1|Page
NAMS Menopause Certification Exam 2025 |
Actual Questions With 100% Verified Answers-
Frequently Tested
The period of endrocrinologic, somatic, and transitory psychologic changes that
occur around the time of menopause. - Correct-answer-Climacteric phase
LMP before age 45 - Correct-answer-Early menopause
LMP after age 54 - Correct-answer-Late menopause
Menopause that occurs before age 40 - Correct-answer-Primary ovarian
insufficiency
Persistent difference of 7 days or more in the length of consecutive cycles. -
Correct-answer-Early menopause transition (stage -2)
,2|Page
60 or more consecutive days of amenorrhea - Correct-answer-Late menopause
transition (stage -1)
Explains why some perimenopausal women have elevated estrogen level
sometimes...In the early menopause transition, elevated FSH levels are adequate
to recruit a second follicle which results in a follicular phase-like rise in estradiol
secretion superimposed on the mid-to-late luteal phase of the ongoing ovulatory
cycle. - Correct-answer-Luteal out of phase event (LOOP)
white, asiain, black, hispanic - Correct-answer-What 4 ethnic specific versions of
FRAX are there?
dairy free diet-300mg calcium daily.
Needs 800-1200mg - Correct-answer-Dairy free diet amount of calicum. How
much do they need to supplement?
approved in mexico
decreased risk of vertebral and nonvertebral fracture
increased risk of stroke - Correct-answer-Tibolone and osteoporosis
where is it approved?
why wasn't it submitted for approval in the US and canada?
,3|Page
decreased risk of vertebral and hip fracture in low fracture risk population, but
estrogen has not been shown to decrease fracture risk in women with
osteoporosis. More prevention than treatment. - Correct-answer-Why was
estrogen not approved for osteoporosis?
osteosarcoma - Correct-answer-Black box warning for PTH receptor agonists?
hypercalcemia - Correct-answer-caution using PTH receptor agonists in what
condition?
someone incredibly high risk for vertebral fracture - Correct-answer-when would
you use PTH receptor agonists?
vertebral fractures - Correct-answer-raloxifene helps with what kind of fractures?
increased risk of death from stroke in high risk patients, estrogen like risk of VTE,
worsens hot flashes - Correct-answer-raloxifene risk factors
, 4|Page
1 in 1000 after 2-3 years. - Correct-answer-atypical femur risk in women on
bisphosphonate?
small increase in spine BMD. daily SQ injections or nasal. - Correct-answer-
Salmon calcitonin and osteoporosis?
Decreased fibroblast activity
disrupted elastin
decreased GAG production
Disrupted melanocyte regulation
Decreased blood flow and cellular oxygenation effects on keratinocytes
Disruption of cellular growth factors and repair enzymes
accelerated lipoatrophy
Fat pad modification
Bone resorptuon - Correct-answer-Implications of estrogen drop on skin during
menopause
Involuntary loss of urine that occurs with an activity such as coughing or sneezing
that increases intraabdominal pressure. Leakage is in drops, usually 2/2 to poor
urethral support, urethral sphincter weakness, dysfunction of pelvic floor -
Correct-answer-Definition of stress incontinence
NAMS Menopause Certification Exam 2025 |
Actual Questions With 100% Verified Answers-
Frequently Tested
The period of endrocrinologic, somatic, and transitory psychologic changes that
occur around the time of menopause. - Correct-answer-Climacteric phase
LMP before age 45 - Correct-answer-Early menopause
LMP after age 54 - Correct-answer-Late menopause
Menopause that occurs before age 40 - Correct-answer-Primary ovarian
insufficiency
Persistent difference of 7 days or more in the length of consecutive cycles. -
Correct-answer-Early menopause transition (stage -2)
,2|Page
60 or more consecutive days of amenorrhea - Correct-answer-Late menopause
transition (stage -1)
Explains why some perimenopausal women have elevated estrogen level
sometimes...In the early menopause transition, elevated FSH levels are adequate
to recruit a second follicle which results in a follicular phase-like rise in estradiol
secretion superimposed on the mid-to-late luteal phase of the ongoing ovulatory
cycle. - Correct-answer-Luteal out of phase event (LOOP)
white, asiain, black, hispanic - Correct-answer-What 4 ethnic specific versions of
FRAX are there?
dairy free diet-300mg calcium daily.
Needs 800-1200mg - Correct-answer-Dairy free diet amount of calicum. How
much do they need to supplement?
approved in mexico
decreased risk of vertebral and nonvertebral fracture
increased risk of stroke - Correct-answer-Tibolone and osteoporosis
where is it approved?
why wasn't it submitted for approval in the US and canada?
,3|Page
decreased risk of vertebral and hip fracture in low fracture risk population, but
estrogen has not been shown to decrease fracture risk in women with
osteoporosis. More prevention than treatment. - Correct-answer-Why was
estrogen not approved for osteoporosis?
osteosarcoma - Correct-answer-Black box warning for PTH receptor agonists?
hypercalcemia - Correct-answer-caution using PTH receptor agonists in what
condition?
someone incredibly high risk for vertebral fracture - Correct-answer-when would
you use PTH receptor agonists?
vertebral fractures - Correct-answer-raloxifene helps with what kind of fractures?
increased risk of death from stroke in high risk patients, estrogen like risk of VTE,
worsens hot flashes - Correct-answer-raloxifene risk factors
, 4|Page
1 in 1000 after 2-3 years. - Correct-answer-atypical femur risk in women on
bisphosphonate?
small increase in spine BMD. daily SQ injections or nasal. - Correct-answer-
Salmon calcitonin and osteoporosis?
Decreased fibroblast activity
disrupted elastin
decreased GAG production
Disrupted melanocyte regulation
Decreased blood flow and cellular oxygenation effects on keratinocytes
Disruption of cellular growth factors and repair enzymes
accelerated lipoatrophy
Fat pad modification
Bone resorptuon - Correct-answer-Implications of estrogen drop on skin during
menopause
Involuntary loss of urine that occurs with an activity such as coughing or sneezing
that increases intraabdominal pressure. Leakage is in drops, usually 2/2 to poor
urethral support, urethral sphincter weakness, dysfunction of pelvic floor -
Correct-answer-Definition of stress incontinence
