NAMS MENOPAUSE CERTIFICATION
COMPREHENSIVE EXAM STUDY GUIDE
COMPLETE QUESTIONS AND SOLUTIONS
●● 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
●● 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.
●● 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.
COMPREHENSIVE EXAM STUDY GUIDE
COMPLETE QUESTIONS AND SOLUTIONS
●● 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
●● 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.
●● 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.
