NAMS Menopause certification exam 200
questions and answers (Graded A+)
2025/2026 100 % Guaranteed pass
Introduction
This document contains a comprehensive set of 200
guarded A+ questions and answers for the North
American Menopause Society (NAMS)Menopause
Certification Exam. For the 2025/2026exam. It is designed
for healthcare professionals seeking certification in
midlife women's health. The question reflects current
evidence-based practices, and NAMS guidelines ensure
thorough preparation
1. What is the average age of natural menopause in
North American women?
A) 40-42 years
B) 45-47 years
C) 51-52 years ✓
D) 55-57 years
2. Which hormone primarily decreases during the
menopausal transition?
A) Follicle-stimulating hormone (FSH)
B) Estrogen ✓
,C) Luteinizing hormone (LH)
D) Progesterone
3. What is the key biochemical marker for diagnosing
menopause?
A) Low estradiol and high FSH ✓
B) High estradiol and low progesterone
C) High LH, low FSH
D) Low testosterone
4. Which symptom is most common in the early
menopausal transition?
A) Hot flashes ✓
B) Osteoporosis
C) Severe vaginal dryness
D) Cardiovascular disease
5. How long after the last menstrual period is a woman
diagnosed as menopausal?
A) 3 months
B) 6 months
C) 12 months ✓
D) 24 months
6. What is the physiological cause of hot flashes in
menopause?
A) Decrease in thyroid hormone
B) Thermoregulatory dysfunction due to estrogen
,withdrawal ✓
C) Elevated cortisol levels
D) Increased progesterone
7. Which hormone replacement therapy (HRT) is
recommended for women without a uterus?
A) Estrogen only ✓
B) Estrogen + Progestogen
C) Progestogen only
D) Testosterone
8. What is the primary indication for combined estrogen-
progestogen therapy?
A) Prevention of osteoporosis
B) Treatment of vasomotor symptoms
C) Prevention of endometrial hyperplasia in women with a
uterus ✓
D) Treatment of depression
9. What is the recommended first-line treatment for
moderate to severe vasomotor symptoms?
A) SSRIs
B) Lifestyle changes only
C) Hormone therapy ✓
D) Antihypertensives
10. Which is NOT a contraindication to hormone therapy?
A) Active breast cancer
, B) Undiagnosed abnormal vaginal bleeding
C) Controlled hypothyroidism ✓
D) History of venous thromboembolism
11. What effect does menopause have on bone density?
A) Increases bone formation
B) Decreases bone resorption
C) Accelerates bone loss ✓
D) No effect
12. Which test is the gold standard for diagnosing
osteoporosis?
A) MRI
B) X-ray
C) Dual-energy X-ray absorptiometry (DXA) ✓
D) CT scan
13. What T-score on a DXA indicates osteoporosis?
A) -1.0 to -1.5
B) -1.5 to -2.5
C) ≤ -2.5 ✓
D) ≥ -1
14. What non-hormonal therapy is FDA-approved for
vasomotor symptom relief?
A) Clonidine
B) Gabapentin ✓
questions and answers (Graded A+)
2025/2026 100 % Guaranteed pass
Introduction
This document contains a comprehensive set of 200
guarded A+ questions and answers for the North
American Menopause Society (NAMS)Menopause
Certification Exam. For the 2025/2026exam. It is designed
for healthcare professionals seeking certification in
midlife women's health. The question reflects current
evidence-based practices, and NAMS guidelines ensure
thorough preparation
1. What is the average age of natural menopause in
North American women?
A) 40-42 years
B) 45-47 years
C) 51-52 years ✓
D) 55-57 years
2. Which hormone primarily decreases during the
menopausal transition?
A) Follicle-stimulating hormone (FSH)
B) Estrogen ✓
,C) Luteinizing hormone (LH)
D) Progesterone
3. What is the key biochemical marker for diagnosing
menopause?
A) Low estradiol and high FSH ✓
B) High estradiol and low progesterone
C) High LH, low FSH
D) Low testosterone
4. Which symptom is most common in the early
menopausal transition?
A) Hot flashes ✓
B) Osteoporosis
C) Severe vaginal dryness
D) Cardiovascular disease
5. How long after the last menstrual period is a woman
diagnosed as menopausal?
A) 3 months
B) 6 months
C) 12 months ✓
D) 24 months
6. What is the physiological cause of hot flashes in
menopause?
A) Decrease in thyroid hormone
B) Thermoregulatory dysfunction due to estrogen
,withdrawal ✓
C) Elevated cortisol levels
D) Increased progesterone
7. Which hormone replacement therapy (HRT) is
recommended for women without a uterus?
A) Estrogen only ✓
B) Estrogen + Progestogen
C) Progestogen only
D) Testosterone
8. What is the primary indication for combined estrogen-
progestogen therapy?
A) Prevention of osteoporosis
B) Treatment of vasomotor symptoms
C) Prevention of endometrial hyperplasia in women with a
uterus ✓
D) Treatment of depression
9. What is the recommended first-line treatment for
moderate to severe vasomotor symptoms?
A) SSRIs
B) Lifestyle changes only
C) Hormone therapy ✓
D) Antihypertensives
10. Which is NOT a contraindication to hormone therapy?
A) Active breast cancer
, B) Undiagnosed abnormal vaginal bleeding
C) Controlled hypothyroidism ✓
D) History of venous thromboembolism
11. What effect does menopause have on bone density?
A) Increases bone formation
B) Decreases bone resorption
C) Accelerates bone loss ✓
D) No effect
12. Which test is the gold standard for diagnosing
osteoporosis?
A) MRI
B) X-ray
C) Dual-energy X-ray absorptiometry (DXA) ✓
D) CT scan
13. What T-score on a DXA indicates osteoporosis?
A) -1.0 to -1.5
B) -1.5 to -2.5
C) ≤ -2.5 ✓
D) ≥ -1
14. What non-hormonal therapy is FDA-approved for
vasomotor symptom relief?
A) Clonidine
B) Gabapentin ✓
