1|Page
NAMS MENOPAUSE CERTIFICATION EXAM
QUESTIONS WITH 100% VERIFIED ANSWERS
Anyone <40years old who misses 3+ consecutive cycles gets these labs -correct-
answer-prolactin
FSH
estradiol
TSH
pregnancy test
treatment of POI -correct-answer-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.
,2|Page
Hair loss. Difference between FPHL and telogen effluvium? -correct-answer-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.
FPHL pattern -correct-answer-thinning at the crown of the head and widening of
the hair part
Treating FPHL -correct-answer-MINOXIDIL
spironolactone
finasteride
What ethnicity has the least likely chance of having bad hot flashes? -correct-
answer-Japanese
What ethnicity is the most likely to have bad hot flashes? -correct-answer-black
more frequent, longer duration.
Median length of hot flashes -correct-answer-10 years, early menopause
transition women have them the longest.
, 3|Page
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.
most common type of vulvar cancer -correct-answer-squamous cell carcinoma
Vulvar disorder commonly misdiagnosed as eczema or dermatitis? -correct-
answer-paget's disease
NAMS MENOPAUSE CERTIFICATION EXAM
QUESTIONS WITH 100% VERIFIED ANSWERS
Anyone <40years old who misses 3+ consecutive cycles gets these labs -correct-
answer-prolactin
FSH
estradiol
TSH
pregnancy test
treatment of POI -correct-answer-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.
,2|Page
Hair loss. Difference between FPHL and telogen effluvium? -correct-answer-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.
FPHL pattern -correct-answer-thinning at the crown of the head and widening of
the hair part
Treating FPHL -correct-answer-MINOXIDIL
spironolactone
finasteride
What ethnicity has the least likely chance of having bad hot flashes? -correct-
answer-Japanese
What ethnicity is the most likely to have bad hot flashes? -correct-answer-black
more frequent, longer duration.
Median length of hot flashes -correct-answer-10 years, early menopause
transition women have them the longest.
, 3|Page
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.
most common type of vulvar cancer -correct-answer-squamous cell carcinoma
Vulvar disorder commonly misdiagnosed as eczema or dermatitis? -correct-
answer-paget's disease
