8/18/25, 7:51 AM NAMS Certification EXAM (2025/2026) Updated: EXAM QUESTIONS WITH ACCURATE ANSWERS | GET IT RIGHT!! Flashcards …
NAMS Certification EXAM (2025/2026) Updated:
EXAM QUESTIONS WITH ACCURATE ANSWERS |
GET IT RIGHT!!
Save
Terms in this set (65)
-thermoregulatory center altered by increase in KNDy
neurons
-activation of NK3R causes hot flashes
Physiology of VMS
-blockade of NK3R reduces/eliminates hot flashes
-may also be affected by: serotonin, epinephrine, and
norepinephrine; parasympathetic nerve activity
-SSRIs
-SNRIs
Off label rx for VMS -Gabapentinoids
-Clonidine
-Oxybutynin
-not FDA approved
Studies on Fractional Co2 -vaginal symptoms and sexual function scores
Laser for GSM increased significantly at 3 mon; noted continued
improvement at 1y
-for treatment of dyspareunia
-decreases vaginal pH
Ospemifene (Osphena)
-improves vaginal dryness
indications and MOA
-shifts vaginal maturational index to superficial cells
-estrogen agonist/antagonist
https://quizlet.com/1066367568/nams-certification-exam-20252026-updated-exam-questions-with-accurate-answers-get-it-right-flash-cards/ 1/9
, 8/18/25, 7:51 AM NAMS Certification EXAM (2025/2026) Updated: EXAM QUESTIONS WITH ACCURATE ANSWERS | GET IT RIGHT!! Flashcards …
-increase in uterine polyps
Ospemifene (Osphena) -proliferative endometrium
adverse effects -slight increased risk of hemorrhagic stroke and VTE
-can increase VMS
-behavioral modifications
-overactivity of the detrusor muscle
treatment of urge
-antimuscarinics: oxybutynin
incontinence
-nerve stimulation
-botox
-transverse perineal
pelvic floor muscles -
-bulbospongiosus,
superficial
-ischiocavernosus
-pubococcygeus
pelvic floor muscles - -iliococcygeus
deep -obturator internus
-coccygeus
What is low-tone pelvic -weak, underactive and hypotonic muscles that
floor dysfunction? cannot maintain adequate contraction
-weak pelvic floor muscles cannot attain or maintain
What is high-tone Pelvic adequate relaxation
Floor Dysfunction? -muscles are overactive, hypertonic, spastic,
shortened
-heaviness
-pressure
What are the symptoms of
-pelvic organ prolapse
low-tone PFD?
-incontinence
-altered sexual sensation
-urinary retention
-frequency
What are the symptoms of -urgency
high-tone PFD? -dysuria
-fecal retention/constipation
-penetrative dyspareunia and/or vaginismus
https://quizlet.com/1066367568/nams-certification-exam-20252026-updated-exam-questions-with-accurate-answers-get-it-right-flash-cards/ 2/9
NAMS Certification EXAM (2025/2026) Updated:
EXAM QUESTIONS WITH ACCURATE ANSWERS |
GET IT RIGHT!!
Save
Terms in this set (65)
-thermoregulatory center altered by increase in KNDy
neurons
-activation of NK3R causes hot flashes
Physiology of VMS
-blockade of NK3R reduces/eliminates hot flashes
-may also be affected by: serotonin, epinephrine, and
norepinephrine; parasympathetic nerve activity
-SSRIs
-SNRIs
Off label rx for VMS -Gabapentinoids
-Clonidine
-Oxybutynin
-not FDA approved
Studies on Fractional Co2 -vaginal symptoms and sexual function scores
Laser for GSM increased significantly at 3 mon; noted continued
improvement at 1y
-for treatment of dyspareunia
-decreases vaginal pH
Ospemifene (Osphena)
-improves vaginal dryness
indications and MOA
-shifts vaginal maturational index to superficial cells
-estrogen agonist/antagonist
https://quizlet.com/1066367568/nams-certification-exam-20252026-updated-exam-questions-with-accurate-answers-get-it-right-flash-cards/ 1/9
, 8/18/25, 7:51 AM NAMS Certification EXAM (2025/2026) Updated: EXAM QUESTIONS WITH ACCURATE ANSWERS | GET IT RIGHT!! Flashcards …
-increase in uterine polyps
Ospemifene (Osphena) -proliferative endometrium
adverse effects -slight increased risk of hemorrhagic stroke and VTE
-can increase VMS
-behavioral modifications
-overactivity of the detrusor muscle
treatment of urge
-antimuscarinics: oxybutynin
incontinence
-nerve stimulation
-botox
-transverse perineal
pelvic floor muscles -
-bulbospongiosus,
superficial
-ischiocavernosus
-pubococcygeus
pelvic floor muscles - -iliococcygeus
deep -obturator internus
-coccygeus
What is low-tone pelvic -weak, underactive and hypotonic muscles that
floor dysfunction? cannot maintain adequate contraction
-weak pelvic floor muscles cannot attain or maintain
What is high-tone Pelvic adequate relaxation
Floor Dysfunction? -muscles are overactive, hypertonic, spastic,
shortened
-heaviness
-pressure
What are the symptoms of
-pelvic organ prolapse
low-tone PFD?
-incontinence
-altered sexual sensation
-urinary retention
-frequency
What are the symptoms of -urgency
high-tone PFD? -dysuria
-fecal retention/constipation
-penetrative dyspareunia and/or vaginismus
https://quizlet.com/1066367568/nams-certification-exam-20252026-updated-exam-questions-with-accurate-answers-get-it-right-flash-cards/ 2/9
