NAMS TEST BANK UPDATED QUESTIONS AND ANSWERS FULL STUDY SHEET

NAMS TEST BANK UPDATED QUESTIONS
AND ANSWERS FULL STUDY SHEET

●● Off label rx for VMS
Answer: -SSRIs
-SNRIs
-Gabapentinoids
-Clonidine
-Oxybutynin


●● Studies on Fractional Co2 Laser for GSM
Answer: -not FDA approved
-vaginal symptoms and sexual function scores increased significantly at
3 mon; noted continued improvement at 1y


●● Ospemifene (Osphena) indications and MOA
Answer: -for treatment of dyspareunia
-decreases vaginal pH
-improves vaginal dryness
-shifts vaginal maturational index to superficial cells
-estrogen agonist/antagonist

,●● Ospemifene (Osphena) adverse effects
Answer: -increase in uterine polyps
-proliferative endometrium
-slight increased risk of hemorrhagic stroke and VTE
-can increase VMS


●● treatment of urge incontinence
Answer: -behavioral modifications
-overactivity of the detrusor muscle
-antimuscarinics: *oxybutynin*
-nerve stimulation
-botox


●● pelvic floor muscles - superficial
Answer: -transverse perineal
-bulbospongiosus,
-ischiocavernosus


●● pelvic floor muscles - deep
Answer: -pubococcygeus
-iliococcygeus
-obturator internus

, -coccygeus


●● What is low-tone pelvic floor dysfunction?
Answer: -weak, underactive and hypotonic muscles that cannot maintain
adequate contraction


●● What is high-tone Pelvic Floor Dysfunction?
Answer: -weak pelvic floor muscles cannot attain or maintain adequate
relaxation
-muscles are overactive, hypertonic, spastic, shortened


●● What are the symptoms of low-tone PFD?
Answer: -heaviness
-pressure
-pelvic organ prolapse
-incontinence
-altered sexual sensation


●● What are the symptoms of high-tone PFD?
Answer: -urinary retention
-frequency
-urgency
-dysuria