NAMS Practice Exam 2 Questions and
Answers Latest Versions 2025 GRADED
A+
What scientific value gives you the probability of getting the observed relative risk by chance -
ANSWER✔✔-P value
Which p values are considered significant - ANSWER✔✔-P < 0.05
This means the probability that the disease in the exposed versus non-exposed group has a less than
0.5% risk of being due to chance.
What is the most commonly diagnosed cancer in women? - ANSWER✔✔-Squamous and basal cell skin
cancers
What are non-modifiable risk factors for breast cancer - ANSWER✔✔-Sex
Age (median age is 61)
Prolonged menstrual life (menarche before 11; menopause after 55)
Genetic predisposition
High density breast tissue
What are modifiable risk factors for breast cancer - ANSWER✔✔-Obesity
Alcohol use
Hormone therapy
X-ray therapy to the thoracic region
,Treatments for HSDD - ANSWER✔✔-Flibanserin (Addyi)
Bremelanotide (Vylessi)
During what STRAW stage are VMS most likely - ANSWER✔✔-+1a and +1b, early postmenopause
By age 50, what percent of US women will have acquired a genital HPV infection - ANSWER✔✔-80%
What vulvar dystrophy is commonly misdiagnosed as eczema or dermatitis - ANSWER✔✔-Pagets
What is the median length of hot flashes - ANSWER✔✔-10 years
How does surgical menopause affect cognition - ANSWER✔✔-Memory for verbal info compromised
(esp if BSO before typical age of menopause)
How does HRT affect cortisol - ANSWER✔✔-Oral estrogen increases CBG, lowering cortisol levels
Transdermal estrogen does not
What did WHIMS study show for HRT and cognition - ANSWER✔✔-EPT doubled risk of dementia
No risk with ET alone
What ethnicity has least likely risk of severe VMS - ANSWER✔✔-Japanese women
Treatments for POI - ANSWER✔✔-100 mcg transdermal estradiol OR
1.25 mg CEE OR
2 mg oral estradiol
(also add 12 days cyclic progesterone if uterus)
Risks of glucocorticoid therapy - ANSWER✔✔-Osteoporosis
Hyperglycemia
,Myopathy
Psychiatric symptoms
How long should you wait after pelvic surgery to check hormones - ANSWER✔✔-At least 3 months
What are non-statin therapies to lower LDL - ANSWER✔✔-Exetimibe (Zetia)
PCSK-9 Inhibitors (Praulent and Repatha)
What are 3 Dexa criteria for beginning treatment for osteoporosis - ANSWER✔✔-T score < -2.5
10yr FRAX overall fx risk of >20%
10yr FRAX hip fx risk of >3%
What drugs lower triglycerides? - ANSWER✔✔-Fenofibrate (lowers TG, LDL, apoB and raises HDL)
Gemfibrozil (lowers TG)
What are secondary causes of elevated TG - ANSWER✔✔-Oral estrogens
High fat diet
Poorly control type 1 DM
According to SWANN study, who experiences the worst sleep disturbance - ANSWER✔✔-Late post
menopause
Surgical menopause
Signs of secondary syphilis - ANSWER✔✔-rash on palms/soles
mucocutaneous lesions
fever, lymphadenopathy
How does norepinephrine affect VMS - ANSWER✔✔-Narrows thermoregulatory zone
, Explains why Clonidine (which lowers norepi) improves VMS
How does serotonin affect VMS - ANSWER✔✔-Involved in mood, anxiety, sleep, and thermoregulatory
zone
Explains why SSRI's improve VMS
Does reduction of alcohol intake improve VMS - ANSWER✔✔-no consistent evidence
Does exercise like yoga improve VMS - ANSWER✔✔-no consistent evidence
Does smoking increase the risk of VMS - ANSWER✔✔-Yes, smoking doubles risk of VMS
What social factors increase risk of VMS - ANSWER✔✔-smoking
low socioeconomic status
What type of hot flash is associated with flush of heat only? - ANSWER✔✔-mild HF
What type of hot flash is associated with flush of heat and sweating, but activities continue? -
ANSWER✔✔-moderate HF
What type of hot flash is associated with flush of heat, sweating, and cessation of activity? -
ANSWER✔✔-severe HF
By 2020, number of women over 50 - ANSWER✔✔-64 million
By 2060, number of women over 50 - ANSWER✔✔-90 million
What is the US female life expectancy - ANSWER✔✔-81.2 years
How many oocytes in the ovary at 20 weeks pregnancy - ANSWER✔✔-6-7 Million
How many oocytes left at birth - ANSWER✔✔-1-2 million
How many oocytes left at puberty - ANSWER✔✔-300,000-500,000
Answers Latest Versions 2025 GRADED
A+
What scientific value gives you the probability of getting the observed relative risk by chance -
ANSWER✔✔-P value
Which p values are considered significant - ANSWER✔✔-P < 0.05
This means the probability that the disease in the exposed versus non-exposed group has a less than
0.5% risk of being due to chance.
