NAMS MENOPAUSE CERTIFICATION Exam 2025–
2026 Accurate Real Exam Questions and
Verified Correct Answers JUST RELEASED
Dairy free diet amount of calicum. How much do they need to supplement? -
answer>>>dairy free diet-300mg calcium daily.
Needs 800-1200mg
Tibolone and osteoporosis
where is it approved?
why wasn't it submitted for approval in the US and canada? - answer>>>approved in
mexico
decreased risk of vertebral and nonvertebral fracture
increased risk of stroke
Why was estrogen not approved for osteoporosis? - answer>>>decreased risk of vertebral
and hip fracture in low fracture risk population, but estrogen has not been shown to
decrease fracture risk in women with osteoporosis. More prevention than treatment.
Black box warning for PTH receptor agonists? - answer>>>osteosarcoma
caution using PTH receptor agonists in what condition? - answer>>>hypercalcemia
when would you use PTH receptor agonists? - answer>>>someone incredibly high risk for
vertebral fracture
raloxifene helps with what kind of fractures? - answer>>>vertebral fractures
raloxifene risk factors - answer>>>increased risk of death from stroke in high risk patients,
estrogen like risk of VTE, worsens hot flashes
atypical femur risk in women on bisphosphonate? - answer>>>1 in 1000 after 2-3 years.
,Salmon calcitonin and osteoporosis? - answer>>>small increase in spine BMD. daily SQ
injections or nasal.
Implications of estrogen drop on skin during menopause - answer>>>Decreased fibroblast
activity
disrupted elastin
decreased GAG production
Disrupted melanocyte regulation
Decreased blood flow and cellular oxygenation effects on keratinocytes
Disruption of cellular growth factors and repair enzymes
accelerated lipoatrophy
Fat pad modification
Bone resorptuon
Definition of stress incontinence - answer>>>Involuntary loss of urine that occurs with an
activity such as coughing or sneezing that increases intraabdominal pressure. Leakage is in
drops, usually 2/2 to poor urethral support, urethral sphincter weakness, dysfunction of
pelvic floor
Definition of urgency incontinence - answer>>>Involuntary loss of urine preceded by
sensation of urgency to urinate. Generally associated with losses of larger volumes of
urine that soak through pads and clothing.
Leakage results from detrusor (bladder) overactivity/uninhabited contractions of
detrusser
Definition of mixed incontinence - answer>>>includes stress and urgency
A postvoid residuals (w/in 15 minutes of emptying) of what volume is considered normal -
answer>>>100 or less, whereas >200 is abnormal, between 100-200 advised to repeat on
different day
, how to test for incontinence - answer>>>pyridium challenge
OAB - answer>>>Term used to describe idiopathic urinary urgency (w or w/o
incontinennce) with urinary frequency (>8voids w/in 24h) adn sometimes nocturia
(awakening to urinate more than 2x/night
ISSWSH Sexual Disorders in Menopause - answer>>>Hypoactive sexual desire disorder
Female genital arousal disorder
Persistent genital arousal disorder
Female orgasm disorder
Femal orgasmic illness syndrome
Pelvic floor muscles - answer>>>Levator ani
superficial (transverse perineal, bulbospongiosus, ischiocavernosus)
Deep (pubococcygeus, iliococcygeus, obturator internus, coccygeus( muscles
PALM COEIN causes of AUB - answer>>>P: Polyp
A: Adenomyosis
L: Leiomyoma
M: Malignancy/hyperplasia
C: Coagulopathy
O: ovulatory dysfunction
E: Endometrial
I: Iatrogenic
N: Not yet classified
When is EMB not needed? - answer>>>When <4mm
Management of AUB - answer>>>Cocs decrease 7 to 4 days; IUD
NSAID - reduce prostaglandin synthesiss which may have a role in aberrant
neovasculariation
2026 Accurate Real Exam Questions and
Verified Correct Answers JUST RELEASED
Dairy free diet amount of calicum. How much do they need to supplement? -
answer>>>dairy free diet-300mg calcium daily.
Needs 800-1200mg
Tibolone and osteoporosis
where is it approved?
why wasn't it submitted for approval in the US and canada? - answer>>>approved in
mexico
decreased risk of vertebral and nonvertebral fracture
increased risk of stroke
Why was estrogen not approved for osteoporosis? - answer>>>decreased risk of vertebral
and hip fracture in low fracture risk population, but estrogen has not been shown to
decrease fracture risk in women with osteoporosis. More prevention than treatment.
Black box warning for PTH receptor agonists? - answer>>>osteosarcoma
caution using PTH receptor agonists in what condition? - answer>>>hypercalcemia
when would you use PTH receptor agonists? - answer>>>someone incredibly high risk for
vertebral fracture
raloxifene helps with what kind of fractures? - answer>>>vertebral fractures
raloxifene risk factors - answer>>>increased risk of death from stroke in high risk patients,
estrogen like risk of VTE, worsens hot flashes
atypical femur risk in women on bisphosphonate? - answer>>>1 in 1000 after 2-3 years.
,Salmon calcitonin and osteoporosis? - answer>>>small increase in spine BMD. daily SQ
injections or nasal.
Implications of estrogen drop on skin during menopause - answer>>>Decreased fibroblast
activity
disrupted elastin
decreased GAG production
Disrupted melanocyte regulation
Decreased blood flow and cellular oxygenation effects on keratinocytes
Disruption of cellular growth factors and repair enzymes
accelerated lipoatrophy
Fat pad modification
Bone resorptuon
Definition of stress incontinence - answer>>>Involuntary loss of urine that occurs with an
activity such as coughing or sneezing that increases intraabdominal pressure. Leakage is in
drops, usually 2/2 to poor urethral support, urethral sphincter weakness, dysfunction of
pelvic floor
Definition of urgency incontinence - answer>>>Involuntary loss of urine preceded by
sensation of urgency to urinate. Generally associated with losses of larger volumes of
urine that soak through pads and clothing.
Leakage results from detrusor (bladder) overactivity/uninhabited contractions of
detrusser
Definition of mixed incontinence - answer>>>includes stress and urgency
A postvoid residuals (w/in 15 minutes of emptying) of what volume is considered normal -
answer>>>100 or less, whereas >200 is abnormal, between 100-200 advised to repeat on
different day
, how to test for incontinence - answer>>>pyridium challenge
OAB - answer>>>Term used to describe idiopathic urinary urgency (w or w/o
incontinennce) with urinary frequency (>8voids w/in 24h) adn sometimes nocturia
(awakening to urinate more than 2x/night
ISSWSH Sexual Disorders in Menopause - answer>>>Hypoactive sexual desire disorder
Female genital arousal disorder
Persistent genital arousal disorder
Female orgasm disorder
Femal orgasmic illness syndrome
Pelvic floor muscles - answer>>>Levator ani
superficial (transverse perineal, bulbospongiosus, ischiocavernosus)
Deep (pubococcygeus, iliococcygeus, obturator internus, coccygeus( muscles
PALM COEIN causes of AUB - answer>>>P: Polyp
A: Adenomyosis
L: Leiomyoma
M: Malignancy/hyperplasia
C: Coagulopathy
O: ovulatory dysfunction
E: Endometrial
I: Iatrogenic
N: Not yet classified
When is EMB not needed? - answer>>>When <4mm
Management of AUB - answer>>>Cocs decrease 7 to 4 days; IUD
NSAID - reduce prostaglandin synthesiss which may have a role in aberrant
neovasculariation
