NAMS Certification EXAM (2025/2026) Updated:
EXAM QUESTIONS WITH ACCURATE ANSWERS |
GET IT RIGHT!!
Save
Practice questions for this set
Learn 1 /7 Study with Learn
-weak, underactive and hypotonic muscles that cannot maintain adequate
contraction
Choose an answer
HRT and cognition - natural
1 Physiology of VMS 2
menopause
Ospemifene (Osphena) adverse What is low-tone pelvic floor
3 4
effects dysfunction?
Don't know?
, Terms in this set (65)
-thermoregulatory center altered by increase in KNDy
neurons
-activation of NK3R causes hot flashes
Physiology of VMS
-blockade of NK3R reduces/eliminates hot flashes
-may also be affected by: serotonin, epinephrine, and
norepinephrine; parasympathetic nerve activity
-SSRIs
-SNRIs
Off label rx for VMS -Gabapentinoids
-Clonidine
-Oxybutynin
-not FDA approved
Studies on Fractional Co2 -vaginal symptoms and sexual function scores
Laser for GSM increased significantly at 3 mon; noted continued
improvement at 1y
-for treatment of dyspareunia
-decreases vaginal pH
Ospemifene (Osphena)
-improves vaginal dryness
indications and MOA
-shifts vaginal maturational index to superficial cells
-estrogen agonist/antagonist
-increase in uterine polyps
Ospemifene (Osphena) -proliferative endometrium
adverse effects -slight increased risk of hemorrhagic stroke and VTE
-can increase VMS
-behavioral modifications
-overactivity of the detrusor muscle
treatment of urge
-antimuscarinics: oxybutynin
incontinence
-nerve stimulation
-botox
-transverse perineal
pelvic floor muscles -
-bulbospongiosus,
superficial
-ischiocavernosus
EXAM QUESTIONS WITH ACCURATE ANSWERS |
GET IT RIGHT!!
Save
Practice questions for this set
Learn 1 /7 Study with Learn
-weak, underactive and hypotonic muscles that cannot maintain adequate
contraction
Choose an answer
HRT and cognition - natural
1 Physiology of VMS 2
menopause
Ospemifene (Osphena) adverse What is low-tone pelvic floor
3 4
effects dysfunction?
Don't know?
, Terms in this set (65)
-thermoregulatory center altered by increase in KNDy
neurons
-activation of NK3R causes hot flashes
Physiology of VMS
-blockade of NK3R reduces/eliminates hot flashes
-may also be affected by: serotonin, epinephrine, and
norepinephrine; parasympathetic nerve activity
-SSRIs
-SNRIs
Off label rx for VMS -Gabapentinoids
-Clonidine
-Oxybutynin
-not FDA approved
Studies on Fractional Co2 -vaginal symptoms and sexual function scores
Laser for GSM increased significantly at 3 mon; noted continued
improvement at 1y
-for treatment of dyspareunia
-decreases vaginal pH
Ospemifene (Osphena)
-improves vaginal dryness
indications and MOA
-shifts vaginal maturational index to superficial cells
-estrogen agonist/antagonist
-increase in uterine polyps
Ospemifene (Osphena) -proliferative endometrium
adverse effects -slight increased risk of hemorrhagic stroke and VTE
-can increase VMS
-behavioral modifications
-overactivity of the detrusor muscle
treatment of urge
-antimuscarinics: oxybutynin
incontinence
-nerve stimulation
-botox
-transverse perineal
pelvic floor muscles -
-bulbospongiosus,
superficial
-ischiocavernosus
