NAMS Certification Exam 2025
LATEST UPDATE 2025-2026
ALL DETAILED CERTIFICATION QUESTIONS!!!
NAMS Certification Exam 2025 – 2 Practice Exams
with Verified Answers & Study Guide | Hormone
Therapy, Osteoporosis, & Women's Health | Walden
University
,NAMS Certification
Physiology of VMS
-thermoregulatory center altered by increase in KNDy neurons
-activation of NK3R causes hot flashes
-blockade of NK3R reduces/eliminates hot flashes
-may also be affected by: serotonin, epinephrine, and norepinephrine; parasympathetic nerve
activity
Off label rx for VMS
-SSRIs
-SNRIs
-Gabapentinoids
-Clonidine
-Oxybutynin
Studies on Fractional Co2 Laser for GSM
-not FDA approved
-vaginal symptoms and sexual function scores increased significantly at 3 mon; noted continued
improvement at 1y
Ospemifene (Osphena) indications and MOA
-for treatment of dyspareunia
-decreases vaginal pH
-improves vaginal dryness
-shifts vaginal maturational index to superficial cells
-estrogen agonist/antagonist
Ospemifene (Osphena) adverse effects
-increase in uterine polyps
-proliferative endometrium
-slight increased risk of hemorrhagic stroke and VTE
-can increase VMS
treatment of urge incontinence
-behavioral modifications
-overactivity of the detrusor muscle
-antimuscarinics: oxybutynin
-nerve stimulation
-botox
, pelvic floor muscles - superficial
-transverse perineal
-bulbospongiosus,
-ischiocavernosus
pelvic floor muscles - deep
-pubococcygeus
-iliococcygeus
-obturator internus
-coccygeus
What is low-tone pelvic floor dysfunction?
-weak, underactive and hypotonic muscles that cannot maintain adequate contraction
What is high-tone Pelvic Floor Dysfunction?
-weak pelvic floor muscles cannot attain or maintain adequate relaxation
-muscles are overactive, hypertonic, spastic, shortened
What are the symptoms of low-tone PFD?
-heaviness
-pressure
-pelvic organ prolapse
-incontinence
-altered sexual sensation
What are the symptoms of high-tone PFD?
-urinary retention
-frequency
-urgency
-dysuria
-fecal retention/constipation
-penetrative dyspareunia and/or vaginismus
Vaginal dilators for PFD
-Choose size that does not cause pain
-Show how to insert with a mirror
-Apply lubricant to dilator, insert dilator as far as is comfortable, leave dilator in place
for 5-10 min 1-2 times daily
-Use each for 4 wk before progressing to a size similar to partner size
LATEST UPDATE 2025-2026
ALL DETAILED CERTIFICATION QUESTIONS!!!
NAMS Certification Exam 2025 – 2 Practice Exams
with Verified Answers & Study Guide | Hormone
Therapy, Osteoporosis, & Women's Health | Walden
University
,NAMS Certification
Physiology of VMS
-thermoregulatory center altered by increase in KNDy neurons
-activation of NK3R causes hot flashes
-blockade of NK3R reduces/eliminates hot flashes
-may also be affected by: serotonin, epinephrine, and norepinephrine; parasympathetic nerve
activity
Off label rx for VMS
-SSRIs
-SNRIs
-Gabapentinoids
-Clonidine
-Oxybutynin
Studies on Fractional Co2 Laser for GSM
-not FDA approved
-vaginal symptoms and sexual function scores increased significantly at 3 mon; noted continued
improvement at 1y
Ospemifene (Osphena) indications and MOA
-for treatment of dyspareunia
-decreases vaginal pH
-improves vaginal dryness
-shifts vaginal maturational index to superficial cells
-estrogen agonist/antagonist
Ospemifene (Osphena) adverse effects
-increase in uterine polyps
-proliferative endometrium
-slight increased risk of hemorrhagic stroke and VTE
-can increase VMS
treatment of urge incontinence
-behavioral modifications
-overactivity of the detrusor muscle
-antimuscarinics: oxybutynin
-nerve stimulation
-botox
, pelvic floor muscles - superficial
-transverse perineal
-bulbospongiosus,
-ischiocavernosus
pelvic floor muscles - deep
-pubococcygeus
-iliococcygeus
-obturator internus
-coccygeus
What is low-tone pelvic floor dysfunction?
-weak, underactive and hypotonic muscles that cannot maintain adequate contraction
What is high-tone Pelvic Floor Dysfunction?
-weak pelvic floor muscles cannot attain or maintain adequate relaxation
-muscles are overactive, hypertonic, spastic, shortened
What are the symptoms of low-tone PFD?
-heaviness
-pressure
-pelvic organ prolapse
-incontinence
-altered sexual sensation
What are the symptoms of high-tone PFD?
-urinary retention
-frequency
-urgency
-dysuria
-fecal retention/constipation
-penetrative dyspareunia and/or vaginismus
Vaginal dilators for PFD
-Choose size that does not cause pain
-Show how to insert with a mirror
-Apply lubricant to dilator, insert dilator as far as is comfortable, leave dilator in place
for 5-10 min 1-2 times daily
-Use each for 4 wk before progressing to a size similar to partner size
