NAMS Menopause Certification Q&A Bank 2026 | Exam
Success Guide | Graded A+
1. Sophia, a 48-year-old patient, presents with irregular menstrual cycles and
wonders if she's entering menopause. She mentions experiencing hormonal
fluctuations for the last four years. What phase of the menopause transition is
Sophia most likely in?
Perimenopause
Post menopause
Natural menopause
Induced menopause.
2. What vulvar disorder is often confused with eczema or dermatitis?
Contact dermatitis
Lichen sclerosus
Vulvar vestibulitis
Psoriasis
3. VV is a 54-year-old female presenting to the Women's Clinic complaining of
frequent night sweats and hot flashes. She reports this has been happening
for the past 6 months. She also reports that she has been increasingly sad
and having trouble sleeping and concentrating and complains of vaginal
dryness causing intercourse to be painful. Which of the following symptoms
is considered a vasomotor symptom of menopause?
Difficulty concentrating
Hot flashes
Mood changes
, Insomnia
4. What is one common treatment option for orgasmic disorder (FOD)?
Surgical intervention
Antidepressant medication
Cognitive behavioral therapy
Hormone replacement therapy
5. The first-line treatment for female orgasmic disorder (FOD) is generally
considered to be which of the following?
directed masturbation
Kegel exercises
relaxation training
orgasmic reconditioning
6. Describe the relationship between FSH levels and ovarian function during the
late reproductive years.
FSH levels are unrelated to ovarian function.
As ovarian function declines, FSH levels increase due to reduced
feedback from inhibin and AMH.
FSH levels remain constant regardless of ovarian function.
Increased ovarian function leads to decreased FSH levels.
7. Describe the significance of combining HSDD and FAD into a single
dysfunction in the DSMV.
It emphasizes the psychological aspects of sexual dysfunction.
, It reduces the number of sexual dysfunctions recognized by the
DSMV.
Combining HSDD and FAD into a single dysfunction helps
streamline diagnosis and treatment for women's sexual health issues.
It allows for more specific categorization of sexual dysfunctions.
8. What type of studies were analyzed in the meta-analysis that assessed diet
and exercise benefits on cognition and memory?
Cross-Sectional Studies
Randomized Controlled Trials (RCTs)
Case-Control Studies
Cohort Studies
9. A 42-year-old woman has bilateral oophorectomy (removal of both ovaries).
Several weeks after her surgery, what would you expect to find with her
hormone levels?
FSH & LH high, estrogen & progesterone low
FSH & LH high, estrogen & progesterone high
FSH & LH low, estrogen & progesterone high
FSH & LH low, estrogen & progesterone low
10. If a postmenopausal woman is diagnosed with low-grade VIN, what should
be the recommended course of action?
Hormone replacement therapy should be initiated immediately.
Immediate surgical intervention is necessary.
Regular monitoring and potential treatment options should be
discussed with her healthcare provider.
, No action is required as it is a benign condition.
11. Surgical Menopause has what dramatic effect?
there is no effect because the body compensates
decrease in estrogen and progestin
shorter follicular phase
active estrogen and estradiol
12. Describe the importance of progesterone in the treatment of primary
ovarian insufficiency in women with an intact uterus.
Progesterone is primarily used to increase estrogen levels.
Progesterone is used solely for its mood-stabilizing effects.
Progesterone helps to protect the endometrium and prevent
hyperplasia in women with an intact uterus.
Progesterone has no significant role in women with an intact uterus.
13. What is the clinical application of testing anti-mullerian hormone (AMH)?
Congenital adrenal hyperplasia (CAH); premature pubertyoption 5
Anovulatory cycles
Assessment of ovarian egg reserve; Polycystic Ovary Syndrome
(PCOS)
Evaluation of menopausal state
Men infertility testing; low sperm count
14. Discuss how ethnicity may influence the risk of osteoporosis in women
during menopause.
Success Guide | Graded A+
1. Sophia, a 48-year-old patient, presents with irregular menstrual cycles and
wonders if she's entering menopause. She mentions experiencing hormonal
fluctuations for the last four years. What phase of the menopause transition is
Sophia most likely in?
Perimenopause
Post menopause
Natural menopause
Induced menopause.
2. What vulvar disorder is often confused with eczema or dermatitis?
Contact dermatitis
Lichen sclerosus
Vulvar vestibulitis
Psoriasis
3. VV is a 54-year-old female presenting to the Women's Clinic complaining of
frequent night sweats and hot flashes. She reports this has been happening
for the past 6 months. She also reports that she has been increasingly sad
and having trouble sleeping and concentrating and complains of vaginal
dryness causing intercourse to be painful. Which of the following symptoms
is considered a vasomotor symptom of menopause?
Difficulty concentrating
Hot flashes
Mood changes
, Insomnia
4. What is one common treatment option for orgasmic disorder (FOD)?
Surgical intervention
Antidepressant medication
Cognitive behavioral therapy
Hormone replacement therapy
5. The first-line treatment for female orgasmic disorder (FOD) is generally
considered to be which of the following?
directed masturbation
Kegel exercises
relaxation training
orgasmic reconditioning
6. Describe the relationship between FSH levels and ovarian function during the
late reproductive years.
FSH levels are unrelated to ovarian function.
As ovarian function declines, FSH levels increase due to reduced
feedback from inhibin and AMH.
FSH levels remain constant regardless of ovarian function.
Increased ovarian function leads to decreased FSH levels.
7. Describe the significance of combining HSDD and FAD into a single
dysfunction in the DSMV.
It emphasizes the psychological aspects of sexual dysfunction.
, It reduces the number of sexual dysfunctions recognized by the
DSMV.
Combining HSDD and FAD into a single dysfunction helps
streamline diagnosis and treatment for women's sexual health issues.
It allows for more specific categorization of sexual dysfunctions.
8. What type of studies were analyzed in the meta-analysis that assessed diet
and exercise benefits on cognition and memory?
Cross-Sectional Studies
Randomized Controlled Trials (RCTs)
Case-Control Studies
Cohort Studies
9. A 42-year-old woman has bilateral oophorectomy (removal of both ovaries).
Several weeks after her surgery, what would you expect to find with her
hormone levels?
FSH & LH high, estrogen & progesterone low
FSH & LH high, estrogen & progesterone high
FSH & LH low, estrogen & progesterone high
FSH & LH low, estrogen & progesterone low
10. If a postmenopausal woman is diagnosed with low-grade VIN, what should
be the recommended course of action?
Hormone replacement therapy should be initiated immediately.
Immediate surgical intervention is necessary.
Regular monitoring and potential treatment options should be
discussed with her healthcare provider.
, No action is required as it is a benign condition.
11. Surgical Menopause has what dramatic effect?
there is no effect because the body compensates
decrease in estrogen and progestin
shorter follicular phase
active estrogen and estradiol
12. Describe the importance of progesterone in the treatment of primary
ovarian insufficiency in women with an intact uterus.
Progesterone is primarily used to increase estrogen levels.
Progesterone is used solely for its mood-stabilizing effects.
Progesterone helps to protect the endometrium and prevent
hyperplasia in women with an intact uterus.
Progesterone has no significant role in women with an intact uterus.
13. What is the clinical application of testing anti-mullerian hormone (AMH)?
Congenital adrenal hyperplasia (CAH); premature pubertyoption 5
Anovulatory cycles
Assessment of ovarian egg reserve; Polycystic Ovary Syndrome
(PCOS)
Evaluation of menopausal state
Men infertility testing; low sperm count
14. Discuss how ethnicity may influence the risk of osteoporosis in women
during menopause.
