted melanocyte regulation
Decreased blood flow and cellular oxygenation effects on keratinocytes
Disruption of cellular growth factors and repair enzymes
accelerated lipoatrophy
Fat pad modification
Bone resorptuon
Definition of stress incontinence - ANSWER-Involuntary loss of urine
that occurs with an activity such as coughing or sneezing that increases
intraabdominal pressure. Leakage is in drops, usually 2/2 to poor
urethral support, urethral sphincter weakness, dysfunction of pelvic
floor
, NAMs MENOPAUSE CERTIFICATION EXAM 2023-2024 ACTUAL EXAM
250 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
Definition of urgency incontinence - ANSWER-Involuntary loss of urine
preceded by sensation of urgency to urinate. Generally associated with
losses of larger volumes of urine that soak through pads and clothing.
Leakage results from detrusor (bladder) overactivity/uninhabited
contractions of detrusser
Definition of mixed incontinence - ANSWER-includes stress and urgency
A postvoid residuals (w/in 15 minutes of emptying) of what volume is
considered normal - ANSWER-100 or less, whereas >200 is abnormal,
between 100-200 advised to repeat on different day
how to test for incontinence - ANSWER-pyridium challenge
OAB - ANSWER-Term used to describe idiopathic urinary urgency (w or
w/o incontinennce) with urinary frequency (>8voids w/in 24h) adn
sometimes nocturia (awakening to urinate more than 2x/night
ISSWSH Sexual Disorders in Menopause - ANSWER-Hypoactive sexual
desire disorder
Female genital arousal disorder
Persistent genital arousal disorder
Female orgasm disorder
