1
NAMS Menopause Certification
Exam With Verified Questions
and Answers | Latest 2025-2026
Median age of natural menopause - Correct Answer-51 years
Characteristic hormonal change in menopause transition - Correct Answer-Declining
estrogen
Reproductive stage of a 49-year-old with irregular periods and vasomotor symptoms -
Correct Answer-Perimenopause
Definition of postmenopause - Correct Answer-12 consecutive months without
menstruation
Laboratory finding supporting menopause diagnosis in a 52-year-old woman - Correct
Answer-Elevated FSH (>25 IU/L)
Most effective treatment for moderate-to-severe hot flashes - Correct Answer-Hormone
therapy
Hormone therapy regimen for postmenopausal woman with intact uterus - Correct
Answer-Estrogen plus progestogen
Recommended treatment for hot flashes in breast cancer survivor - Correct Answer-
Paroxetine
Contraindication for systemic hormone therapy - Correct Answer-Unexplained vaginal
bleeding
Non-hormonal medication effective for menopausal sleep disturbances - Correct
Answer-Gabapentin
Primary risk factor for osteoporosis in postmenopausal women - Correct Answer-
Estrogen deficiency
Diagnosis for a 60-year-old woman with a T-score of -2.8 on DEXA scan - Correct
Answer-Osteoporosis
1
, 2
Gabapentin - Correct Answer-Improves sleep and reduces hot flashes in menopausal
women.
T-score of -2.8 on DEXA scan - Correct Answer-Indicates osteoporosis.
First-line medication for postmenopausal osteoporosis treatment - Correct Answer-
Bisphosphonates.
Recommended daily calcium intake for women aged 51-70 years - Correct Answer-1200
mg.
Medication that reduces fracture risk and breast cancer risk - Correct Answer-
Raloxifene.
Cardiovascular risk factor that increases significantly after menopause - Correct
Answer-Coronary artery disease.
Contributing factor to elevated LDL cholesterol post-menopause - Correct Answer-
Estrogen decline.
Common metabolic change in postmenopausal women - Correct Answer-Increased
visceral fat.
Most effective intervention to reduce cardiovascular risk in postmenopausal women -
Correct Answer-Lifestyle modification.
Best approach for a woman on HT asking about cardiovascular safety - Correct Answer-
Use lowest effective dose.
Most common symptom of genitourinary syndrome of menopause (GSM) - Correct
Answer-Vaginal dryness.
First-line treatment for vaginal atrophy in postmenopausal women - Correct Answer-
Vaginal estrogen.
Likely cause of dyspareunia in a 57-year-old woman - Correct Answer-Vaginal atrophy.
Intervention that improves sexual function in postmenopausal women - Correct
Answer-Vaginal moisturizers.
Potential cause of urinary urgency in a 56-year-old woman - Correct Answer-
Genitourinary syndrome of menopause.
2
NAMS Menopause Certification
Exam With Verified Questions
and Answers | Latest 2025-2026
Median age of natural menopause - Correct Answer-51 years
Characteristic hormonal change in menopause transition - Correct Answer-Declining
estrogen
Reproductive stage of a 49-year-old with irregular periods and vasomotor symptoms -
Correct Answer-Perimenopause
Definition of postmenopause - Correct Answer-12 consecutive months without
menstruation
Laboratory finding supporting menopause diagnosis in a 52-year-old woman - Correct
Answer-Elevated FSH (>25 IU/L)
Most effective treatment for moderate-to-severe hot flashes - Correct Answer-Hormone
therapy
Hormone therapy regimen for postmenopausal woman with intact uterus - Correct
Answer-Estrogen plus progestogen
Recommended treatment for hot flashes in breast cancer survivor - Correct Answer-
Paroxetine
Contraindication for systemic hormone therapy - Correct Answer-Unexplained vaginal
bleeding
Non-hormonal medication effective for menopausal sleep disturbances - Correct
Answer-Gabapentin
Primary risk factor for osteoporosis in postmenopausal women - Correct Answer-
Estrogen deficiency
Diagnosis for a 60-year-old woman with a T-score of -2.8 on DEXA scan - Correct
Answer-Osteoporosis
1
, 2
Gabapentin - Correct Answer-Improves sleep and reduces hot flashes in menopausal
women.
T-score of -2.8 on DEXA scan - Correct Answer-Indicates osteoporosis.
First-line medication for postmenopausal osteoporosis treatment - Correct Answer-
Bisphosphonates.
Recommended daily calcium intake for women aged 51-70 years - Correct Answer-1200
mg.
Medication that reduces fracture risk and breast cancer risk - Correct Answer-
Raloxifene.
Cardiovascular risk factor that increases significantly after menopause - Correct
Answer-Coronary artery disease.
Contributing factor to elevated LDL cholesterol post-menopause - Correct Answer-
Estrogen decline.
Common metabolic change in postmenopausal women - Correct Answer-Increased
visceral fat.
Most effective intervention to reduce cardiovascular risk in postmenopausal women -
Correct Answer-Lifestyle modification.
Best approach for a woman on HT asking about cardiovascular safety - Correct Answer-
Use lowest effective dose.
Most common symptom of genitourinary syndrome of menopause (GSM) - Correct
Answer-Vaginal dryness.
First-line treatment for vaginal atrophy in postmenopausal women - Correct Answer-
Vaginal estrogen.
Likely cause of dyspareunia in a 57-year-old woman - Correct Answer-Vaginal atrophy.
Intervention that improves sexual function in postmenopausal women - Correct
Answer-Vaginal moisturizers.
Potential cause of urinary urgency in a 56-year-old woman - Correct Answer-
Genitourinary syndrome of menopause.
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