NAMS MENOPAUSE CORRECT STUDYS ANSWERS
AND QUESTIONS SET A+
✔✔systemic and vaginal estrogen will not help with this type of urinary incontinence? -
✔✔will NOT help with stress incontinence.
✔✔Which topical vaginal estrogen has the highest dose? - ✔✔the vaginal rings
FEMRING IS THE HIGHEST
✔✔Most common cause of vulvovaginitis? - ✔✔BV
✔✔post menopause burning and diffuse yellow/brown discharge and dyspareunia that
does not respond to local ET? - ✔✔desquamative inflammatory vaginitis. treat different
with clindamycin or hydrocortisone+ET
✔✔What hormones are associated with sexual desire in women? - ✔✔circulating
androgens
✔✔Women who have had a BSO experience an abrupt and persistent decline in what
hormone? - ✔✔circulating androgen levels
✔✔HSDD and FSAD were combined into a single dysrunction called - ✔✔female sexual
interest/arousal disorder
✔✔HSDD treatments - ✔✔flibanserin and bremelanotide
✔✔FGAD treatments (genital arousal disorder) - ✔✔L-arginine, topical alprostadil,
wellbutrin, oxytosin.
phosphodiesterase inhibitors-lacking in efficacy
Eros therapy device $300- vaccum-like the penis pump
✔✔FOD (orgasmic disorder) treatments - ✔✔directed masturbation is most researched
behavioral treatment.
, ✔✔Does systemic ET cause fibroids to resume growth? - ✔✔Rarely. They often shrink
after menopause.
✔✔What is true about cognition and menopause? - ✔✔Difficulty concentrating and
remembering are common.
✔✔What is true about cognition and surgical menopause - ✔✔memory for verbal
information can be compromised immediately after surgical menopause, especially if it
is before the typical age of mesopause.
✔✔Meta analysis of RCTs have shown small benefit of what diet/exercise for global
cognition and memory? - ✔✔Mediterranean diet with olive oil and tai chi exercise helps
with global cognition
Mediterranean diet with olive oil and isoflavone supplements helps with memory.
✔✔effect of HRT on cognition - ✔✔small or no overall effect on cognition
✔✔What HRT can increase your risk for dementia based on the WHIMS study in 65+
year old healthy women? - ✔✔EPT replacement was shown to double the risk of
developing dementia.
There was no significant increased risk in ET alone.
this is why HRT is not recommended after 65 for primary prevention of dementia
✔✔3 reasons supporting the idea that HRT in early menopause may decrease a
woman's chance of developing alzheimer's disease? - ✔✔1. Observational studies
imply it
2. Clinical trial of transdermal estradiol during the early postmenopause stage is
associated with reductions in AD pathology.
3. 18 year cumulative follow up data from WHI found that women randomized to ET had
significantly lower risk of dying from AD or dementia compared with women randomized
to receive placebo.
✔✔Migraine headache and pregnancy - ✔✔typically migraines improve-estrogen levels
stabilize
✔✔Migraine without aura after menopause - ✔✔usually decrease with natural
menopause
✔✔menstrual migraine after menopause - ✔✔should resolve completely
AND QUESTIONS SET A+
✔✔systemic and vaginal estrogen will not help with this type of urinary incontinence? -
✔✔will NOT help with stress incontinence.
✔✔Which topical vaginal estrogen has the highest dose? - ✔✔the vaginal rings
FEMRING IS THE HIGHEST
✔✔Most common cause of vulvovaginitis? - ✔✔BV
✔✔post menopause burning and diffuse yellow/brown discharge and dyspareunia that
does not respond to local ET? - ✔✔desquamative inflammatory vaginitis. treat different
with clindamycin or hydrocortisone+ET
✔✔What hormones are associated with sexual desire in women? - ✔✔circulating
androgens
✔✔Women who have had a BSO experience an abrupt and persistent decline in what
hormone? - ✔✔circulating androgen levels
✔✔HSDD and FSAD were combined into a single dysrunction called - ✔✔female sexual
interest/arousal disorder
✔✔HSDD treatments - ✔✔flibanserin and bremelanotide
✔✔FGAD treatments (genital arousal disorder) - ✔✔L-arginine, topical alprostadil,
wellbutrin, oxytosin.
phosphodiesterase inhibitors-lacking in efficacy
Eros therapy device $300- vaccum-like the penis pump
✔✔FOD (orgasmic disorder) treatments - ✔✔directed masturbation is most researched
behavioral treatment.
, ✔✔Does systemic ET cause fibroids to resume growth? - ✔✔Rarely. They often shrink
after menopause.
✔✔What is true about cognition and menopause? - ✔✔Difficulty concentrating and
remembering are common.
✔✔What is true about cognition and surgical menopause - ✔✔memory for verbal
information can be compromised immediately after surgical menopause, especially if it
is before the typical age of mesopause.
✔✔Meta analysis of RCTs have shown small benefit of what diet/exercise for global
cognition and memory? - ✔✔Mediterranean diet with olive oil and tai chi exercise helps
with global cognition
Mediterranean diet with olive oil and isoflavone supplements helps with memory.
✔✔effect of HRT on cognition - ✔✔small or no overall effect on cognition
✔✔What HRT can increase your risk for dementia based on the WHIMS study in 65+
year old healthy women? - ✔✔EPT replacement was shown to double the risk of
developing dementia.
There was no significant increased risk in ET alone.
this is why HRT is not recommended after 65 for primary prevention of dementia
✔✔3 reasons supporting the idea that HRT in early menopause may decrease a
woman's chance of developing alzheimer's disease? - ✔✔1. Observational studies
imply it
2. Clinical trial of transdermal estradiol during the early postmenopause stage is
associated with reductions in AD pathology.
3. 18 year cumulative follow up data from WHI found that women randomized to ET had
significantly lower risk of dying from AD or dementia compared with women randomized
to receive placebo.
✔✔Migraine headache and pregnancy - ✔✔typically migraines improve-estrogen levels
stabilize
✔✔Migraine without aura after menopause - ✔✔usually decrease with natural
menopause
✔✔menstrual migraine after menopause - ✔✔should resolve completely
