Page 1 of 44
NAMS MENOPAUSE CERTIFICATION 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
CEE and estradiol are used in the ____ of osteoporosis. What is
NOT? - ✔✔✔ Correct Answer > PREVENTION; CE, synthetic conjugated
estrogens
Which topical vaginal estrogen has the highest dose? - ✔✔✔ Correct
Answer > the vaginal rings
FEMRING IS THE HIGHEST
Most common cause of vulvovaginitis? - ✔✔✔ Correct Answer > BV
What postmenopausal condition is associated with burning and
diffuse yellow/brown discharge and dyspareunia? Hint: it does
not respond to local ET. How do you treat it? - ✔✔✔ Correct Answer >
Desquamative inflammatory vaginitis (DIV). Treat with
clindamycin or hydrocortisone + ET.
,Page 2 of 44
What hormones are associated with sexual desire in women? -
✔✔✔ Correct Answer > circulating androgens
Women who have had a BSO experience an abrupt and persistent
decline in what hormone? - ✔✔✔ Correct Answer > circulating
androgen levels
In DSMV, HSDD and FAD were combined into a single dysfunction
called? - ✔✔✔ Correct Answer > Female Sexual Interest/Arousal
Disorder
HSDD treatments - ✔✔✔ Correct Answer > flibanserin and
bremelanotide
FGAD treatments (genital arousal disorder) - ✔✔✔ Correct Answer >
L-arginine, topical alprostadil, wellbutrin, oxytosin.
phosphodiesterase inhibitors-lacking in efficacy
Eros therapy device $300- vaccum-like the penis pump
FOD (orgasmic disorder) treatments - ✔✔✔ Correct Answer > directed
masturbation is most researched behavioral treatment.
What is true about cognition and surgical menopause - ✔✔✔ Correct
Answer > Memory for verbal information can be compromised
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immediately after surgical menopause, especially if it is before
the typical age of menopause.
Meta analysis of RCTs have shown small benefit of what
diet/exercise for global cognition and memory? - ✔✔✔ Correct Answer
> Mediterranean diet with olive oil as well as isoflavone
supplements helps with memory; MD and Tai Chi exercise helps
with global cognition.
effect of HRT on cognition - ✔✔✔ Correct Answer > small or no overall
effect on cognition
What HRT can increase your risk for dementia based on the
WHIMS study in 65+ year old healthy women? - ✔✔✔ Correct Answer >
EPT replacement was shown to double the risk of developing
dementia.
There was no significant increased risk in ET alone.
This is why HRT is not recommended after 65 for primary
prevention of dementia.
, Page 4 of 44
3 reasons supporting the idea that HRT in early menopause may
decrease a woman's chance of developing alzheimer's disease? -
✔✔✔ Correct Answer > 1. Observational studies imply it
2. Clinical trial of transdermal estradiol during the early
postmenopause stage is associated with reductions in AD
pathology.
3. 18 year cumulative follow up data from WHI found that women
randomized to ET had significantly lower risk of dying from AD or
dementia compared with women randomized to receive placebo.
Migraine headache and pregnancy - ✔✔✔ Correct Answer > typically
migraines improve-estrogen levels stabilize
Migraine without aura after menopause - ✔✔✔ Correct Answer >
usually decrease with natural menopause
menstrual migraine after menopause - ✔✔✔ Correct Answer > should
resolve completely
When to consider preventative medication for migraines - ✔✔✔
Correct Answer > >2 times per week or severe and effecting QOL
Triptans are contraindicated in what? - ✔✔✔ Correct Answer > Patients
with cardiovascular disease, as are NSAIDs
NAMS MENOPAUSE CERTIFICATION 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
CEE and estradiol are used in the ____ of osteoporosis. What is
NOT? - ✔✔✔ Correct Answer > PREVENTION; CE, synthetic conjugated
estrogens
Which topical vaginal estrogen has the highest dose? - ✔✔✔ Correct
Answer > the vaginal rings
FEMRING IS THE HIGHEST
Most common cause of vulvovaginitis? - ✔✔✔ Correct Answer > BV
What postmenopausal condition is associated with burning and
diffuse yellow/brown discharge and dyspareunia? Hint: it does
not respond to local ET. How do you treat it? - ✔✔✔ Correct Answer >
Desquamative inflammatory vaginitis (DIV). Treat with
clindamycin or hydrocortisone + ET.
,Page 2 of 44
What hormones are associated with sexual desire in women? -
✔✔✔ Correct Answer > circulating androgens
Women who have had a BSO experience an abrupt and persistent
decline in what hormone? - ✔✔✔ Correct Answer > circulating
androgen levels
In DSMV, HSDD and FAD were combined into a single dysfunction
called? - ✔✔✔ Correct Answer > Female Sexual Interest/Arousal
Disorder
HSDD treatments - ✔✔✔ Correct Answer > flibanserin and
bremelanotide
FGAD treatments (genital arousal disorder) - ✔✔✔ Correct Answer >
L-arginine, topical alprostadil, wellbutrin, oxytosin.
phosphodiesterase inhibitors-lacking in efficacy
Eros therapy device $300- vaccum-like the penis pump
FOD (orgasmic disorder) treatments - ✔✔✔ Correct Answer > directed
masturbation is most researched behavioral treatment.
What is true about cognition and surgical menopause - ✔✔✔ Correct
Answer > Memory for verbal information can be compromised
,Page 3 of 44
immediately after surgical menopause, especially if it is before
the typical age of menopause.
Meta analysis of RCTs have shown small benefit of what
diet/exercise for global cognition and memory? - ✔✔✔ Correct Answer
> Mediterranean diet with olive oil as well as isoflavone
supplements helps with memory; MD and Tai Chi exercise helps
with global cognition.
effect of HRT on cognition - ✔✔✔ Correct Answer > small or no overall
effect on cognition
What HRT can increase your risk for dementia based on the
WHIMS study in 65+ year old healthy women? - ✔✔✔ Correct Answer >
EPT replacement was shown to double the risk of developing
dementia.
There was no significant increased risk in ET alone.
This is why HRT is not recommended after 65 for primary
prevention of dementia.
, Page 4 of 44
3 reasons supporting the idea that HRT in early menopause may
decrease a woman's chance of developing alzheimer's disease? -
✔✔✔ Correct Answer > 1. Observational studies imply it
2. Clinical trial of transdermal estradiol during the early
postmenopause stage is associated with reductions in AD
pathology.
3. 18 year cumulative follow up data from WHI found that women
randomized to ET had significantly lower risk of dying from AD or
dementia compared with women randomized to receive placebo.
Migraine headache and pregnancy - ✔✔✔ Correct Answer > typically
migraines improve-estrogen levels stabilize
Migraine without aura after menopause - ✔✔✔ Correct Answer >
usually decrease with natural menopause
menstrual migraine after menopause - ✔✔✔ Correct Answer > should
resolve completely
When to consider preventative medication for migraines - ✔✔✔
Correct Answer > >2 times per week or severe and effecting QOL
Triptans are contraindicated in what? - ✔✔✔ Correct Answer > Patients
with cardiovascular disease, as are NSAIDs
