2024 - NAMS Menopause Certification
Study Set – questions and answers
# of ultrasound detected follicles 2-10 mm in size - answer
✅✅AFC (antral follicle count)
% of community dwelling women with anal incontinence -
answer ✅✅9%
% of women who will experience sx. recurrence if HT is
stopped? - answer ✅✅50%
% of women with arthralgia due to menopause - answer
✅✅50%
% skin collagen loss in 1st 5 yrs after menopause - answer
✅✅30%
,(2% per yr decline over next 20 yrs)
1 in _____ women will have an osteoporosis-related fx in their
lifetime - answer ✅✅1 in 2
1 vaginal ring for GSM only - answer ✅✅estradiol (Estring)
note: estradiol (Femring) given local + systemic estrogen, must
use progesterone
2 FDA-approved options for HSDD (now FSIAD) - answer
✅✅flibanserin (Addyi)
bremelanotide (Vylessi)
2 most common causes of hair loss in menopause transition -
answer ✅✅Female pattern hair loss (FPHL; thinning on crown)
and telogen effluvium (sudden onset of hair shedding, stress-
induced)
2 types of systemic estrogen approved for osteoporosis
prevention? - answer ✅✅CEE
Estradiol
,3 available estrogen vaginal creams for GSM - answer
✅✅estradiol (Estrace)
CCE (Premarin)
Estrone (Estragyn)
3 available vaginal inserts for GSM - answer ✅✅estradiol
insert (Imvexxy)
estradiol tablets (Vagifem, Yuvafem)
DHEA/prasterone inserts (Intrarosa)
3 disorders now in DSM-5 under the umbrella of female sexual
dysfunction (FSD) - answer ✅✅(1) Desire: Female Sexual
Interest/Arousal Disorder (FSIAD)
(2) Pain: Genito-Pelvic Pain/Penetration Disorder
(3) Orgasm: Female Orgasmic Disorder
, 3 main types of med MOA for osteoporosis drugs - answer
✅✅(1) Antiresorptives (HRT, SERMs, bisphosphonates, RANK
ligand inhibits/Denosumab)
(2) Osteoanabolics (PTH analogs)
(3) Dual antiresportive/osteoanabolic (Romosozumab/Evenity)
3 scores on DXA report - answer ✅✅total hip
femoral neck
AP lumbar spine
4 adrenal androgens - answer ✅✅—Dehydroepiandrosterone
(DHEA)
—Dehydroepiandrosterone sulfate (DHEAS)
—Androstenedione
—Testosterone
4 etiologies of POI
most common? - answer ✅✅(1) Genetic (turner, fragile X)
(2) Autoimmune (adrenal Ab/Addison's)
(3) Cancer (chemo, radiation, surgical oophrectomy)
Study Set – questions and answers
# of ultrasound detected follicles 2-10 mm in size - answer
✅✅AFC (antral follicle count)
% of community dwelling women with anal incontinence -
answer ✅✅9%
% of women who will experience sx. recurrence if HT is
stopped? - answer ✅✅50%
% of women with arthralgia due to menopause - answer
✅✅50%
% skin collagen loss in 1st 5 yrs after menopause - answer
✅✅30%
,(2% per yr decline over next 20 yrs)
1 in _____ women will have an osteoporosis-related fx in their
lifetime - answer ✅✅1 in 2
1 vaginal ring for GSM only - answer ✅✅estradiol (Estring)
note: estradiol (Femring) given local + systemic estrogen, must
use progesterone
2 FDA-approved options for HSDD (now FSIAD) - answer
✅✅flibanserin (Addyi)
bremelanotide (Vylessi)
2 most common causes of hair loss in menopause transition -
answer ✅✅Female pattern hair loss (FPHL; thinning on crown)
and telogen effluvium (sudden onset of hair shedding, stress-
induced)
2 types of systemic estrogen approved for osteoporosis
prevention? - answer ✅✅CEE
Estradiol
,3 available estrogen vaginal creams for GSM - answer
✅✅estradiol (Estrace)
CCE (Premarin)
Estrone (Estragyn)
3 available vaginal inserts for GSM - answer ✅✅estradiol
insert (Imvexxy)
estradiol tablets (Vagifem, Yuvafem)
DHEA/prasterone inserts (Intrarosa)
3 disorders now in DSM-5 under the umbrella of female sexual
dysfunction (FSD) - answer ✅✅(1) Desire: Female Sexual
Interest/Arousal Disorder (FSIAD)
(2) Pain: Genito-Pelvic Pain/Penetration Disorder
(3) Orgasm: Female Orgasmic Disorder
, 3 main types of med MOA for osteoporosis drugs - answer
✅✅(1) Antiresorptives (HRT, SERMs, bisphosphonates, RANK
ligand inhibits/Denosumab)
(2) Osteoanabolics (PTH analogs)
(3) Dual antiresportive/osteoanabolic (Romosozumab/Evenity)
3 scores on DXA report - answer ✅✅total hip
femoral neck
AP lumbar spine
4 adrenal androgens - answer ✅✅—Dehydroepiandrosterone
(DHEA)
—Dehydroepiandrosterone sulfate (DHEAS)
—Androstenedione
—Testosterone
4 etiologies of POI
most common? - answer ✅✅(1) Genetic (turner, fragile X)
(2) Autoimmune (adrenal Ab/Addison's)
(3) Cancer (chemo, radiation, surgical oophrectomy)
