Page 1 of 85
NAMS MENOPAUSE CERTIFICATION EXAM NEWEST
2025 ACTUAL EXAM TEST BANK| COMPLETE 400
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ GRADED A+| NAMS MENOPAUSE
CERTIFICATION EXAM PREP 2025 (BRAND NEW!!)
What are the early post menopause stages – ANSWER - +1a +1b +1c
which STRAW+10 stage is the end of perimenopause – ANSWER - +1a
definition of STRAW+10 +1a stage – ANSWER - 12 months after the
FMP
what is straw+10 +1b stage? – ANSWER - encompasses the second year
of postmenopause stage
ends when FSH and estradiol stabilizes
When are VMS most likely to occur? – ANSWER - stages +1a and +1b
which in general lasts 2 years
What is stage +1c and how long does it last? – ANSWER - 3-6 years,
high FSH and low estradiol levels stabilize
When does stage +2? – ANSWER - 5-8 years after the FMP
pg. 1
,Page 2 of 85
Which STRAW+10 stage is marked by most GU symptoms? –
ANSWER - +2
What stage are VMS more likely? - ANSWER - +1b (generally last 2
years)
What hormone is generally higher in obese women? - ANSWER -
Estrone-via aromatization.
The postmenopausal ovary continues to produce what two hormones? -
ANSWER - testosterone and androstenedione
Surgical menopause causes women to have lower levels of what
hormone? - ANSWER - testosterone. 40-50% lower than in women w/
intact ovaries.
In the US, what is a good QC indicator in manufacturing regarding
dietary supplements? – ANSWER - USP and NSF (national sanitation
foundation)
Which dietary supplement & vitamin are not recommended by the
USPSTF based on their increased cardiovascular and cancer risks? –
ANSWER - beta-carotene and Vit E
Mediterranean diet is associated with reduced risk for what cancer? –
ANSWER - Breast and colorectal
pg. 2
,Page 3 of 85
Greater fruit and vegetable intake has been associated with decrease risk
or outcomes in which cancers (4)? – ANSWER - Pancreatic
Breast
Colon
Bladder
List the populations at risk for Thiamin (B1) deficiency (6) – ANSWER
- Alcohol abuse/misuse
Elderly
Malnutrition
Bariatric Surgery
Critical Illness
Heart Failure
List the food sources of B3 (niacin). – ANSWER - Meat, fish, poultry,
enriched and whole-grain breads, fortified cereals
What can niacin (B3) be used to treat? – ANSWER - All major lipid
parameters, reducing LDL and triglycerides while increasing HDL.
Women have a greater reduction than men in meta-analysis review.
What are the AE associated with niacin (B3)? – ANSWER - flushing
(ASA), itching, and GI distress
Most common cause of vulvovaginitis? - ANSWER - BV
pg. 3
, Page 4 of 85
post menopause burning and diffuse yellow/brown discharge and
dyspareunia that does not respond to local ET? - ANSWER -
desquamative inflammatory vaginitis. treat different with clindamycin or
hydrocortisone+ET
What hormones are associated with sexual desire in women? -
ANSWER - circulating androgens
Women who have had a BSO experience an abrupt and persistent
decline in what hormone? - ANSWER - circulating androgen levels
HSDD and FSAD were combined into a single dysrunction called -
ANSWER - female sexual interest/arousal disorder
HSDD treatments - ANSWER - flibanserin and bremelanotide
what hpv is high risk? - ANSWER - 16 and 18
by age 50 what percentage of US women will have acquired a genital
HPV infection? - ANSWER - 80%-HPV is very common, but it is the
high risk ones to worry about
what is the most commonly sexually transmitted infection in the US? -
ANSWER – HPV
What t score defines osteopenia - ANSWER - -1.5 to -2.5
pg. 4
NAMS MENOPAUSE CERTIFICATION EXAM NEWEST
2025 ACTUAL EXAM TEST BANK| COMPLETE 400
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ GRADED A+| NAMS MENOPAUSE
CERTIFICATION EXAM PREP 2025 (BRAND NEW!!)
What are the early post menopause stages – ANSWER - +1a +1b +1c
which STRAW+10 stage is the end of perimenopause – ANSWER - +1a
definition of STRAW+10 +1a stage – ANSWER - 12 months after the
FMP
what is straw+10 +1b stage? – ANSWER - encompasses the second year
of postmenopause stage
ends when FSH and estradiol stabilizes
When are VMS most likely to occur? – ANSWER - stages +1a and +1b
which in general lasts 2 years
What is stage +1c and how long does it last? – ANSWER - 3-6 years,
high FSH and low estradiol levels stabilize
When does stage +2? – ANSWER - 5-8 years after the FMP
pg. 1
,Page 2 of 85
Which STRAW+10 stage is marked by most GU symptoms? –
ANSWER - +2
What stage are VMS more likely? - ANSWER - +1b (generally last 2
years)
What hormone is generally higher in obese women? - ANSWER -
Estrone-via aromatization.
The postmenopausal ovary continues to produce what two hormones? -
ANSWER - testosterone and androstenedione
Surgical menopause causes women to have lower levels of what
hormone? - ANSWER - testosterone. 40-50% lower than in women w/
intact ovaries.
In the US, what is a good QC indicator in manufacturing regarding
dietary supplements? – ANSWER - USP and NSF (national sanitation
foundation)
Which dietary supplement & vitamin are not recommended by the
USPSTF based on their increased cardiovascular and cancer risks? –
ANSWER - beta-carotene and Vit E
Mediterranean diet is associated with reduced risk for what cancer? –
ANSWER - Breast and colorectal
pg. 2
,Page 3 of 85
Greater fruit and vegetable intake has been associated with decrease risk
or outcomes in which cancers (4)? – ANSWER - Pancreatic
Breast
Colon
Bladder
List the populations at risk for Thiamin (B1) deficiency (6) – ANSWER
- Alcohol abuse/misuse
Elderly
Malnutrition
Bariatric Surgery
Critical Illness
Heart Failure
List the food sources of B3 (niacin). – ANSWER - Meat, fish, poultry,
enriched and whole-grain breads, fortified cereals
What can niacin (B3) be used to treat? – ANSWER - All major lipid
parameters, reducing LDL and triglycerides while increasing HDL.
Women have a greater reduction than men in meta-analysis review.
What are the AE associated with niacin (B3)? – ANSWER - flushing
(ASA), itching, and GI distress
Most common cause of vulvovaginitis? - ANSWER - BV
pg. 3
, Page 4 of 85
post menopause burning and diffuse yellow/brown discharge and
dyspareunia that does not respond to local ET? - ANSWER -
desquamative inflammatory vaginitis. treat different with clindamycin or
hydrocortisone+ET
What hormones are associated with sexual desire in women? -
ANSWER - circulating androgens
Women who have had a BSO experience an abrupt and persistent
decline in what hormone? - ANSWER - circulating androgen levels
HSDD and FSAD were combined into a single dysrunction called -
ANSWER - female sexual interest/arousal disorder
HSDD treatments - ANSWER - flibanserin and bremelanotide
what hpv is high risk? - ANSWER - 16 and 18
by age 50 what percentage of US women will have acquired a genital
HPV infection? - ANSWER - 80%-HPV is very common, but it is the
high risk ones to worry about
what is the most commonly sexually transmitted infection in the US? -
ANSWER – HPV
What t score defines osteopenia - ANSWER - -1.5 to -2.5
pg. 4
