1|Page
NAMS MENOPAUSE CERTIFICATION EXAM 120
QUESTIONS | ACCURATE EXPERT VERIFIED FOR
GUARANTEED PASS | LATEST UPDATE
Which topical vaginal estrogen has the highest dose? - ANSWER ✔✔-
the vaginal rings
FEMRING IS THE HIGHEST
Most common cause of vulvovaginitis? - ANSWER ✔✔- BV
post menopause burning and diffuse yellow/brown discharge and
dyspareunia that does not respond to local ET? - ANSWER ✔✔-
desquamative inflammatory vaginitis. treat different with clindamycin
or hydrocortisone+ET
What hormones are associated with sexual desire in women? -
ANSWER ✔✔- circulating androgens
Women who have had a BSO experience an abrupt and persistent
decline in what hormone? - ANSWER ✔✔- circulating androgen levels
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HSDD and FSAD were combined into a single dysrunction called -
ANSWER ✔✔- female sexual interest/arousal disorder
HSDD treatments - ANSWER ✔✔- flibanserin and bremelanotide
FGAD treatments (genital arousal disorder) - ANSWER ✔✔- L-arginine,
topical alprostadil, wellbutrin, oxytosin.
phosphodiesterase inhibitors-lacking in efficacy
Eros therapy device $300- vaccum-like the penis pump
FOD (orgasmic disorder) treatments - ANSWER ✔✔- directed
masturbation is most researched behavioral treatment.
Does systemic ET cause fibroids to resume growth? - ANSWER ✔✔-
Rarely. They often shrink after menopause.
What is true about cognition and menopause? - ANSWER ✔✔- Difficulty
concentrating and remembering are common.
What is true about cognition and surgical menopause - ANSWER ✔✔-
memory for verbal information can be compromised immediately after
surgical menopause, especially if it is before the typical age of
mesopause.
, 3|Page
Meta analysis of RCTs have shown small benefit of what diet/exercise
for global cognition and memory? - ANSWER ✔✔- Mediterranean 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 - ANSWER ✔✔- small 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? - ANSWER ✔✔- EPT 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? -
ANSWER ✔✔- 1. Observational studies imply it
2. Clinical trial of transdermal estradiol during the early postmenopause
stage is associated with reductions in AD pathology.
NAMS MENOPAUSE CERTIFICATION EXAM 120
QUESTIONS | ACCURATE EXPERT VERIFIED FOR
GUARANTEED PASS | LATEST UPDATE
Which topical vaginal estrogen has the highest dose? - ANSWER ✔✔-
the vaginal rings
FEMRING IS THE HIGHEST
Most common cause of vulvovaginitis? - ANSWER ✔✔- BV
post menopause burning and diffuse yellow/brown discharge and
dyspareunia that does not respond to local ET? - ANSWER ✔✔-
desquamative inflammatory vaginitis. treat different with clindamycin
or hydrocortisone+ET
What hormones are associated with sexual desire in women? -
ANSWER ✔✔- circulating androgens
Women who have had a BSO experience an abrupt and persistent
decline in what hormone? - ANSWER ✔✔- circulating androgen levels
,2|Page
HSDD and FSAD were combined into a single dysrunction called -
ANSWER ✔✔- female sexual interest/arousal disorder
HSDD treatments - ANSWER ✔✔- flibanserin and bremelanotide
FGAD treatments (genital arousal disorder) - ANSWER ✔✔- L-arginine,
topical alprostadil, wellbutrin, oxytosin.
phosphodiesterase inhibitors-lacking in efficacy
Eros therapy device $300- vaccum-like the penis pump
FOD (orgasmic disorder) treatments - ANSWER ✔✔- directed
masturbation is most researched behavioral treatment.
Does systemic ET cause fibroids to resume growth? - ANSWER ✔✔-
Rarely. They often shrink after menopause.
What is true about cognition and menopause? - ANSWER ✔✔- Difficulty
concentrating and remembering are common.
What is true about cognition and surgical menopause - ANSWER ✔✔-
memory for verbal information can be compromised immediately after
surgical menopause, especially if it is before the typical age of
mesopause.
, 3|Page
Meta analysis of RCTs have shown small benefit of what diet/exercise
for global cognition and memory? - ANSWER ✔✔- Mediterranean 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 - ANSWER ✔✔- small 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? - ANSWER ✔✔- EPT 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? -
ANSWER ✔✔- 1. Observational studies imply it
2. Clinical trial of transdermal estradiol during the early postmenopause
stage is associated with reductions in AD pathology.
