NAMS MENOPAUSE CERTIFICATION EXAM 2024 WITH 2
VERSIONS EACH WITH 100 QUESTIONS AND CORRECT
DETAILED ANSWERS LATEST UPDATE
Post menopause burning and diffuse yellow/brown discharge and
dyspareunia that does not respond to local ET? - CORRECT
ANSWER desquamative inflammatory vaginitis. Treat different
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
HSDD and FSAD were combined into a single dysrunction
called - CORRECT ANSWER female sexual interest/arousal
disorder
HSDD treatments - CORRECT ANSWER flibanserin and bremelanotide
FGAD treatments (genital arousal disorder) - CORRECT
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 - CORRECT ANSWER
directed masturbation is most researched behavioral treatment.
,Does systemic ET cause fibroids to resume growth? - CORRECT
ANSWER Rarely. They often shrink after menopause.
,What is true about cognition and menopause? - CORRECT ANSWER
Difficulty concentrating and remembering are common.
What is true about cognition and surgical menopause - CORRECT
ANSWER memory for verbal information can be compromised
immediately after surgical menopause, especially if it is before the
typical age of mesopause.
Meta analysis of rcts have shown small benefit of what diet/exercise for
global cognition and memory? - CORRECT 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 - CORRECT 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? - CORRECT 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? - CORRECT ANSWER
1. Observational studies imply it
, 2. Clinicaltrial 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.
VERSIONS EACH WITH 100 QUESTIONS AND CORRECT
DETAILED ANSWERS LATEST UPDATE
Post menopause burning and diffuse yellow/brown discharge and
dyspareunia that does not respond to local ET? - CORRECT
ANSWER desquamative inflammatory vaginitis. Treat different
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
HSDD and FSAD were combined into a single dysrunction
called - CORRECT ANSWER female sexual interest/arousal
disorder
HSDD treatments - CORRECT ANSWER flibanserin and bremelanotide
FGAD treatments (genital arousal disorder) - CORRECT
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 - CORRECT ANSWER
directed masturbation is most researched behavioral treatment.
,Does systemic ET cause fibroids to resume growth? - CORRECT
ANSWER Rarely. They often shrink after menopause.
,What is true about cognition and menopause? - CORRECT ANSWER
Difficulty concentrating and remembering are common.
What is true about cognition and surgical menopause - CORRECT
ANSWER memory for verbal information can be compromised
immediately after surgical menopause, especially if it is before the
typical age of mesopause.
Meta analysis of rcts have shown small benefit of what diet/exercise for
global cognition and memory? - CORRECT 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 - CORRECT 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? - CORRECT 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? - CORRECT ANSWER
1. Observational studies imply it
, 2. Clinicaltrial 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.
