Page 1 of 31
NAMS MENOPAUSE CERTIFICATION STUDY GUIDE
EXAM NEWEST 2026 ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED {210 Q & A} ALREADY
GRADED A+ | BRAND NEW! | 100% GUARANTEED
PASS
What is metabolic syndrome? - ✔✔✔ Correct Answer > A state of
insulin resistance, Cluster of conditions that increase the risk of
heart disease, stroke, and diabetes.
triglyceride lowering drugs - ✔✔✔ Correct Answer > fenofibrate,
gemfibrozil, high dose omega-3
Migraine without aura after menopause - ✔✔✔ Correct Answer >
usually decrease with natural menopause.
menstrual migraine after menopause - ✔✔✔ Correct Answer > should
resolve completely.
Can you take gemfibrozil with statins? - ✔✔✔ Correct Answer > no,
contraindicated
,Page 2 of 31
causes of severe triglyceride elevations (>1000mg/dL) - ✔✔✔
Correct Answer > monogenetic disorders, associated with
pancreatitis
Diagnosing Metabolic Syndrome - ✔✔✔ Correct Answer > 3 or more:
Waist circumference ≥35 in (88 cm) in women, Triglycerides >150
mg/dL OR Drug treatment for elevated triglycerides, HDL-C <50
mg/dL in women OR Drug treatment for reduced HDL
cholesterol, BP ≥130/85 OR Drug treatment for hypertension,
Fasting blood glucose ≥110 mg/dL OR Drug treatment for
elevated glucose
When to screen for DM - ✔✔✔ Correct Answer > begin at 45 y/o and q 3
years OR earlier if risk factors
First line drugs for DM2 - ✔✔✔ Correct Answer > metformin
Second line drugs for DM with known CVD - ✔✔✔ Correct Answer >
liraglutide, empagliflozin, canagliflozin
Second line drugs for DM WITHOUT known CVD - ✔✔✔ Correct Answer
> sulfonylureas, dipeptidyl peptidase-4 inhibitor, sodium glucose
cotransporter 2 inhibitors, GLP-1 receptor agonist drugs
,Page 3 of 31
Risk of breast cancer in BRCA 1 or 2 - ✔✔✔ Correct Answer > 72%
lifetime risk
Chemoprevention for breast cancer - ✔✔✔ Correct Answer >
Tamoxifen 20mg/5yrs, Risk: emboli, endometrial cancer,
Raloxifene with decreased complications
VMS treatment for women with h/o breast cancer - ✔✔✔ Correct
Answer > gabapentin, sertraline, venlafaxine
What cancer has the highest mortality rate in women? - ✔✔✔
Correct Answer > lung cancer
Climacteric phase - ✔✔✔ Correct Answer > The period of
endocrinologic, somatic, and transitory psychologic changes that
occur around the time of menopause.
Early menopause - ✔✔✔ Correct Answer > LMP before age 45.
Late menopause - ✔✔✔ Correct Answer > LMP after age 54.
Primary ovarian insufficiency - ✔✔✔ Correct Answer > Menopause that
occurs before age 40.
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Early menopause transition (stage -2) - ✔✔✔ Correct Answer >
Persistent difference of 7 days or more in the length of
consecutive cycles.
Late menopause transition (stage -1) - ✔✔✔ Correct Answer > 60 or
more consecutive days of amenorrhea.
Luteal out of phase event (LOOP) - ✔✔✔ Correct Answer > Explains
why some perimenopausal women have elevated estrogen levels
sometimes.
Obese women and estradiol levels during menopause - ✔✔✔
Correct Answer > Obese women are more likely to have anovulatory
cycles with high estradiol levels.
Chinese and Japanese women - ✔✔✔ Correct Answer > These ethnic
groups have lower estradiol levels than white, black and Hispanic
women.
stage +2 - ✔✔✔ Correct Answer > Late menopause stage: 5-8 years
after FMP. Somatic aging predominates.
