NAMs MENOPAUSE CERTIFICATION EXAM 2023 -2024
ACTUAL EXAM 250 QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
What amount of women require long term care after hip fracture?What amount of women have long term loss of mobility after hip fracture? - ANSWER- 1 in 4 women (25%) require long term care
- in 2 woemn (50%) have long term loss of mobility
Asians have ____BMD than white people? - ANSWER- lower
Black women have ____BMD than white people? - ANSWER- higher
Over 3 servings of alcohol daily and risk for fracture? - ANSWER- 38% for osteoporotic fracture and 68% for hip fracture
What 4 ethnic specific versions of FRAX are there? - ANSWER- white, asiain, black, hispanic
Dairy free diet amount of calicum. How much do they need to supplement? - ANSWER- dairy free diet-300mg calcium daily.Needs 800-1200mg
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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 2 / 4
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 3 / 4
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
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