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NAMS Menopause Certification Exam Practice Questions with CORRECT ANSWER s |Latest
Question 1: 1 in _____ women will have an osteoporosis-related
fx in their lifetime
CORRECT ANSWER : 1 in 2
Question 2: 1 vaginal ring for GSM only
CORRECT ANSWER: estradiol (Estring)
Question 3: 2 FDA-approved options for HSDD (now FSIAD)
CORRECT ANSWER : flibanserin (Addyi), bremelanotide
(Vylessi)
Question 4: 2 most common causes of hair loss in menopause
transition
CORRECT ANSWER : Female pattern hair loss (FPHL;
thinning on crown) and telogen effluvium (sudden onset of hair shedding, stress-induced)
Question 5: 2 types of systemic estrogen approved for
osteoporosis prevention?
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CORRECT ANSWER : CEE, Estradiol
Question 6: 3 available estrogen vaginal creams for GSM
CORRECT ANSWER : estradiol (Estrace), CCE (Premarin),
Estrone (Estragyn)
Question 7: 3 available vaginal inserts for GSM
CORRECT ANSWER : estradiol insert (Imvexxy), estradiol
tablets (Vagifem, Yuvafem), DHEA/prasterone inserts (Intrarosa)
Question 8: 3 disorders now in DSM-5 under the umbrella of
female sexual dysfunction (FSD) CORRECT ANSWER : (1) Desire: Female Sexual
Interest/Arousal Disorder (FSIAD), (2) Pain: Genito-Pelvic
Pain/Penetration Disorder, (3) Orgasm: Female Orgasmic
Disorder
Question 9: 3 main types of med MOA for osteoporosis drugs
CORRECT ANSWER : (1) Antiresorptives (HRT, SERMs,
bisphosphonates, RANK ligand inhibits/Denosumab), (2)
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Osteoanabolics (PTH analogs), (3) Dual antiresportive/osteoanabolic (Romosozumab/Evenity)
Question 10: 3 scores on DXA report
CORRECT ANSWER : total hip, femoral neck, AP lumbar spine
Question 11: 4 adrenal androgens
CORRECT ANSWER : —Dehydroepiandrosterone (DHEA), —
Dehydroepiandrosterone sulfate (DHEAS), —Androstenedione, —Testosterone
Question 12: 4 etiologies of POI, most common?
CORRECT ANSWER : (1) Genetic (turner, fragile X), (2)
Autoimmune (adrenal Ab/Addison's), (3) Cancer (chemo, radiation, surgical oophrectomy), (4) Idiopathic --> most common
Question 13: 4 Vulvovaginal neoplasias
CORRECT ANSWER : (1) vulval intraepithelial neoplasia
(VIN), (2) squamous cell carcinoma, (3) basal cell carcinoma, (4) Paget disease
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Question 14: accelerated bone loss at which location is
associated with menopause?
CORRECT ANSWER: spine (trabecular bone)
Question 15: adults with which 2 chronic diseases should
receive HepB vaccine?
CORRECT ANSWER : DM, chronic liver disease
Question 16: AEs of HT
CORRECT ANSWER : •Uterine bleeding (starting or returning),
•Breast tenderness (sometimes enlargement), •Nausea, •Abdominal bloating, •Fluid retention in extremities, •Changes to the shape of the cornea (sometimes leading to contact lens intolerance), •Headache (sometimes migraine), •Dizziness, •Mood changes with EPT, particularly with progestin, •Angioedema, •Gallstones, pancreatitis
