NAMS Menopause Certification Exam
Practice Questions and Answers
1.Which 2 nonpharmacologic treatments are HIGHLY recommended by the
North American Menopause Society (NAMS) to treat VMS?
ANS Cognitive behavioral therapy, clinical hypnosis
2.What other nonpharmacologic options are used to treat VMS?
ANS Temperature control (colder pillow)
Yoga/relaxation therapy
Avoid spicy foods, chocolate, caffeine
Exercise
Acupuncture
Paced respiration (slowed down breathing)
3.What are vasomotor symptoms?
ANS Hot flushes and night sweats
4.What are the non-VMS of menopause?
ANS Dyspareunia, vaginal dryness, mood changes, sleep disturbances,
concentration and memory issues, arthralgia
5.If patient has a uterus, you must give them
ANS estrogen + progestin combo
1/
12
, 6.If patient does NOT have a uterus, you can give them
ANS estrogen alone
7.What are the 3 main differences in estrogen of transdermal estrogens?
ANS -
Lower VTE risk
No impact on triglycerides
Potential lower stroke risk, so lower blood clot risk
8.What are the 2 main differences in estrogen of oral estrogens?
ANS Increases triglycerides
Potential for decreased libido
9.What is the Women's Health Initiative (WHI)?
ANS Clinical study started in 1991. Studied the use of conjugated
equine estrogens (CEE) and medroxyprogesterone acetate (MPA) in
women with and without a uterus
10.What was the most important "shocking" result from the WHI?
ANS Estrogen + progestin combo resulted in an increased risk of breast
cancer
11.What was the problem with how the WHI ended?
ANS There was some bias in the study, since it stopped early. Upon
2/
12
Practice Questions and Answers
1.Which 2 nonpharmacologic treatments are HIGHLY recommended by the
North American Menopause Society (NAMS) to treat VMS?
ANS Cognitive behavioral therapy, clinical hypnosis
2.What other nonpharmacologic options are used to treat VMS?
ANS Temperature control (colder pillow)
Yoga/relaxation therapy
Avoid spicy foods, chocolate, caffeine
Exercise
Acupuncture
Paced respiration (slowed down breathing)
3.What are vasomotor symptoms?
ANS Hot flushes and night sweats
4.What are the non-VMS of menopause?
ANS Dyspareunia, vaginal dryness, mood changes, sleep disturbances,
concentration and memory issues, arthralgia
5.If patient has a uterus, you must give them
ANS estrogen + progestin combo
1/
12
, 6.If patient does NOT have a uterus, you can give them
ANS estrogen alone
7.What are the 3 main differences in estrogen of transdermal estrogens?
ANS -
Lower VTE risk
No impact on triglycerides
Potential lower stroke risk, so lower blood clot risk
8.What are the 2 main differences in estrogen of oral estrogens?
ANS Increases triglycerides
Potential for decreased libido
9.What is the Women's Health Initiative (WHI)?
ANS Clinical study started in 1991. Studied the use of conjugated
equine estrogens (CEE) and medroxyprogesterone acetate (MPA) in
women with and without a uterus
10.What was the most important "shocking" result from the WHI?
ANS Estrogen + progestin combo resulted in an increased risk of breast
cancer
11.What was the problem with how the WHI ended?
ANS There was some bias in the study, since it stopped early. Upon
2/
12
