NAMS MENOPAUSE CERTIFICATION EXAM
1 AND 2 NEWEST 2026 COMPLETE EXAM|
ACTUAL EXAM QUESTIONS WITH
CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+
In the menopause transition, women spend more time in what
phase? Correct Answer Luteal-more PMS symptoms, more
frequent menstrual periods.
HPO axis theory and the menopause transition Correct Answer It
is felt that the HPO axis may become less sensitive to estrogen,
so even with good follicle growth and estradiol secretion, LH
surges can fail which can lead to more cycle irregularity.
In the first year after the FMP, there is no production of what
hormone? Correct Answer progesterone
What region of the adrenal gland secretes the androgens?
Correct Answer zona reticularis
what are considered the 'adrenal androgens'? Correct Answer
DHEA, DHEAS, Androstenedione.
,Aldosterone secretion from the zona reticularis in the adrenal
gland is regulated by 3 main factors. Correct Answer Angiotensin
II, potassium concentration, adrenocorticotropic hormone
secreted by the anterior pituitary.
What part of the pituitary gland secretes adrenocorticotropic
hormone? Correct Answer Anterior pituitary. The posterior only
secretes vasopressin and oxytosin.
Cortisol and HRT Correct Answer Most serum cortisol circulates
bound to cortisol binding globulin.
Oral estrogen increases the cortisol binding globulin, which
increases total cortisol concentration.
Oral tamoxifen acts similarly.
Transdermal does not increase it, so it has a minimal effect on
serum cortisol concentration.
Do cortisol levels associate with VMS severity? Correct Answer
No, cortisol levels have NOT been associated with more severe
VMS.
,Local DHEA has been proven to help with what? Correct Answer
vaginal pain and dyspareunia
How to DX POI? Correct Answer Menstrual disturbance-
oligomenorrhea or amenorrhea for at least 4 months.
AND
elevated FSH over 25 on two occasions at least 4 weeks apart.
Anyone <40years old who misses 3+ consecutive cycles gets
these labs Correct Answer prolactin
FSH
estradiol
TSH
pregnancy test
treatment of POI Correct Answer 100 microgram estradiol patch
1.25 mg CEE
2mg oral estradiol
If intact uterus-progesterone for 12 days of the month.
, Physiologic is better than continuous hormonal contractption, but
if menorrhagia-IUD plus estrogen patch, or if really not wanting to
risk pregnancy, continuous HRT can be used.
Hair loss. Difference between FPHL and telogen effluvium?
Correct Answer FPHL is gradual, telogen effluvium is sudden and
usually precipitated by a life stressor, chronic illness, beta
blockers or anticoagulants-usually more patchy hair loss.
FPHL pattern Correct Answer thinning at the crown of the head
and widening of the hair part
Treating FPHL Correct Answer MINOXIDIL
spironolactone
finasteride
What ethnicity has the least likely chance of having bad hot
flashes? Correct Answer Japanese
What ethnicity is the most likely to have bad hot flashes? Correct
Answer black
more frequent, longer duration.
1 AND 2 NEWEST 2026 COMPLETE EXAM|
ACTUAL EXAM QUESTIONS WITH
CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+
In the menopause transition, women spend more time in what
phase? Correct Answer Luteal-more PMS symptoms, more
frequent menstrual periods.
HPO axis theory and the menopause transition Correct Answer It
is felt that the HPO axis may become less sensitive to estrogen,
so even with good follicle growth and estradiol secretion, LH
surges can fail which can lead to more cycle irregularity.
In the first year after the FMP, there is no production of what
hormone? Correct Answer progesterone
What region of the adrenal gland secretes the androgens?
Correct Answer zona reticularis
what are considered the 'adrenal androgens'? Correct Answer
DHEA, DHEAS, Androstenedione.
,Aldosterone secretion from the zona reticularis in the adrenal
gland is regulated by 3 main factors. Correct Answer Angiotensin
II, potassium concentration, adrenocorticotropic hormone
secreted by the anterior pituitary.
What part of the pituitary gland secretes adrenocorticotropic
hormone? Correct Answer Anterior pituitary. The posterior only
secretes vasopressin and oxytosin.
Cortisol and HRT Correct Answer Most serum cortisol circulates
bound to cortisol binding globulin.
Oral estrogen increases the cortisol binding globulin, which
increases total cortisol concentration.
Oral tamoxifen acts similarly.
Transdermal does not increase it, so it has a minimal effect on
serum cortisol concentration.
Do cortisol levels associate with VMS severity? Correct Answer
No, cortisol levels have NOT been associated with more severe
VMS.
,Local DHEA has been proven to help with what? Correct Answer
vaginal pain and dyspareunia
How to DX POI? Correct Answer Menstrual disturbance-
oligomenorrhea or amenorrhea for at least 4 months.
AND
elevated FSH over 25 on two occasions at least 4 weeks apart.
Anyone <40years old who misses 3+ consecutive cycles gets
these labs Correct Answer prolactin
FSH
estradiol
TSH
pregnancy test
treatment of POI Correct Answer 100 microgram estradiol patch
1.25 mg CEE
2mg oral estradiol
If intact uterus-progesterone for 12 days of the month.
, Physiologic is better than continuous hormonal contractption, but
if menorrhagia-IUD plus estrogen patch, or if really not wanting to
risk pregnancy, continuous HRT can be used.
Hair loss. Difference between FPHL and telogen effluvium?
Correct Answer FPHL is gradual, telogen effluvium is sudden and
usually precipitated by a life stressor, chronic illness, beta
blockers or anticoagulants-usually more patchy hair loss.
FPHL pattern Correct Answer thinning at the crown of the head
and widening of the hair part
Treating FPHL Correct Answer MINOXIDIL
spironolactone
finasteride
What ethnicity has the least likely chance of having bad hot
flashes? Correct Answer Japanese
What ethnicity is the most likely to have bad hot flashes? Correct
Answer black
more frequent, longer duration.
