NAMS MENOPAUSE ACTUAL FINALS QUESTIONS
AND ANSWERS SURE A+
✔✔What ethnicity has the least likely chance of having bad hot flashes? - ✔✔Japanese
✔✔What ethnicity is the most likely to have bad hot flashes? - ✔✔black
more frequent, longer duration.
✔✔Median length of hot flashes - ✔✔10 years, early menopause transition women have
them the longest.
✔✔Theories about etiology of hot flashes (6) - ✔✔lower ovarian estradiol
thermoregulation zone is narrowed
neurokinins-regulate GnRH secretion. KNDy new meds
serotonin
cortisol and HPI axis dysregulation
endothelial dysfunction.
✔✔VIN
low grade-what to do
high grade-what to do
differentiated VIN-what to do - ✔✔low grade is not precancerous
high grade is precancerous-GYN ONC
differentiated-wide local excision-high risk of invasive carcinoma.
✔✔most common type of vulvar cancer - ✔✔squamous cell carcinoma
✔✔Vulvar disorder commonly misdiagnosed as eczema or dermatitis? - ✔✔paget's
disease
will not improve on steroids
, screen for co-existing breast, GI or GU cancer. They are present 20-30% of the time.
✔✔Normal PVR - ✔✔<100mL
✔✔systemic and vaginal estrogen will not help with this type of urinary incontinence? -
✔✔will NOT help with stress incontinence.
✔✔Which topical vaginal estrogen has the highest dose? - ✔✔the vaginal rings
FEMRING IS THE HIGHEST
✔✔Most common cause of vulvovaginitis? - ✔✔BV
✔✔post menopause burning and diffuse yellow/brown discharge and dyspareunia that
does not respond to local ET? - ✔✔desquamative inflammatory vaginitis. treat different
with clindamycin or hydrocortisone+ET
✔✔What hormones are associated with sexual desire in women? - ✔✔circulating
androgens
✔✔Women who have had a BSO experience an abrupt and persistent decline in what
hormone? - ✔✔circulating androgen levels
✔✔HSDD and FSAD were combined into a single dysrunction called - ✔✔female sexual
interest/arousal disorder
✔✔HSDD treatments - ✔✔flibanserin and bremelanotide
✔✔FGAD treatments (genital arousal disorder) - ✔✔L-arginine, topical alprostadil,
wellbutrin, oxytosin.
phosphodiesterase inhibitors-lacking in efficacy
Eros therapy device $300- vaccum-like the penis pump
✔✔FOD (orgasmic disorder) treatments - ✔✔directed masturbation is most researched
behavioral treatment.
✔✔Does systemic ET cause fibroids to resume growth? - ✔✔Rarely. They often shrink
after menopause.
✔✔What is true about cognition and menopause? - ✔✔Difficulty concentrating and
remembering are common.
✔✔What is true about cognition and surgical menopause - ✔✔memory for verbal
information can be compromised immediately after surgical menopause, especially if it
is before the typical age of mesopause.
AND ANSWERS SURE A+
✔✔What ethnicity has the least likely chance of having bad hot flashes? - ✔✔Japanese
✔✔What ethnicity is the most likely to have bad hot flashes? - ✔✔black
more frequent, longer duration.
✔✔Median length of hot flashes - ✔✔10 years, early menopause transition women have
them the longest.
✔✔Theories about etiology of hot flashes (6) - ✔✔lower ovarian estradiol
thermoregulation zone is narrowed
neurokinins-regulate GnRH secretion. KNDy new meds
serotonin
cortisol and HPI axis dysregulation
endothelial dysfunction.
✔✔VIN
low grade-what to do
high grade-what to do
differentiated VIN-what to do - ✔✔low grade is not precancerous
high grade is precancerous-GYN ONC
differentiated-wide local excision-high risk of invasive carcinoma.
✔✔most common type of vulvar cancer - ✔✔squamous cell carcinoma
✔✔Vulvar disorder commonly misdiagnosed as eczema or dermatitis? - ✔✔paget's
disease
will not improve on steroids
, screen for co-existing breast, GI or GU cancer. They are present 20-30% of the time.
✔✔Normal PVR - ✔✔<100mL
✔✔systemic and vaginal estrogen will not help with this type of urinary incontinence? -
✔✔will NOT help with stress incontinence.
✔✔Which topical vaginal estrogen has the highest dose? - ✔✔the vaginal rings
FEMRING IS THE HIGHEST
✔✔Most common cause of vulvovaginitis? - ✔✔BV
✔✔post menopause burning and diffuse yellow/brown discharge and dyspareunia that
does not respond to local ET? - ✔✔desquamative inflammatory vaginitis. treat different
with clindamycin or hydrocortisone+ET
✔✔What hormones are associated with sexual desire in women? - ✔✔circulating
androgens
✔✔Women who have had a BSO experience an abrupt and persistent decline in what
hormone? - ✔✔circulating androgen levels
✔✔HSDD and FSAD were combined into a single dysrunction called - ✔✔female sexual
interest/arousal disorder
✔✔HSDD treatments - ✔✔flibanserin and bremelanotide
✔✔FGAD treatments (genital arousal disorder) - ✔✔L-arginine, topical alprostadil,
wellbutrin, oxytosin.
phosphodiesterase inhibitors-lacking in efficacy
Eros therapy device $300- vaccum-like the penis pump
✔✔FOD (orgasmic disorder) treatments - ✔✔directed masturbation is most researched
behavioral treatment.
✔✔Does systemic ET cause fibroids to resume growth? - ✔✔Rarely. They often shrink
after menopause.
✔✔What is true about cognition and menopause? - ✔✔Difficulty concentrating and
remembering are common.
✔✔What is true about cognition and surgical menopause - ✔✔memory for verbal
information can be compromised immediately after surgical menopause, especially if it
is before the typical age of mesopause.