What is the most commonly diagnosed cancer in women? - ANSWER✔✔-Squamous and basal cell skin
cancers
What are non-modifiable risk factors for breast cancer - ANSWER✔✔-Sex
Age (median age is 61)
Prolonged menstrual life (menarche before 11; menopause after 55)
Genetic predisposition
High density breast tissue
What are modifiable risk factors for breast cancer - ANSWER✔✔-Obesity
Alcohol use
Hormone therapy
X-ray therapy to the thoracic region
,Treatments for HSDD - ANSWER✔✔-Flibanserin (Addyi)
Bremelanotide (Vylessi)
During what STRAW stage are VMS most likely - ANSWER✔✔-+1a and +1b, early postmenopause
By age 50, what percent of US women will have acquired a genital HPV infection - ANSWER✔✔-80%
What vulvar dystrophy is commonly misdiagnosed as eczema or dermatitis - ANSWER✔✔-Pagets
What is the median length of hot flashes - ANSWER✔✔-10 years
How does surgical menopause affect cognition - ANSWER✔✔-Memory for verbal info compromised
(esp if BSO before typical age of menopause)
How does HRT affect cortisol - ANSWER✔✔-Oral estrogen increases CBG, lowering cortisol levels
Transdermal estrogen does not
What did WHIMS study show for HRT and cognition - ANSWER✔✔-EPT doubled risk of dementia
No risk with ET alone
What ethnicity has least likely risk of severe VMS - ANSWER✔✔-Japanese women
Treatments for POI - ANSWER✔✔-100 mcg transdermal estradiol OR
1.25 mg CEE OR
2 mg oral estradiol
(also add 12 days cyclic progesterone if uterus)
Risks of glucocorticoid therapy - ANSWER✔✔-Osteoporosis
Hyperglycemia
,Myopathy
Psychiatric symptoms
How long should you wait after pelvic surgery to check hormones - ANSWER✔✔-At least 3 months
What are non-statin therapies to lower LDL - ANSWER✔✔-Exetimibe (Zetia)
PCSK-9 Inhibitors (Praulent and Repatha)
What are 3 Dexa criteria for beginning treatment for osteoporosis - ANSWER✔✔-T score < -2.5
10yr FRAX overall fx risk of >20%
10yr FRAX hip fx risk of >3%
What drugs lower triglycerides? - ANSWER✔✔-Fenofibrate (lowers TG, LDL, apoB and raises HDL)
Gemfibrozil (lowers TG)
What are secondary causes of elevated TG - ANSWER✔✔-Oral estrogens
High fat diet
Poorly control type 1 DM
According to SWANN study, who experiences the worst sleep disturbance - ANSWER✔✔-Late post
menopause
Surgical menopause
Signs of secondary syphilis - ANSWER✔✔-rash on palms/soles
mucocutaneous lesions
fever, lymphadenopathy
How does norepinephrine affect VMS - ANSWER✔✔-Narrows thermoregulatory zone
, Explains why Clonidine (which lowers norepi) improves VMS
How does serotonin affect VMS - ANSWER✔✔-Involved in mood, anxiety, sleep, and thermoregulatory
zone
Explains why SSRI's improve VMS
Does reduction of alcohol intake improve VMS - ANSWER✔✔-no consistent evidence
Does exercise like yoga improve VMS - ANSWER✔✔-no consistent evidence
Does smoking increase the risk of VMS - ANSWER✔✔-Yes, smoking doubles risk of VMS
What social factors increase risk of VMS - ANSWER✔✔-smoking
low socioeconomic status
What type of hot flash is associated with flush of heat only? - ANSWER✔✔-mild HF
What type of hot flash is associated with flush of heat and sweating, but activities continue? -
ANSWER✔✔-moderate HF
What type of hot flash is associated with flush of heat, sweating, and cessation of activity? -
ANSWER✔✔-severe HF
By 2020, number of women over 50 - ANSWER✔✔-64 million
By 2060, number of women over 50 - ANSWER✔✔-90 million
What is the US female life expectancy - ANSWER✔✔-81.2 years
How many oocytes in the ovary at 20 weeks pregnancy - ANSWER✔✔-6-7 Million
How many oocytes left at birth - ANSWER✔✔-1-2 million
How many oocytes left at puberty - ANSWER✔✔-300,000-500,000
