1|Page
NAMS MENOPAUSE CERTIFICATION EXAM|
COMPREHENSIVE Q&A FOR CERTIFICATION
SUCCESS 2026
Theories about etiology of hot flashes (6)- correct-answer -lower ovarian estradiol
thermoregulation zone is narrowed
neurokinins-regulate GnRH secretion. KNDy new meds
serotonin
cortisol and HPI axis dysregulation
endothelial dysfunction.
VIN
low grade-what to do
high grade-what to do
differentiated VIN-what to do- correct-answer -low grade is not precancerous
high grade is precancerous-GYN ONC
differentiated-wide local excision-high risk of invasive carcinoma.
,2|Page
most common type of vulvar cancer- correct-answer -squamous cell carcinoma
Vulvar disorder commonly misdiagnosed as eczema or dermatitis?- correct-
answer -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.
Normal PVR- correct-answer -<100mL
systemic and vaginal estrogen will not help with this type of urinary
incontinence?- correct-answer -will NOT help with stress incontinence.
,3|Page
Which topical vaginal estrogen has the highest dose?- correct-answer -the vaginal
rings
FEMRING IS THE HIGHEST
Most common cause of vulvovaginitis?- correct-answer -BV
post menopause burning and diffuse yellow/brown discharge and dyspareunia
that does not respond to local ET?- correct-answer -desquamative inflammatory
vaginitis. treat different with clindamycin or hydrocortisone+ET
What hormones are associated with sexual desire in women?- correct-answer -
circulating androgens
, 4|Page
Women who have had a BSO experience an abrupt and persistent decline in what
hormone?- correct-answer -circulating androgen levels
HSDD and FSAD were combined into a single dysrunction called- correct-answer -
female sexual interest/arousal disorder
HSDD treatments- correct-answer -flibanserin and bremelanotide
FGAD treatments (genital arousal disorder)- correct-answer -L-arginine, topical
alprostadil, wellbutrin, oxytosin.
phosphodiesterase inhibitors-lacking in efficacy
Eros therapy device $300- vaccum-like the penis pump
FOD (orgasmic disorder) treatments- correct-answer -directed masturbation is
most researched behavioral treatment.
NAMS MENOPAUSE CERTIFICATION EXAM|
COMPREHENSIVE Q&A FOR CERTIFICATION
SUCCESS 2026
Theories about etiology of hot flashes (6)- correct-answer -lower ovarian estradiol
thermoregulation zone is narrowed
neurokinins-regulate GnRH secretion. KNDy new meds
serotonin
cortisol and HPI axis dysregulation
endothelial dysfunction.
VIN
low grade-what to do
high grade-what to do
differentiated VIN-what to do- correct-answer -low grade is not precancerous
high grade is precancerous-GYN ONC
differentiated-wide local excision-high risk of invasive carcinoma.
,2|Page
most common type of vulvar cancer- correct-answer -squamous cell carcinoma
Vulvar disorder commonly misdiagnosed as eczema or dermatitis?- correct-
answer -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.
Normal PVR- correct-answer -<100mL
systemic and vaginal estrogen will not help with this type of urinary
incontinence?- correct-answer -will NOT help with stress incontinence.
,3|Page
Which topical vaginal estrogen has the highest dose?- correct-answer -the vaginal
rings
FEMRING IS THE HIGHEST
Most common cause of vulvovaginitis?- correct-answer -BV
post menopause burning and diffuse yellow/brown discharge and dyspareunia
that does not respond to local ET?- correct-answer -desquamative inflammatory
vaginitis. treat different with clindamycin or hydrocortisone+ET
What hormones are associated with sexual desire in women?- correct-answer -
circulating androgens
, 4|Page
Women who have had a BSO experience an abrupt and persistent decline in what
hormone?- correct-answer -circulating androgen levels
HSDD and FSAD were combined into a single dysrunction called- correct-answer -
female sexual interest/arousal disorder
HSDD treatments- correct-answer -flibanserin and bremelanotide
FGAD treatments (genital arousal disorder)- correct-answer -L-arginine, topical
alprostadil, wellbutrin, oxytosin.
phosphodiesterase inhibitors-lacking in efficacy
Eros therapy device $300- vaccum-like the penis pump
FOD (orgasmic disorder) treatments- correct-answer -directed masturbation is
most researched behavioral treatment.
