Practice Questions with correct Answers
|Latest /2025
Which 2 nonpharmacologic treatments are HIGHLY recommended by
the North American Menopause Society (NAMS) to treat VMS? -
ANSWER--Cognitive behavioral therapy, clinical hypnosis
What other nonpharmacologic options are used to treat VMS? -
ANSWER--Temperature control (colder pillow)
Yoga/relaxation therapy
Avoid spicy foods, chocolate, caffeine
Exercise
Acupuncture
Paced respiration (slowed down breathing)
What are vasomotor symptoms? - ANSWER--Hot flushes and night
sweats
What are the non-VMS of menopause? - ANSWER--Dyspareunia,
vaginal dryness, mood changes, sleep disturbances, concentration and
memory issues, arthralgia
If patient has a uterus, you must give them - ANSWER--estrogen +
progestin combo
, NAMS Menopause Certification Exam
Practice Questions with correct Answers
|Latest /2025
If patient does NOT have a uterus, you can give them - ANSWER--
estrogen alone
What are the 3 main differences in estrogen of transdermal estrogens? -
ANSWER--Lower VTE risk
No impact on triglycerides
Potential lower stroke risk, so lower blood clot risk
What are the 2 main differences in estrogen of oral estrogens? -
ANSWER--Increases triglycerides
Potential for decreased libido
What is the Women's Health Initiative (WHI)? - ANSWER--Clinical
study started in 1991. Studied the use of conjugated equine estrogens
(CEE) and medroxyprogesterone acetate (MPA) in women with and
without a uterus
What was the most important "shocking" result from the WHI? -
ANSWER--Estrogen + progestin combo resulted in an increased risk of
breast cancer
What was the problem with how the WHI ended? - ANSWER--There
was some bias in the study, since it stopped early. Upon further