NAMS MENOPAUSE CERTIFICATION STUDY GUIDE
EXAM NEWEST 2026 ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED {210 Q & A} ALREADY
GRADED A+ | BRAND NEW! | 100% GUARANTEED
PASS
What is metabolic syndrome? - ✔✔✔ Correct Answer > A state of
insulin resistance, Cluster of conditions that increase the risk of
heart disease, stroke, and diabetes.
triglyceride lowering drugs - ✔✔✔ Correct Answer > fenofibrate,
gemfibrozil, high dose omega-3
Migraine without aura after menopause - ✔✔✔ Correct Answer >
usually decrease with natural menopause.
menstrual migraine after menopause - ✔✔✔ Correct Answer > should
resolve completely.
Can you take gemfibrozil with statins? - ✔✔✔ Correct Answer > no,
contraindicated
,Page 2 of 31
causes of severe triglyceride elevations (>1000mg/dL) - ✔✔✔
Correct Answer > monogenetic disorders, associated with
pancreatitis
Diagnosing Metabolic Syndrome - ✔✔✔ Correct Answer > 3 or more:
Waist circumference ≥35 in (88 cm) in women, Triglycerides >150
mg/dL OR Drug treatment for elevated triglycerides, HDL-C <50
mg/dL in women OR Drug treatment for reduced HDL
cholesterol, BP ≥130/85 OR Drug treatment for hypertension,
Fasting blood glucose ≥110 mg/dL OR Drug treatment for
elevated glucose
When to screen for DM - ✔✔✔ Correct Answer > begin at 45 y/o and q 3
years OR earlier if risk factors
First line drugs for DM2 - ✔✔✔ Correct Answer > metformin
Second line drugs for DM with known CVD - ✔✔✔ Correct Answer >
liraglutide, empagliflozin, canagliflozin
Second line drugs for DM WITHOUT known CVD - ✔✔✔ Correct Answer
> sulfonylureas, dipeptidyl peptidase-4 inhibitor, sodium glucose
cotransporter 2 inhibitors, GLP-1 receptor agonist drugs
,Page 3 of 31
Risk of breast cancer in BRCA 1 or 2 - ✔✔✔ Correct Answer > 72%
lifetime risk
Chemoprevention for breast cancer - ✔✔✔ Correct Answer >
Tamoxifen 20mg/5yrs, Risk: emboli, endometrial cancer,
Raloxifene with decreased complications
VMS treatment for women with h/o breast cancer - ✔✔✔ Correct
Answer > gabapentin, sertraline, venlafaxine
What cancer has the highest mortality rate in women? - ✔✔✔
Correct Answer > lung cancer
Climacteric phase - ✔✔✔ Correct Answer > The period of
endocrinologic, somatic, and transitory psychologic changes that
occur around the time of menopause.
Early menopause - ✔✔✔ Correct Answer > LMP before age 45.
Late menopause - ✔✔✔ Correct Answer > LMP after age 54.
Primary ovarian insufficiency - ✔✔✔ Correct Answer > Menopause that
occurs before age 40.
, Page 4 of 31
Early menopause transition (stage -2) - ✔✔✔ Correct Answer >
Persistent difference of 7 days or more in the length of
consecutive cycles.
Late menopause transition (stage -1) - ✔✔✔ Correct Answer > 60 or
more consecutive days of amenorrhea.
Luteal out of phase event (LOOP) - ✔✔✔ Correct Answer > Explains
why some perimenopausal women have elevated estrogen levels
sometimes.
Obese women and estradiol levels during menopause - ✔✔✔
Correct Answer > Obese women are more likely to have anovulatory
cycles with high estradiol levels.
Chinese and Japanese women - ✔✔✔ Correct Answer > These ethnic
groups have lower estradiol levels than white, black and Hispanic
women.
stage +2 - ✔✔✔ Correct Answer > Late menopause stage: 5-8 years
after FMP. Somatic aging predominates.
