NAMs MENOPAUSE CERTIFICATION EXAM ACTUAL EXAM 250 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

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

1 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

Tibolone and osteoporosis

where is it approved?

why wasn't it submitted for approval in the US and canada? - ANSWERapproved in mexico

decreased risk of vertebral and nonvertebral fracture

increased risk of stroke

Why was estrogen not approved for osteoporosis? - ANSWERdecreased 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? - ANSWERosteosarcoma

caution using PTH receptor agonists in what condition? - ANSWERhypercalcemia

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 - ANSWERDecreased 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