2023 NAMS Exam
Latest Update 2024
What term has replaced the RDA? - ✔✔✔ANSWER-DRI (dietary reference
intake)
What term is preferred to domestic violence? - ✔✔✔ANSWER-Intimate partner
violence
What test gives 10 yr probability of hip fracture - ✔✔✔ANSWER-FRAX
,What to ethnicities have the highest risk for osteoporotic fracture in the US? -
✔✔✔ANSWER-Whites and Hispanics
What type of estrogen is made by the fetal liver? - ✔✔✔ANSWER-Estetrol
(not approved by FDA for any indication)
3 reasons why early HRT may decrease risk of dementia - ✔✔✔ANSWER-1.
Observational studies imply it when HT used at younger age
2. Transdermal estradiol in early post menopause reduced dementia pathology
3. 18 yr follow up of WHI showed women in the estrogen arm with a significantly
lower risk of dying from dementia
According to 2017 ACC/AHA guidelines, when should anti-hyper tensive
medication be started - ✔✔✔ANSWER-BP 130-139/80-89 AND 10 yr CVD/stoke
risk >10%
OR
BP >140/90
According to SWANN study, who experiences the worst sleep disturbance -
✔✔✔ANSWER-Late post menopause
Surgical menopause
After 5 years of treatment with a bisphosphonate, a switch to what drug types
should be considered - ✔✔✔ANSWER-RANK ligand inhibitor like Denosumab
or
PTH receptor agonist like Teriparatide
(both result in additional BMD gains)
,After a hip fracture, what percent of women require long-term care?
What percent have long-term loss of mobility? - ✔✔✔ANSWER-25% require
long-term care
50% lose mobility
All vaginal estrogen products are FDA approved for GSM; which vaginal product
also has a 2nd indication? - ✔✔✔ANSWER-Estring; also approved for urinary
urgency and dysuria
Are cortisol levels associated with vasomotor symptoms severity -
✔✔✔ANSWER-No
Are hot or cold thyroid nodules more likely to be malignant - ✔✔✔ANSWER-
Cold
Are progestins more or less active than progesterone - ✔✔✔ANSWER-10-100
times greater activity
Are statins effective at reducing CV mortality when used for primary prevention -
✔✔✔ANSWER-Most effective at reducing CV mortality if ASCVD risk is greater
than 10%
Bazedoxefin (duavee) does not reduce what type of fractures - ✔✔✔ANSWER-
Hip
Bazedoxifine is an estrogen antagonist in what organs - ✔✔✔ANSWER-
Endometrium
, Breast (but not enough to prevent/treat breast ca)
Blue sclera is a feature of what condition that adversely affects BMD -
✔✔✔ANSWER-Osteogenesis imperfecta
Bone fracture risk is greatest in what ethnicities - ✔✔✔ANSWER-White and
Hispanic
Bone fracture risk is lowest in what ethnicity - ✔✔✔ANSWER-Black
By 2020, number of women over 50 - ✔✔✔ANSWER-64 million
By 2060, number of women over 50 - ✔✔✔ANSWER-90 million
By age 50, what percent of US women will have acquired a genital HPV infection -
✔✔✔ANSWER-80%
Can HRT be used for primary prevention of dementia? - ✔✔✔ANSWER-Not in
women over age 65
Uncertain in younger women
Can HRT be used to improve cognition? - ✔✔✔ANSWER-Studies do not support
this
Can IUD be used to prevent endometrial cancer? - ✔✔✔ANSWER-No long-term
data in the US
Latest Update 2024
What term has replaced the RDA? - ✔✔✔ANSWER-DRI (dietary reference
intake)
What term is preferred to domestic violence? - ✔✔✔ANSWER-Intimate partner
violence
What test gives 10 yr probability of hip fracture - ✔✔✔ANSWER-FRAX
,What to ethnicities have the highest risk for osteoporotic fracture in the US? -
✔✔✔ANSWER-Whites and Hispanics
What type of estrogen is made by the fetal liver? - ✔✔✔ANSWER-Estetrol
(not approved by FDA for any indication)
3 reasons why early HRT may decrease risk of dementia - ✔✔✔ANSWER-1.
Observational studies imply it when HT used at younger age
2. Transdermal estradiol in early post menopause reduced dementia pathology
3. 18 yr follow up of WHI showed women in the estrogen arm with a significantly
lower risk of dying from dementia
According to 2017 ACC/AHA guidelines, when should anti-hyper tensive
medication be started - ✔✔✔ANSWER-BP 130-139/80-89 AND 10 yr CVD/stoke
risk >10%
OR
BP >140/90
According to SWANN study, who experiences the worst sleep disturbance -
✔✔✔ANSWER-Late post menopause
Surgical menopause
After 5 years of treatment with a bisphosphonate, a switch to what drug types
should be considered - ✔✔✔ANSWER-RANK ligand inhibitor like Denosumab
or
PTH receptor agonist like Teriparatide
(both result in additional BMD gains)
,After a hip fracture, what percent of women require long-term care?
What percent have long-term loss of mobility? - ✔✔✔ANSWER-25% require
long-term care
50% lose mobility
All vaginal estrogen products are FDA approved for GSM; which vaginal product
also has a 2nd indication? - ✔✔✔ANSWER-Estring; also approved for urinary
urgency and dysuria
Are cortisol levels associated with vasomotor symptoms severity -
✔✔✔ANSWER-No
Are hot or cold thyroid nodules more likely to be malignant - ✔✔✔ANSWER-
Cold
Are progestins more or less active than progesterone - ✔✔✔ANSWER-10-100
times greater activity
Are statins effective at reducing CV mortality when used for primary prevention -
✔✔✔ANSWER-Most effective at reducing CV mortality if ASCVD risk is greater
than 10%
Bazedoxefin (duavee) does not reduce what type of fractures - ✔✔✔ANSWER-
Hip
Bazedoxifine is an estrogen antagonist in what organs - ✔✔✔ANSWER-
Endometrium
, Breast (but not enough to prevent/treat breast ca)
Blue sclera is a feature of what condition that adversely affects BMD -
✔✔✔ANSWER-Osteogenesis imperfecta
Bone fracture risk is greatest in what ethnicities - ✔✔✔ANSWER-White and
Hispanic
Bone fracture risk is lowest in what ethnicity - ✔✔✔ANSWER-Black
By 2020, number of women over 50 - ✔✔✔ANSWER-64 million
By 2060, number of women over 50 - ✔✔✔ANSWER-90 million
By age 50, what percent of US women will have acquired a genital HPV infection -
✔✔✔ANSWER-80%
Can HRT be used for primary prevention of dementia? - ✔✔✔ANSWER-Not in
women over age 65
Uncertain in younger women
Can HRT be used to improve cognition? - ✔✔✔ANSWER-Studies do not support
this
Can IUD be used to prevent endometrial cancer? - ✔✔✔ANSWER-No long-term
data in the US
