Page 1 of 90
NAMS MENOPAUSE CERTIFICATION EXAM NEWEST
2025 ACTUAL EXAM TEST BANK| COMPLETE 350
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+| NAMS
MENOPAUSE CERTIFICATION EXAM REVIEW 2025
(MOST RECENT!!)
Which of the following agents would be the best option to treat
moderate hot flashes in a 55-year-old woman with history of breast
cancer?
A. Tibolone
B. Estrogen
C. Paroxetine
D. Progestogen – Correct Answer - C.
What is the first-line therapy for a 58-year-old postmenopausal woman
suffering from mild genitourinary syndrome of menopause?
A. Intravaginal moisturizer and lubricants
B. Intravaginal estrogen cream
C. Paroxetine
D. Clonidine – Correct Answer - A.
Which of the following is most effective for the treatment of severe hot
flashes in a 54-year-old healthy menopausal woman?
pg. 1
,Page 2 of 90
A. Estrogen and progestogen therapy
B. Black cohosh
C. Bazedoxifene
D. Paroxetine – Correct Answer - A.
Continued vasomotor symptoms in a 52-year-old postmenopausal
woman with a history of hysterectomy receiving 0.3 mg of oral
conjugated equine estrogens can best be managed by:
A. Changing to a SERM
B. Changing to gabapentin
C. Increasing the daily estrogen dose
D. Decreasing the daily estrogen dose – Correct Answer - C.
A 54-year-old postmenopausal woman is complaining of vaginal
dryness, itching, and pain with intercourse. She has not had any other
problems associated with menopause and has an intact uterus. Which of
the following recommendations is the best treatment option that balances
risks and benefits for the management of this patient's symptoms?
A. Oral conjugated estrogen + medroxyprogesterone acetate
B. Transdermal estradiol + micronized oral progesterone
C. Intravaginal estrogen cream + oral progestogen
D. Intravaginal estrogen cream – Correct Answer - D.
pg. 2
,Page 3 of 90
A 47-year-old postmenopausal woman with an intact uterus reports
experiencing bothersome vasomotor symptoms. She has a history of gall
bladder disease. Which of the following is the best treatment option for
management of her symptoms?
A. Transdermal estrogen
B. Transdermal estrogen with micronized progesterone
C. Oral conjugated equine estrogen
D. Oral conjugated equine estrogen with micronized progesterone –
Correct Answer - B.
MJ is a healthy 53-year-old female. She reports her last menses was 9
months ago. MJ is likely experiencing?
A. Menopause
B. Perimenopause
C. Postmenopause
D. Early onset menopause – Correct Answer - B.
A 51-year-old woman is experiencing severe vasomotor symptoms. Her
past medical history is significant for hysterectomy. Which of the
following is the best treatment options to alleviate her vasomotor
symptoms?
A. Black cohosh
B. Systemic estrogen therapy
C. Compounded bioidentical hormone therapy
pg. 3
, Page 4 of 90
D. Transdermal estrogen with progestin therapy – Correct Answer - B.
A 50 year old woman presents with complaints of hot flashes and night
sweats. She states that they often cause her to change her bed clothes in
the middle of the night and are affecting her sleep quality. Her past
medical history is significant for osteoporosis and venous
thromboembolism. She currently takes alendronate 70 mg weekly and
warfarin 2 mg orally every day. She has not had a hysterectomy. Which
of the following therapies is most appropriate for this patient?
A. Ospemifene 60 mg daily
B. CEE 0.3 mg + MPA 2.5 mg daily
C. Soy isoflavones 80 mg daily
D. Paroxetine mesylate 7.5 mg daily – Correct Answer - D.
A 53 year old woman has taken CEE 0.3/MPA 2.5 mg once daily for the
past year for vasomotor symptoms (VMS). She has become more
concerned about the use of estrogens and would like to try a non
hormonal therapy to control her hot flashes. Based on demonstrated
efficacy, which one of the following alternative regimens would be the
most appropriate choice for this patient?
