NAMS MENOPAUSE CERTIFICATION STUDY
GUIDE 2025-2026| ACTUAL EXAM
STUDYKIT WITH COMPLETE QUESTIONS
AND CORRECT ANSWERS GRADED A+||
REAL EXAM PRACTICE TEST WITH
GUARANTEED PASS
What is metabolic syndrome? Correct Answer A state of insulin
resistance, Cluster of conditions that increase the risk of heart
disease, stroke, and diabetes.
Diagnosing Metabolic Syndrome Correct Answer 3 or more: Waist
circumference ≥35 in (88 cm) in women, Triglycerides >150 mg/dL
OR Drug treatment for elevated triglycerides, HDL-C <50 mg/dL in
women OR Drug treatment for reduced HDL cholesterol, BP
≥130/85 OR Drug treatment for hypertension, Fasting blood
glucose ≥110 mg/dL OR Drug treatment for elevated glucose
When to screen for DM Correct Answer begin at 45 y/o and q 3
years OR earlier if risk factors
First line drugs for DM2 Correct Answer metformin
,Second line drugs for DM with known CVD Correct Answer
liraglutide, empagliflozin, canagliflozin
Second line drugs for DM WITHOUT known CVD Correct Answer
sulfonylureas, dipeptidyl peptidase-4 inhibitor, sodium glucose
cotransporter 2 inhibitors, GLP-1 receptor agonist drugs
Risk of breast cancer in BRCA 1 or 2 Correct Answer 72% lifetime
risk
Chemoprevention for breast cancer Correct Answer Tamoxifen
20mg/5yrs, Risk: emboli, endometrial cancer, Raloxifene with
decreased complications
VMS treatment for women with h/o breast cancer Correct Answer
gabapentin, sertraline, venlafaxine
What cancer has the highest mortality rate in women? Correct
Answer lung cancer
Climacteric phase Correct Answer The period of endocrinologic,
somatic, and transitory psychologic changes that occur around
the time of menopause.
Early menopause Correct Answer LMP before age 45.
, Late menopause Correct Answer LMP after age 54.
Primary ovarian insufficiency Correct Answer Menopause that
occurs before age 40.
Early menopause transition (stage -2) Correct Answer Persistent
difference of 7 days or more in the length of consecutive cycles.
Late menopause transition (stage -1) Correct Answer 60 or more
consecutive days of amenorrhea.
Luteal out of phase event (LOOP) Correct Answer Explains why
some perimenopausal women have elevated estrogen levels
sometimes.
Obese women and estradiol levels during menopause Correct
Answer Obese women are more likely to have anovulatory cycles
with high estradiol levels.
Chinese and Japanese women Correct Answer These ethnic
groups have lower estradiol levels than white, black and Hispanic
women.
GUIDE 2025-2026| ACTUAL EXAM
STUDYKIT WITH COMPLETE QUESTIONS
AND CORRECT ANSWERS GRADED A+||
REAL EXAM PRACTICE TEST WITH
GUARANTEED PASS
What is metabolic syndrome? Correct Answer A state of insulin
resistance, Cluster of conditions that increase the risk of heart
disease, stroke, and diabetes.
Diagnosing Metabolic Syndrome Correct Answer 3 or more: Waist
circumference ≥35 in (88 cm) in women, Triglycerides >150 mg/dL
OR Drug treatment for elevated triglycerides, HDL-C <50 mg/dL in
women OR Drug treatment for reduced HDL cholesterol, BP
≥130/85 OR Drug treatment for hypertension, Fasting blood
glucose ≥110 mg/dL OR Drug treatment for elevated glucose
When to screen for DM Correct Answer begin at 45 y/o and q 3
years OR earlier if risk factors
First line drugs for DM2 Correct Answer metformin
,Second line drugs for DM with known CVD Correct Answer
liraglutide, empagliflozin, canagliflozin
Second line drugs for DM WITHOUT known CVD Correct Answer
sulfonylureas, dipeptidyl peptidase-4 inhibitor, sodium glucose
cotransporter 2 inhibitors, GLP-1 receptor agonist drugs
Risk of breast cancer in BRCA 1 or 2 Correct Answer 72% lifetime
risk
Chemoprevention for breast cancer Correct Answer Tamoxifen
20mg/5yrs, Risk: emboli, endometrial cancer, Raloxifene with
decreased complications
VMS treatment for women with h/o breast cancer Correct Answer
gabapentin, sertraline, venlafaxine
What cancer has the highest mortality rate in women? Correct
Answer lung cancer
Climacteric phase Correct Answer The period of endocrinologic,
somatic, and transitory psychologic changes that occur around
the time of menopause.
Early menopause Correct Answer LMP before age 45.
, Late menopause Correct Answer LMP after age 54.
Primary ovarian insufficiency Correct Answer Menopause that
occurs before age 40.
Early menopause transition (stage -2) Correct Answer Persistent
difference of 7 days or more in the length of consecutive cycles.
Late menopause transition (stage -1) Correct Answer 60 or more
consecutive days of amenorrhea.
Luteal out of phase event (LOOP) Correct Answer Explains why
some perimenopausal women have elevated estrogen levels
sometimes.
Obese women and estradiol levels during menopause Correct
Answer Obese women are more likely to have anovulatory cycles
with high estradiol levels.
Chinese and Japanese women Correct Answer These ethnic
groups have lower estradiol levels than white, black and Hispanic
women.
