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NAMS MENOPAUSE CERTIFICATION EXAM FOR 2025-2026
NAMS MENOPAUSE CERTIFICATION EXAM
NAMS MENOPAUSE CERTIFICATION EXAM
NAMS MENOPAUSE
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Study Guide - NAMS MENOPAUSE CERTIFICATION EXAM for 2025-2026 - Page 1
, NAMS MENOPAUSE NAMS MENOPAUSE CERTIFICATION EXAM
TABLE OF CONTENTS
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1. Important Terms and Definitions resources
2. Study Questions and Answers
3. study guide / test bank
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Study Guide - NAMS MENOPAUSE CERTIFICATION EXAM for 2025-2026 - Page 2
, NAMS MENOPAUSE NAMS MENOPAUSE CERTIFICATION EXAM
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1. ('What is the safest age window for HT initiation?', 'Before age 60 or within 10 years of resources
menopause.')
2. ('What is the relationship between menopause and migraines?', 'May worsen with fluctuating
estrogen.')
3. ('Which estrogen route is best for women with gallbladder disease?', 'Transdermal.')
4. ('What is the main goal of menopause management?', 'Symptom relief and long-term health
protection.')
5. ('What is the average age of natural menopause in the U.S.?', '51 years')
6. ('Which hormone primarily declines during menopause?', 'Estrogen')
7. ('What is the main cause of hot flashes in menopause?', 'Fluctuating estrogen levels affecting
thermoregulation')
8. ('Which hormone replacement therapy is required for women with an intact uterus?', 'Estrogen
plus progestogen')
9. ('What type of estrogen is most commonly used in HRT?', '17β-estradiol')
10. ('What is the primary risk of unopposed estrogen therapy in women with a uterus?', 'Endometrial
hyperplasia and cancer')
menopause?', 'Ospemifene')
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11. ('Which selective estrogen receptor modulator (SERM) is approved for dyspareunia in
12. ('What is the gold standard for diagnosing menopause?', '12 consecutive months of
amenorrhea')
13. ('Which non-hormonal drug class can reduce hot flashes?', 'SSRIs/SNRIs')
14. ('What lab test confirms menopause?', 'Elevated FSH with low estradiol')
15. ('Which lifestyle intervention helps reduce hot flashes?', 'Weight loss')
16. ('What is the most effective treatment for vasomotor symptoms?', 'Systemic hormone therapy')
17. ('What is the safest duration for HRT according to current guidelines?', 'Use lowest dose for
shortest duration needed')
18. ('What is premature menopause?', 'Menopause before age 40')
19. ('What is the leading cause of premature ovarian insufficiency?', 'Genetic and autoimmune
factors')
20. ('Which hormone declines first during the menopausal transition?', 'Progesterone')
21. ('What is the primary effect of menopause on bone health?', 'Increased risk of osteoporosis')
22. ('Which screening is recommended post-menopause for bone health?', 'DEXA scan')
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23. ('What is the major cardiovascular risk factor post-menopause?', 'Loss of estrogen protection
leading to higher LDL')
24. ('Which vaginal estrogen formulation is used for genitourinary syndrome of menopause?',
'Vaginal creams, rings, or tablets')
25. ('What is the difference between bioidentical and synthetic hormones?', 'Bioidentical hormones
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endogenous CERTIFICATION EXAM for 2025-2026 - Page 3
hormones')