NAMS
Menopause Certification Exam Study Set | Practice
Questions, Answers & Rationales
THIS EXAM INCLUDES:
• NAMS Menopause Certification practice questions
• Answers with detailed explanations
• Menopause assessment and diagnosis
• Vasomotor symptoms
• Genitourinary syndrome of menopause
• Sexual health
• Sleep and mood considerations
• Patient counseling and shared decision-making
• Clinical case-based review
• High-yield exam preparation topics
,NAMS Menopause Certification Exam Study Set
| Practice Questions, Answers & Rationales
1. Secondary causes of osteoporosis include which three common
drugs?
A) Tamoxifen, steroids, and PPIs
B) Antibiotics, antivirals, and antifungals
C) Antihypertensives, diuretics, and beta-blockers
D) NSAIDs, acetaminophen, and aspirin
Answer: A
Rationale: Secondary causes of osteoporosis include hyperthyroidism,
hyperparathyroidism, hypercalciuria, and certain drugs such as tamoxifen,
steroids, and PPIs (proton pump inhibitors). Other causes include
calcium/vitamin D deficiency, RA, celiac disease, and malabsorptive
diseases.
2. The median age of menopause in US women is:
A) 52.54 years
B) 50 years
C) 51 years
D) 53 years
Answer: A
Rationale: The median age of menopause in US women is 52.54 years,
which serves as a reference point for evaluating normal versus premature
menopause.
,3. POI (Primary Ovarian Insufficiency) is defined as:
A) Intermittent ovarian function and insufficient estrogen levels occurring
at age <40 years
B) Complete ovarian failure at age <30 years
C) Menopause occurring at age 45-50 years
D) Transient ovarian dysfunction at any age
Answer: A
Rationale: POI is characterized by intermittent ovarian function and
insufficient estrogen levels occurring at age <40 years, distinguishing it
from normal menopause.
4. According to STRAW criteria, which stage corresponds to
menarche/early reproductive?
A) -5
B) -4
C) -3
D) -2
Answer: A
Rationale: The STRAW staging system designates menarche/early
reproductive as stage -5, representing the beginning of reproductive life.
5. According to STRAW criteria, which stage corresponds to peak
reproductive?
A) -4
B) -5
, C) -3
D) -2
Answer: A
Rationale: Peak reproductive stage is designated as -4 in the STRAW
staging system, representing the period of optimal fertility.
6. According to STRAW criteria, which stage corresponds to late
reproductive?
A) -3
B) -4
C) -5
D) -2
Answer: A
Rationale: Late reproductive stage is designated as -3 in the STRAW staging
system, marking the beginning of reproductive aging.
7. According to STRAW criteria, perimenopause corresponds to which
stages?
A) -2 to -1 and +1a
B) -3 to -2
C) 0 to +1
D) +1 to +2
Answer: A
Rationale: Perimenopause spans STRAW stages -2 to -1 and +1a,
encompassing the menopause transition and the 12 months following FMP.
Menopause Certification Exam Study Set | Practice
Questions, Answers & Rationales
THIS EXAM INCLUDES:
• NAMS Menopause Certification practice questions
• Answers with detailed explanations
• Menopause assessment and diagnosis
• Vasomotor symptoms
• Genitourinary syndrome of menopause
• Sexual health
• Sleep and mood considerations
• Patient counseling and shared decision-making
• Clinical case-based review
• High-yield exam preparation topics
,NAMS Menopause Certification Exam Study Set
| Practice Questions, Answers & Rationales
1. Secondary causes of osteoporosis include which three common
drugs?
A) Tamoxifen, steroids, and PPIs
B) Antibiotics, antivirals, and antifungals
C) Antihypertensives, diuretics, and beta-blockers
D) NSAIDs, acetaminophen, and aspirin
Answer: A
Rationale: Secondary causes of osteoporosis include hyperthyroidism,
hyperparathyroidism, hypercalciuria, and certain drugs such as tamoxifen,
steroids, and PPIs (proton pump inhibitors). Other causes include
calcium/vitamin D deficiency, RA, celiac disease, and malabsorptive
diseases.
2. The median age of menopause in US women is:
A) 52.54 years
B) 50 years
C) 51 years
D) 53 years
Answer: A
Rationale: The median age of menopause in US women is 52.54 years,
which serves as a reference point for evaluating normal versus premature
menopause.
,3. POI (Primary Ovarian Insufficiency) is defined as:
A) Intermittent ovarian function and insufficient estrogen levels occurring
at age <40 years
B) Complete ovarian failure at age <30 years
C) Menopause occurring at age 45-50 years
D) Transient ovarian dysfunction at any age
Answer: A
Rationale: POI is characterized by intermittent ovarian function and
insufficient estrogen levels occurring at age <40 years, distinguishing it
from normal menopause.
4. According to STRAW criteria, which stage corresponds to
menarche/early reproductive?
A) -5
B) -4
C) -3
D) -2
Answer: A
Rationale: The STRAW staging system designates menarche/early
reproductive as stage -5, representing the beginning of reproductive life.
5. According to STRAW criteria, which stage corresponds to peak
reproductive?
A) -4
B) -5
, C) -3
D) -2
Answer: A
Rationale: Peak reproductive stage is designated as -4 in the STRAW
staging system, representing the period of optimal fertility.
6. According to STRAW criteria, which stage corresponds to late
reproductive?
A) -3
B) -4
C) -5
D) -2
Answer: A
Rationale: Late reproductive stage is designated as -3 in the STRAW staging
system, marking the beginning of reproductive aging.
7. According to STRAW criteria, perimenopause corresponds to which
stages?
A) -2 to -1 and +1a
B) -3 to -2
C) 0 to +1
D) +1 to +2
Answer: A
Rationale: Perimenopause spans STRAW stages -2 to -1 and +1a,
encompassing the menopause transition and the 12 months following FMP.
