1|Page
NAMS MENOPAUSE CERTIFICATION EXAM||
ACCURATE AND FREQUENTLY TESTED QUESTIONS
AND 100% CORRECT ANSWERS WITH RATIONALES||
LATEST AND COMPLETE UPDATE WITH EXPERT
VERIFIED SOLUTIONS|| SURE PASS!!
Angiotensin II, potassium concentration, adrenocorticotropic hormone secreted by
the anterior pituitary. - ANSWER: Aldosterone secretion from the zona reticularis
in the adrenal gland is regulated by 3 main factors.
Anterior pituitary. The posterior only secretes vasopressin and oxytosin. -
ANSWER: What part of the pituitary gland secretes adrenocorticotropic hormone?
Most serum cortisol circulates bound to cortisol binding globulin.
Oral estrogen increases the cortisol binding globulin, which increases total cortisol
concentration.
Oral tamoxifen acts similarly.
Transdermal does not increase it, so it has a minimal effect on serum cortisol
concentration. - ANSWER: Cortisol and HRT
No, cortisol levels have NOT been associated with more severe VMS. -
ANSWER: Do cortisol levels associate with VMS severity?
vaginal pain and dyspareunia - ANSWER: Local DHEA has been proven to help
with what?
,2|Page
Menstrual disturbance-oligomenorrhea or amenorrhea for at least 4 months.
AND
elevated FSH over 25 on two occasions at least 4 weeks apart. - ANSWER: How
to DX POI?
prolactin
FSH
estradiol
TSH
pregnancy test - ANSWER: Anyone <40years old who misses 3+ consecutive
cycles gets these labs
100 microgram estradiol patch
1.25 mg CEE
2mg oral estradiol
If intact uterus-progesterone for 12 days of the month.
Physiologic is better than continuous hormonal contractption, but if menorrhagia-
IUD plus estrogen patch, or if really not wanting to risk pregnancy, continuous
HRT can be used. - ANSWER: treatment of POI
FPHL is gradual, telogen effluvium is sudden and usually precipitated by a life
stressor, chronic illness, beta blockers or anticoagulants-usually more patchy hair
loss. - ANSWER: Hair loss. Difference between FPHL and telogen effluvium?
,3|Page
thinning at the crown of the head and widening of the hair part - ANSWER: FPHL
pattern
MINOXIDIL
spironolactone
finasteride - ANSWER: Treating FPHL
Japanese - ANSWER: What ethnicity has the least likely chance of having bad hot
flashes?
black
more frequent, longer duration. - ANSWER: What ethnicity is the most likely to
have bad hot flashes?
10 years, early menopause transition women have them the longest. - ANSWER:
Median length of hot flashes
lower ovarian estradiol
thermoregulation zone is narrowed
neurokinins-regulate GnRH secretion. KNDy new meds
serotonin
cortisol and HPI axis dysregulation
endothelial dysfunction. - ANSWER: Theories about etiology of hot flashes (6)
low grade is not precancerous
high grade is precancerous-GYN ONC
, 4|Page
differentiated-wide local excision-high risk of invasive carcinoma. - ANSWER:
VIN
low grade-what to do
high grade-what to do
differentiated VIN-what to do
squamous cell carcinoma - ANSWER: most common type of vulvar cancer
paget's disease
will not improve on steroids
screen for co-existing breast, GI or GU cancer. They are present 20-30% of the
time. - ANSWER: Vulvar disorder commonly misdiagnosed as eczema or
dermatitis?
<100mL - ANSWER: Normal PVR
will NOT help with stress incontinence. - ANSWER: systemic and vaginal
estrogen will not help with this type of urinary incontinence?
the vaginal rings
FEMRING IS THE HIGHEST - ANSWER: Which topical vaginal estrogen has
the highest dose?
BV - ANSWER: Most common cause of vulvovaginitis?
NAMS MENOPAUSE CERTIFICATION EXAM||
ACCURATE AND FREQUENTLY TESTED QUESTIONS
AND 100% CORRECT ANSWERS WITH RATIONALES||
LATEST AND COMPLETE UPDATE WITH EXPERT
VERIFIED SOLUTIONS|| SURE PASS!!
Angiotensin II, potassium concentration, adrenocorticotropic hormone secreted by
the anterior pituitary. - ANSWER: Aldosterone secretion from the zona reticularis
in the adrenal gland is regulated by 3 main factors.
Anterior pituitary. The posterior only secretes vasopressin and oxytosin. -
ANSWER: What part of the pituitary gland secretes adrenocorticotropic hormone?
Most serum cortisol circulates bound to cortisol binding globulin.
Oral estrogen increases the cortisol binding globulin, which increases total cortisol
concentration.
Oral tamoxifen acts similarly.
Transdermal does not increase it, so it has a minimal effect on serum cortisol
concentration. - ANSWER: Cortisol and HRT
No, cortisol levels have NOT been associated with more severe VMS. -
ANSWER: Do cortisol levels associate with VMS severity?
vaginal pain and dyspareunia - ANSWER: Local DHEA has been proven to help
with what?
,2|Page
Menstrual disturbance-oligomenorrhea or amenorrhea for at least 4 months.
AND
elevated FSH over 25 on two occasions at least 4 weeks apart. - ANSWER: How
to DX POI?
prolactin
FSH
estradiol
TSH
pregnancy test - ANSWER: Anyone <40years old who misses 3+ consecutive
cycles gets these labs
100 microgram estradiol patch
1.25 mg CEE
2mg oral estradiol
If intact uterus-progesterone for 12 days of the month.
Physiologic is better than continuous hormonal contractption, but if menorrhagia-
IUD plus estrogen patch, or if really not wanting to risk pregnancy, continuous
HRT can be used. - ANSWER: treatment of POI
FPHL is gradual, telogen effluvium is sudden and usually precipitated by a life
stressor, chronic illness, beta blockers or anticoagulants-usually more patchy hair
loss. - ANSWER: Hair loss. Difference between FPHL and telogen effluvium?
,3|Page
thinning at the crown of the head and widening of the hair part - ANSWER: FPHL
pattern
MINOXIDIL
spironolactone
finasteride - ANSWER: Treating FPHL
Japanese - ANSWER: What ethnicity has the least likely chance of having bad hot
flashes?
black
more frequent, longer duration. - ANSWER: What ethnicity is the most likely to
have bad hot flashes?
10 years, early menopause transition women have them the longest. - ANSWER:
Median length of hot flashes
lower ovarian estradiol
thermoregulation zone is narrowed
neurokinins-regulate GnRH secretion. KNDy new meds
serotonin
cortisol and HPI axis dysregulation
endothelial dysfunction. - ANSWER: Theories about etiology of hot flashes (6)
low grade is not precancerous
high grade is precancerous-GYN ONC
, 4|Page
differentiated-wide local excision-high risk of invasive carcinoma. - ANSWER:
VIN
low grade-what to do
high grade-what to do
differentiated VIN-what to do
squamous cell carcinoma - ANSWER: most common type of vulvar cancer
paget's disease
will not improve on steroids
screen for co-existing breast, GI or GU cancer. They are present 20-30% of the
time. - ANSWER: Vulvar disorder commonly misdiagnosed as eczema or
dermatitis?
<100mL - ANSWER: Normal PVR
will NOT help with stress incontinence. - ANSWER: systemic and vaginal
estrogen will not help with this type of urinary incontinence?
the vaginal rings
FEMRING IS THE HIGHEST - ANSWER: Which topical vaginal estrogen has
the highest dose?
BV - ANSWER: Most common cause of vulvovaginitis?
