NAMS MENOPAUSE EXAM SCRIPT 2025/2026 QUESTIONS
WITH ANSWERS GRADED A+
✔✔When to consider preventative medication for migraines - ✔✔>2 times per week or
severe and effecting QOL
✔✔Triptans are contraindicated in what? - ✔✔patients with cardiovascular disease, as
are NSAIDs
✔✔Menstrual migraine treatment - ✔✔NSAID or triptan 2 days before expected to get
your period, and take for 5-7 days.
✔✔cdc and who guidelines for migraine treatment - ✔✔migraine with aura-advise to not
use combined hormone contraception
caution in women with migraine without aura
✔✔How long can it take for arthralgia from vitamin d deficiency or hypothyroidism to
fully resolve? - ✔✔it can take several months.
✔✔what is th emost common form of arthritis? - ✔✔osteoarthritis
✔✔what areas of th ebrain have th emost estrogen receptors? - ✔✔hippocampus and
prefrontal cortex
✔✔what is the most common thyroid disorder in women? - ✔✔hashimoto thyroiditis
✔✔if a patient on levothyroxine is started on estrogen, when do you recheck and what
can you anticipate happening? - ✔✔recheck 6-8 weeks later.
anticipate that the dose of levothyroxine may need to be increased.
oral estrogens increase thyroid binding globulin which in turn reduces the levels of free
T4.
✔✔when is treatment of subclinical hypothyroidism recommended? - ✔✔when the TSH
level is higher than 10.
✔✔are hot or cold thyroid nodules typically most likely to be malignant? - ✔✔cold
nodules
✔✔how does HRT impact gallbladder disease? - ✔✔increases risk of gallstones with
oral HRT, lower risk with transdermal.
, ✔✔when did they start screening blood for hep c? - ✔✔1992, so women who have
received blood products or organ transplants prior to 1992 may have acquired heptatitis
c
✔✔why do we screen for hep C? - ✔✔most infections become chronic and most are
asymptomatic until liver damage is detected years later. Our treatments are improving
so if we catch this earlier in people, outcomes will be better
✔✔all adults born from what year to what year should recieve one time hep c testing? -
✔✔1945 to 1965
✔✔routine screening of all adults for hepatitis c. is it reocmmended? - ✔✔routine
screening for all adults is not recommended, however baby boomers are at the highest
risk. infection rates are 5x other birth cohorts.
✔✔what hpv is high risk? - ✔✔16 and 18
✔✔by age 50 what percentage of US women will have acquired a genital HPV
infection? - ✔✔80%-HPV is very common, but it is the high risk ones to worry about
✔✔what is the most commonly sexually transmitted infection in the US? - ✔✔HPV
✔✔What percentage of bone loss do women have from the menopause transition? -
✔✔10-12% on average, about 1 t score
✔✔What t score defines osteopenia - ✔✔-1.5 to -2.5
✔✔what t score defines osteoporosis - ✔✔less than -2.5
✔✔what z score defines osteoporosis before menopause? - ✔✔z score less than 2.0
and a history of a fragility fracture
✔✔Who is at highest risk of osteoporosis? - ✔✔white and hispanic populations
✔✔What amount of women require long term care after hip fracture?
What amount of women have long term loss of mobility after hip fracture? - ✔✔1 in 4
women (25%) require long term care
1 in 2 woemn (50%) have long term loss of mobility
✔✔Asians have ____BMD than white people? - ✔✔lower
✔✔Black women have ____BMD than white people? - ✔✔higher
WITH ANSWERS GRADED A+
✔✔When to consider preventative medication for migraines - ✔✔>2 times per week or
severe and effecting QOL
✔✔Triptans are contraindicated in what? - ✔✔patients with cardiovascular disease, as
are NSAIDs
✔✔Menstrual migraine treatment - ✔✔NSAID or triptan 2 days before expected to get
your period, and take for 5-7 days.
✔✔cdc and who guidelines for migraine treatment - ✔✔migraine with aura-advise to not
use combined hormone contraception
caution in women with migraine without aura
✔✔How long can it take for arthralgia from vitamin d deficiency or hypothyroidism to
fully resolve? - ✔✔it can take several months.
✔✔what is th emost common form of arthritis? - ✔✔osteoarthritis
✔✔what areas of th ebrain have th emost estrogen receptors? - ✔✔hippocampus and
prefrontal cortex
✔✔what is the most common thyroid disorder in women? - ✔✔hashimoto thyroiditis
✔✔if a patient on levothyroxine is started on estrogen, when do you recheck and what
can you anticipate happening? - ✔✔recheck 6-8 weeks later.
anticipate that the dose of levothyroxine may need to be increased.
oral estrogens increase thyroid binding globulin which in turn reduces the levels of free
T4.
✔✔when is treatment of subclinical hypothyroidism recommended? - ✔✔when the TSH
level is higher than 10.
✔✔are hot or cold thyroid nodules typically most likely to be malignant? - ✔✔cold
nodules
✔✔how does HRT impact gallbladder disease? - ✔✔increases risk of gallstones with
oral HRT, lower risk with transdermal.
, ✔✔when did they start screening blood for hep c? - ✔✔1992, so women who have
received blood products or organ transplants prior to 1992 may have acquired heptatitis
c
✔✔why do we screen for hep C? - ✔✔most infections become chronic and most are
asymptomatic until liver damage is detected years later. Our treatments are improving
so if we catch this earlier in people, outcomes will be better
✔✔all adults born from what year to what year should recieve one time hep c testing? -
✔✔1945 to 1965
✔✔routine screening of all adults for hepatitis c. is it reocmmended? - ✔✔routine
screening for all adults is not recommended, however baby boomers are at the highest
risk. infection rates are 5x other birth cohorts.
✔✔what hpv is high risk? - ✔✔16 and 18
✔✔by age 50 what percentage of US women will have acquired a genital HPV
infection? - ✔✔80%-HPV is very common, but it is the high risk ones to worry about
✔✔what is the most commonly sexually transmitted infection in the US? - ✔✔HPV
✔✔What percentage of bone loss do women have from the menopause transition? -
✔✔10-12% on average, about 1 t score
✔✔What t score defines osteopenia - ✔✔-1.5 to -2.5
✔✔what t score defines osteoporosis - ✔✔less than -2.5
✔✔what z score defines osteoporosis before menopause? - ✔✔z score less than 2.0
and a history of a fragility fracture
✔✔Who is at highest risk of osteoporosis? - ✔✔white and hispanic populations
✔✔What amount of women require long term care after hip fracture?
What amount of women have long term loss of mobility after hip fracture? - ✔✔1 in 4
women (25%) require long term care
1 in 2 woemn (50%) have long term loss of mobility
✔✔Asians have ____BMD than white people? - ✔✔lower
✔✔Black women have ____BMD than white people? - ✔✔higher
