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NAMS Menopause Exam Q-Bank – Complete
Certified Menopause Practitioner Practice
Questions with Verified Answers & Explanations –
Updated 2026 Study Resource
Median age of natural menopause - ANSWER -51 years
Characteristic hormonal change in menopause transition - ANSWER -
Declining estrogen
Reproductive stage of a 49-year-old with irregular periods and
vasomotor symptoms - ANSWER -Perimenopause
Definition of postmenopause - ANSWER -12 consecutive months
without menstruation
Laboratory finding supporting menopause diagnosis in a 52-year-old
woman - ANSWER -Elevated FSH (>25 IU/L)
Most effective treatment for moderate-to-severe hot flashes - ANSWER
-Hormone therapy
Hormone therapy regimen for postmenopausal woman with intact
uterus - ANSWER -Estrogen plus progestogen
pg. 1
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Recommended treatment for hot flashes in breast cancer survivor -
ANSWER -Paroxetine
Contraindication for systemic hormone therapy - ANSWER -
Unexplained vaginal bleeding
Non-hormonal medication effective for menopausal sleep disturbances
- ANSWER -Gabapentin
Primary risk factor for osteoporosis in postmenopausal women -
ANSWER -Estrogen deficiency
Diagnosis for a 60-year-old woman with a T-score of -2.8 on DEXA scan -
ANSWER -Osteoporosis
Gabapentin - ANSWER -Improves sleep and reduces hot flashes in
menopausal women.
T-score of -2.8 on DEXA scan - ANSWER -Indicates osteoporosis.
First-line medication for postmenopausal osteoporosis treatment -
ANSWER -Bisphosphonates.
pg. 2
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Recommended daily calcium intake for women aged 51-70 years -
ANSWER -1200 mg.
Medication that reduces fracture risk and breast cancer risk - ANSWER -
Raloxifene.
Cardiovascular risk factor that increases significantly after menopause -
ANSWER -Coronary artery disease.
Contributing factor to elevated LDL cholesterol post-menopause -
ANSWER -Estrogen decline.
Common metabolic change in postmenopausal women - ANSWER -
Increased visceral fat.
Most effective intervention to reduce cardiovascular risk in
postmenopausal women - ANSWER -Lifestyle modification.
Best approach for a woman on HT asking about cardiovascular safety -
ANSWER -Use lowest effective dose.
Most common symptom of genitourinary syndrome of menopause
(GSM) - ANSWER -Vaginal dryness.
pg. 3
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First-line treatment for vaginal atrophy in postmenopausal women -
ANSWER -Vaginal estrogen.
Likely cause of dyspareunia in a 57-year-old woman - ANSWER -Vaginal
atrophy.
Intervention that improves sexual function in postmenopausal women -
ANSWER -Vaginal moisturizers.
Potential cause of urinary urgency in a 56-year-old woman - ANSWER -
Genitourinary syndrome of menopause.
Lifestyle change that reduces menopausal hot flashes - ANSWER -
Avoiding triggers.
Triggers for Hot Flashes - ANSWER -Avoiding triggers (e.g., caffeine,
spicy foods) reduces hot flash frequency.
Recommended Exercise for Postmenopausal Women - ANSWER -
Weight-bearing exercise strengthens bones, reducing fracture risk.
Dietary Change for Cardiovascular Health - ANSWER -The
Mediterranean diet reduces cardiovascular risk through healthy fats and
fiber.
pg. 4
NAMS Menopause Exam Q-Bank – Complete
Certified Menopause Practitioner Practice
Questions with Verified Answers & Explanations –
Updated 2026 Study Resource
Median age of natural menopause - ANSWER -51 years
Characteristic hormonal change in menopause transition - ANSWER -
Declining estrogen
Reproductive stage of a 49-year-old with irregular periods and
vasomotor symptoms - ANSWER -Perimenopause
Definition of postmenopause - ANSWER -12 consecutive months
without menstruation
Laboratory finding supporting menopause diagnosis in a 52-year-old
woman - ANSWER -Elevated FSH (>25 IU/L)
Most effective treatment for moderate-to-severe hot flashes - ANSWER
-Hormone therapy
Hormone therapy regimen for postmenopausal woman with intact
uterus - ANSWER -Estrogen plus progestogen
pg. 1
,2|Page
Recommended treatment for hot flashes in breast cancer survivor -
ANSWER -Paroxetine
Contraindication for systemic hormone therapy - ANSWER -
Unexplained vaginal bleeding
Non-hormonal medication effective for menopausal sleep disturbances
- ANSWER -Gabapentin
Primary risk factor for osteoporosis in postmenopausal women -
ANSWER -Estrogen deficiency
Diagnosis for a 60-year-old woman with a T-score of -2.8 on DEXA scan -
ANSWER -Osteoporosis
Gabapentin - ANSWER -Improves sleep and reduces hot flashes in
menopausal women.
T-score of -2.8 on DEXA scan - ANSWER -Indicates osteoporosis.
First-line medication for postmenopausal osteoporosis treatment -
ANSWER -Bisphosphonates.
pg. 2
,3|Page
Recommended daily calcium intake for women aged 51-70 years -
ANSWER -1200 mg.
Medication that reduces fracture risk and breast cancer risk - ANSWER -
Raloxifene.
Cardiovascular risk factor that increases significantly after menopause -
ANSWER -Coronary artery disease.
Contributing factor to elevated LDL cholesterol post-menopause -
ANSWER -Estrogen decline.
Common metabolic change in postmenopausal women - ANSWER -
Increased visceral fat.
Most effective intervention to reduce cardiovascular risk in
postmenopausal women - ANSWER -Lifestyle modification.
Best approach for a woman on HT asking about cardiovascular safety -
ANSWER -Use lowest effective dose.
Most common symptom of genitourinary syndrome of menopause
(GSM) - ANSWER -Vaginal dryness.
pg. 3
, 4|Page
First-line treatment for vaginal atrophy in postmenopausal women -
ANSWER -Vaginal estrogen.
Likely cause of dyspareunia in a 57-year-old woman - ANSWER -Vaginal
atrophy.
Intervention that improves sexual function in postmenopausal women -
ANSWER -Vaginal moisturizers.
Potential cause of urinary urgency in a 56-year-old woman - ANSWER -
Genitourinary syndrome of menopause.
Lifestyle change that reduces menopausal hot flashes - ANSWER -
Avoiding triggers.
Triggers for Hot Flashes - ANSWER -Avoiding triggers (e.g., caffeine,
spicy foods) reduces hot flash frequency.
Recommended Exercise for Postmenopausal Women - ANSWER -
Weight-bearing exercise strengthens bones, reducing fracture risk.
Dietary Change for Cardiovascular Health - ANSWER -The
Mediterranean diet reduces cardiovascular risk through healthy fats and
fiber.
pg. 4
