NAMS Menopause Certification practice Exam
NAMS MENOPAUSE CERTIFICATION PRACTICE EXAM
NEWEST 2025 COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW!!
Which anatomic locations contain estrogen receptors relevant to genitourinary
syndrome of menopause?
a) Cervix and uterus only
b) Ovaries and fallopian tubes
c) Vagina, vulva, urethra, and bladder trigone
d) Renal pelvis and ureters
e) Labia majora only
Correct answer: c)
Which vaginal change is most commonly associated with menopause?
a) Thickened epithelium with increased rugae
b) Increased lubrication and elasticity
c) Narrowing with loss of rugae
d) Increased collagen content
e) Increased blood flow
Correct answer: c)
Vaginal estrogen therapy has been shown to improve which type of urinary
incontinence?
a) Stress incontinence
b) Mixed incontinence
c) Overflow incontinence
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, NAMS Menopause Certification practice Exam
d) Urge incontinence
e) Functional incontinence
Correct answer: d)
Which hormone is generally higher in obese postmenopausal women due to
peripheral aromatization?
a) Estradiol
b) Estrone
c) Progesterone
d) Testosterone
e) Cortisol
Correct answer: b)
The postmenopausal ovary continues to produce which hormones?
a) Estradiol and progesterone
b) Estrone and cortisol
c) DHEA and DHEAS
d) Testosterone and androstenedione
e) Estrogen and inhibin B
Correct answer: d)
Which clinical feature is most characteristic of female pattern hair loss (FPHL)?
a) Sudden diffuse shedding following illness
b) Patchy hair loss with scarring
c) Thinning at the crown with widening of the part
d) Complete frontal hairline recession
e) Cyclic hair shedding with regrowth
Correct answer: c)
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, NAMS Menopause Certification practice Exam
Which ethnic group is least likely to report severe vasomotor symptoms?
a) Black women
b) Hispanic women
c) White women
d) Native American women
e) Japanese women
Correct answer: e)
Which vulvar condition is frequently misdiagnosed as eczema?
a) Lichen sclerosus
b) VIN high-grade
c) Vulvar Paget disease
d) Squamous cell carcinoma
e) Contact dermatitis
Correct answer: c)
Which statement correctly describes estrogen therapy and urinary incontinence?
a) Estrogen improves stress incontinence
b) Estrogen prevents overflow incontinence
c) Estrogen worsens urge incontinence
d) Estrogen has no benefit for stress incontinence
e) Estrogen cures mixed incontinence
Correct answer: d)
Which T-score defines osteoporosis in postmenopausal women?
a) −1.0 to −1.4
b) −1.5 to −2.0
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, NAMS Menopause Certification practice Exam
c) −1.5 to −2.5
d) Less than −2.5
e) Less than −2.0
Correct answer: d)
A clinician explains that the climacteric phase includes which of the following
characteristics?
a) A sudden cessation of ovarian estrogen production
b) Permanent infertility beginning at age 35
c) Endocrinologic, somatic, and transient psychologic changes around menopause
d) Only vasomotor symptoms after menopause
e) A period limited to the first year after the FMP
Correct answer: c)
A patient reports her last menstrual period occurred at age 43. This would be
classified as which of the following?
a) Primary ovarian insufficiency
b) Late menopause
c) Normal menopause
d) Early menopause
e) Surgical menopause
Correct answer: d)
Menopause occurring before age 40 is best described as:
a) Early menopause
b) Late menopause
c) Hypothalamic amenorrhea
d) Perimenopause
e) Primary ovarian insufficiency
4|Page
NAMS MENOPAUSE CERTIFICATION PRACTICE EXAM
NEWEST 2025 COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW!!
Which anatomic locations contain estrogen receptors relevant to genitourinary
syndrome of menopause?
a) Cervix and uterus only
b) Ovaries and fallopian tubes
c) Vagina, vulva, urethra, and bladder trigone
d) Renal pelvis and ureters
e) Labia majora only
Correct answer: c)
Which vaginal change is most commonly associated with menopause?
a) Thickened epithelium with increased rugae
b) Increased lubrication and elasticity
c) Narrowing with loss of rugae
d) Increased collagen content
e) Increased blood flow
Correct answer: c)
Vaginal estrogen therapy has been shown to improve which type of urinary
incontinence?
a) Stress incontinence
b) Mixed incontinence
c) Overflow incontinence
1|Page
, NAMS Menopause Certification practice Exam
d) Urge incontinence
e) Functional incontinence
Correct answer: d)
Which hormone is generally higher in obese postmenopausal women due to
peripheral aromatization?
a) Estradiol
b) Estrone
c) Progesterone
d) Testosterone
e) Cortisol
Correct answer: b)
The postmenopausal ovary continues to produce which hormones?
a) Estradiol and progesterone
b) Estrone and cortisol
c) DHEA and DHEAS
d) Testosterone and androstenedione
e) Estrogen and inhibin B
Correct answer: d)
Which clinical feature is most characteristic of female pattern hair loss (FPHL)?
a) Sudden diffuse shedding following illness
b) Patchy hair loss with scarring
c) Thinning at the crown with widening of the part
d) Complete frontal hairline recession
e) Cyclic hair shedding with regrowth
Correct answer: c)
2|Page
, NAMS Menopause Certification practice Exam
Which ethnic group is least likely to report severe vasomotor symptoms?
a) Black women
b) Hispanic women
c) White women
d) Native American women
e) Japanese women
Correct answer: e)
Which vulvar condition is frequently misdiagnosed as eczema?
a) Lichen sclerosus
b) VIN high-grade
c) Vulvar Paget disease
d) Squamous cell carcinoma
e) Contact dermatitis
Correct answer: c)
Which statement correctly describes estrogen therapy and urinary incontinence?
a) Estrogen improves stress incontinence
b) Estrogen prevents overflow incontinence
c) Estrogen worsens urge incontinence
d) Estrogen has no benefit for stress incontinence
e) Estrogen cures mixed incontinence
Correct answer: d)
Which T-score defines osteoporosis in postmenopausal women?
a) −1.0 to −1.4
b) −1.5 to −2.0
3|Page
, NAMS Menopause Certification practice Exam
c) −1.5 to −2.5
d) Less than −2.5
e) Less than −2.0
Correct answer: d)
A clinician explains that the climacteric phase includes which of the following
characteristics?
a) A sudden cessation of ovarian estrogen production
b) Permanent infertility beginning at age 35
c) Endocrinologic, somatic, and transient psychologic changes around menopause
d) Only vasomotor symptoms after menopause
e) A period limited to the first year after the FMP
Correct answer: c)
A patient reports her last menstrual period occurred at age 43. This would be
classified as which of the following?
a) Primary ovarian insufficiency
b) Late menopause
c) Normal menopause
d) Early menopause
e) Surgical menopause
Correct answer: d)
Menopause occurring before age 40 is best described as:
a) Early menopause
b) Late menopause
c) Hypothalamic amenorrhea
d) Perimenopause
e) Primary ovarian insufficiency
4|Page
