NAMs Menopause Certification Exam 2026|2027 Questions
with Detailed Verified Answers (100% Correct Answers) |
Already Graded A+
What ethnicity has the least likely chance of having bad hot flashes? - Answer -Japanese
What ethnicity is the most likely to have bad hot flashes? - Answer -black
more frequent, longer duration.
Median length of hot flashes - Answer -10 years, early menopause transition women have them
the longest.
Theories about etiology of hot flashes (6) - 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
1|Page
,high grade-what to do
differentiated VIN-what to do - 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 - Answer -squamous cell carcinoma
Vulvar disorder commonly misdiagnosed as eczema or dermatitis? - 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 - Answer -<100mL
systemic and vaginal estrogen will not help with this type of urinary incontinence? - Answer -will
NOT help with stress incontinence.
Which topical vaginal estrogen has the highest dose? - Answer -the vaginal rings
FEMRING IS THE HIGHEST
2|Page
, Most common cause of vulvovaginitis? - Answer -BV
post menopause burning and diffuse yellow/brown discharge and dyspareunia that does not
respond to local ET? - Answer -desquamative inflammatory vaginitis. treat different with
clindamycin or hydrocortisone+ET
What hormones are associated with sexual desire in women? - Answer -circulating androgens
Women who have had a BSO experience an abrupt and persistent decline in what hormone? -
Answer -circulating androgen levels
HSDD and FSAD were combined into a single dysrunction called - Answer -female sexual
interest/arousal disorder
HSDD treatments - Answer -flibanserin and bremelanotide
FGAD treatments (genital arousal disorder) - Answer -L-arginine, topical alprostadil, wellbutrin,
oxytosin.
phosphodiesterase inhibitors-lacking in efficacy
Eros therapy device $300- vaccum-like the penis pump
3|Page
with Detailed Verified Answers (100% Correct Answers) |
Already Graded A+
What ethnicity has the least likely chance of having bad hot flashes? - Answer -Japanese
What ethnicity is the most likely to have bad hot flashes? - Answer -black
more frequent, longer duration.
Median length of hot flashes - Answer -10 years, early menopause transition women have them
the longest.
Theories about etiology of hot flashes (6) - 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
1|Page
,high grade-what to do
differentiated VIN-what to do - 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 - Answer -squamous cell carcinoma
Vulvar disorder commonly misdiagnosed as eczema or dermatitis? - 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 - Answer -<100mL
systemic and vaginal estrogen will not help with this type of urinary incontinence? - Answer -will
NOT help with stress incontinence.
Which topical vaginal estrogen has the highest dose? - Answer -the vaginal rings
FEMRING IS THE HIGHEST
2|Page
, Most common cause of vulvovaginitis? - Answer -BV
post menopause burning and diffuse yellow/brown discharge and dyspareunia that does not
respond to local ET? - Answer -desquamative inflammatory vaginitis. treat different with
clindamycin or hydrocortisone+ET
What hormones are associated with sexual desire in women? - Answer -circulating androgens
Women who have had a BSO experience an abrupt and persistent decline in what hormone? -
Answer -circulating androgen levels
HSDD and FSAD were combined into a single dysrunction called - Answer -female sexual
interest/arousal disorder
HSDD treatments - Answer -flibanserin and bremelanotide
FGAD treatments (genital arousal disorder) - Answer -L-arginine, topical alprostadil, wellbutrin,
oxytosin.
phosphodiesterase inhibitors-lacking in efficacy
Eros therapy device $300- vaccum-like the penis pump
3|Page
