NAMS Menopause Certification Exam
Questions with correct Answers Latest
2025
What are all of the contraindications to MHT? --- correct answer ----
History/concern for breast cancer
-Estrogen-sensitive malignancies
-Undiagnosed genital bleeding
-Untreated endometrial hyperplasia
-Past idiopathic or current DVT/PE
-Active or recent arterial thrombolic disease (stroke or MI)
-Uncontrolled hypertension >140/90
-Active liver disease
-Porphyria cutanea tarda (skin condition more sensitive to bruising)
What are the nonhormonal medications that can be used to treat VMS?
--- correct answer ---SSRIs, SNRIs, Clonidine, Gabapentin, Pregabalin
What SSRI should be used if the patient is taking Tamoxifen for breast
cancer? --- correct answer ---Escitalopram
, Which 2 SSRIs should be avoided in patients taking Tamoxifen? ---
correct answer ---Fluoxetine, Paroxetine
Which formulation of estrogen may be favored in patients that smoke?
--- correct answer ---Estradiol patches
Are compounded hormones recommended? --- correct answer ---
Compounded hormones/plant-derived hormones are not recommended
by the guidelines. Lack of FDA oversight, variability in dosing and
absorption, conventional hormone therapy preferred
What are Genitourinary Syndromes of Menopause (GSM)? --- correct
answer ---Genital, sexual, and urinary symptoms
What is the ideal first step for patients with urinary symptoms of
GMS? --- correct answer ---Pelvic floor therapy
What therapy is recommended for vaginal dryness/irritation/pain
GMS symptoms? --- correct answer ---Nonpharmacological gel or a
vaginal moisturizer/lubricant like Replens
Questions with correct Answers Latest
2025
What are all of the contraindications to MHT? --- correct answer ----
History/concern for breast cancer
-Estrogen-sensitive malignancies
-Undiagnosed genital bleeding
-Untreated endometrial hyperplasia
-Past idiopathic or current DVT/PE
-Active or recent arterial thrombolic disease (stroke or MI)
-Uncontrolled hypertension >140/90
-Active liver disease
-Porphyria cutanea tarda (skin condition more sensitive to bruising)
What are the nonhormonal medications that can be used to treat VMS?
--- correct answer ---SSRIs, SNRIs, Clonidine, Gabapentin, Pregabalin
What SSRI should be used if the patient is taking Tamoxifen for breast
cancer? --- correct answer ---Escitalopram
, Which 2 SSRIs should be avoided in patients taking Tamoxifen? ---
correct answer ---Fluoxetine, Paroxetine
Which formulation of estrogen may be favored in patients that smoke?
--- correct answer ---Estradiol patches
Are compounded hormones recommended? --- correct answer ---
Compounded hormones/plant-derived hormones are not recommended
by the guidelines. Lack of FDA oversight, variability in dosing and
absorption, conventional hormone therapy preferred
What are Genitourinary Syndromes of Menopause (GSM)? --- correct
answer ---Genital, sexual, and urinary symptoms
What is the ideal first step for patients with urinary symptoms of
GMS? --- correct answer ---Pelvic floor therapy
What therapy is recommended for vaginal dryness/irritation/pain
GMS symptoms? --- correct answer ---Nonpharmacological gel or a
vaginal moisturizer/lubricant like Replens