A. Clonidine 0.4 mg daily
B. Gabapentin 300 mg daily
C. Soy isoflavones 80 g daily
D. Black cohosh 40 mg daily – Correct Answer - B.
pg. 4
NAMS MENOPAUSE CERTIFICATION EXAM NEWEST
2025 ACTUAL EXAM TEST BANK| COMPLETE 350
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+| NAMS
MENOPAUSE CERTIFICATION EXAM REVIEW 2025
(MOST RECENT!!)
Which of the following agents would be the best option to treat
moderate hot flashes in a 55-year-old woman with history of breast
cancer?
A. Tibolone
B. Estrogen
C. Paroxetine
D. Progestogen – Correct Answer - C.
What is the first-line therapy for a 58-year-old postmenopausal woman
suffering from mild genitourinary syndrome of menopause?
A. Intravaginal moisturizer and lubricants
B. Intravaginal estrogen cream
C. Paroxetine
D. Clonidine – Correct Answer - A.
Which of the following is most effective for the treatment of severe hot
flashes in a 54-year-old healthy menopausal woman?
pg. 1
,Page 2 of 90
A. Estrogen and progestogen therapy
B. Black cohosh
C. Bazedoxifene
D. Paroxetine – Correct Answer - A.
Continued vasomotor symptoms in a 52-year-old postmenopausal
woman with a history of hysterectomy receiving 0.3 mg of oral
conjugated equine estrogens can best be managed by:
A. Changing to a SERM
B. Changing to gabapentin
C. Increasing the daily estrogen dose
D. Decreasing the daily estrogen dose – Correct Answer - C.
A 54-year-old postmenopausal woman is complaining of vaginal
dryness, itching, and pain with intercourse. She has not had any other
problems associated with menopause and has an intact uterus. Which of
the following recommendations is the best treatment option that balances
risks and benefits for the management of this patient's symptoms?
A. Oral conjugated estrogen + medroxyprogesterone acetate
B. Transdermal estradiol + micronized oral progesterone
C. Intravaginal estrogen cream + oral progestogen
D. Intravaginal estrogen cream – Correct Answer - D.
pg. 2
,Page 3 of 90
A 47-year-old postmenopausal woman with an intact uterus reports
experiencing bothersome vasomotor symptoms. She has a history of gall
bladder disease. Which of the following is the best treatment option for
management of her symptoms?
A. Transdermal estrogen
B. Transdermal estrogen with micronized progesterone
C. Oral conjugated equine estrogen
D. Oral conjugated equine estrogen with micronized progesterone –
Correct Answer - B.
MJ is a healthy 53-year-old female. She reports her last menses was 9
months ago. MJ is likely experiencing?
A. Menopause
B. Perimenopause
C. Postmenopause
D. Early onset menopause – Correct Answer - B.
A 51-year-old woman is experiencing severe vasomotor symptoms. Her
past medical history is significant for hysterectomy. Which of the
following is the best treatment options to alleviate her vasomotor
symptoms?
A. Black cohosh
B. Systemic estrogen therapy
C. Compounded bioidentical hormone therapy
pg. 3
, Page 4 of 90
D. Transdermal estrogen with progestin therapy – Correct Answer - B.
A 50 year old woman presents with complaints of hot flashes and night
sweats. She states that they often cause her to change her bed clothes in
the middle of the night and are affecting her sleep quality. Her past
medical history is significant for osteoporosis and venous
thromboembolism. She currently takes alendronate 70 mg weekly and
warfarin 2 mg orally every day. She has not had a hysterectomy. Which
of the following therapies is most appropriate for this patient?
A. Ospemifene 60 mg daily
B. CEE 0.3 mg + MPA 2.5 mg daily
C. Soy isoflavones 80 mg daily
D. Paroxetine mesylate 7.5 mg daily – Correct Answer - D.
A 53 year old woman has taken CEE 0.3/MPA 2.5 mg once daily for the
past year for vasomotor symptoms (VMS). She has become more
concerned about the use of estrogens and would like to try a non
hormonal therapy to control her hot flashes. Based on demonstrated
efficacy, which one of the following alternative regimens would be the
most appropriate choice for this patient?
A. Clonidine 0.4 mg daily
B. Gabapentin 300 mg daily
C. Soy isoflavones 80 g daily
D. Black cohosh 40 mg daily – Correct Answer - B.
pg. 4
