NAMS Certification Exam QUESTIONS AND
ANSWERS 100- SOLVED (Newest
2025\2026)ASSURED SUCCESS
Physiology of VMS - correct answer >>>>-thermoregulatory center altered by increase in KNDy neurons
-activation of NK3R causes hot flashes
-blockade of NK3R reduces/eliminates hot flashes
-may also be affected by: serotonin, epinephrine, and norepinephrine; parasympathetic nerve activity
Off label rx for VMS - correct answer >>>>-SSRIs
-SNRIs
-Gabapentinoids
-Clonidine
-Oxybutynin
Studies on Fractional Co2 Laser for GSM - correct 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 - correct 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 - correct answer >>>>-increase in uterine polyps
-proliferative endometrium
, -slight increased risk of hemorrhagic stroke and VTE
-can increase VMS
treatment of urge incontinence - correct answer >>>>-behavioral modifications
-overactivity of the detrusor muscle
-antimuscarinics: *oxybutynin*
-nerve stimulation
-botox
pelvic floor muscles - superficial - correct answer >>>>-transverse perineal
-bulbospongiosus,
-ischiocavernosus
pelvic floor muscles - deep - correct answer >>>>-pubococcygeus
-iliococcygeus
-obturator internus
-coccygeus
What is low-tone pelvic floor dysfunction? - correct answer >>>>-weak, underactive and hypotonic
muscles that cannot maintain adequate contraction
What is high-tone Pelvic Floor Dysfunction? - correct 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? - correct answer >>>>-heaviness
-pressure
-pelvic organ prolapse
-incontinence
ANSWERS 100- SOLVED (Newest
2025\2026)ASSURED SUCCESS
Physiology of VMS - correct answer >>>>-thermoregulatory center altered by increase in KNDy neurons
-activation of NK3R causes hot flashes
-blockade of NK3R reduces/eliminates hot flashes
-may also be affected by: serotonin, epinephrine, and norepinephrine; parasympathetic nerve activity
Off label rx for VMS - correct answer >>>>-SSRIs
-SNRIs
-Gabapentinoids
-Clonidine
-Oxybutynin
Studies on Fractional Co2 Laser for GSM - correct 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 - correct 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 - correct answer >>>>-increase in uterine polyps
-proliferative endometrium
, -slight increased risk of hemorrhagic stroke and VTE
-can increase VMS
treatment of urge incontinence - correct answer >>>>-behavioral modifications
-overactivity of the detrusor muscle
-antimuscarinics: *oxybutynin*
-nerve stimulation
-botox
pelvic floor muscles - superficial - correct answer >>>>-transverse perineal
-bulbospongiosus,
-ischiocavernosus
pelvic floor muscles - deep - correct answer >>>>-pubococcygeus
-iliococcygeus
-obturator internus
-coccygeus
What is low-tone pelvic floor dysfunction? - correct answer >>>>-weak, underactive and hypotonic
muscles that cannot maintain adequate contraction
What is high-tone Pelvic Floor Dysfunction? - correct 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? - correct answer >>>>-heaviness
-pressure
-pelvic organ prolapse
-incontinence
