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NAMS Menopause Certification Exam 2025–2026 – Updated Exam Questions with Verified Answers – Comprehensive Review Material

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This document contains updated exam-style questions and verified answers for the NAMS Menopause Certification Exam 2025–2026. It covers core topics including menopause physiology, hormone therapy, nonhormonal treatment options, risk assessment, patient counseling, and evidence-based management guidelines. The material is structured to reflect current certification standards and testing domains. It serves as a focused study and revision resource for healthcare professionals preparing for the menopause certification examination.

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NAMS MENOPAUSE CERTIFICATION Exam 2025–
2026 Accurate Real Exam Questions and
Verified Correct Answers JUST RELEASED
Dairy free diet amount of calicum. How much do they need to supplement? -
answer>>>dairy free diet-300mg calcium daily.
Needs 800-1200mg


Tibolone and
osteoporosis where is
it approved?
why wasn't it submitted for approval in the US and canada? -
answer>>>approved in mexico
decreased risk of vertebral and nonvertebral
fracture increased risk of stroke


Why was estrogen not approved for osteoporosis? - answer>>>decreased risk
of vertebral and hip fracture in low fracture risk population, but estrogen
has not been shown to decrease fracture risk in women with osteoporosis.
More prevention than treatment.


Black box warning for PTH receptor agonists? - answer>>>osteosarcoma


caution using PTH receptor agonists in what condition? -
answer>>>hypercalcemia


when would you use PTH receptor agonists? - answer>>>someone incredibly
high risk for vertebral fracture


raloxifene helps with what kind of fractures? - answer>>>vertebral fractures


raloxifene risk factors - answer>>>increased risk of death from stroke in high
risk patients, estrogen like risk of VTE, worsens hot flashes

, NAMS MENOPAUSE CERTIFICATION Exam 2025–
2026 Accurate Real Exam Questions and
Verified Correct Answers JUST RELEASED

atypical femur risk in women on bisphosphonate? - answer>>>1 in 1000 after 2-
3 years.

, NAMS MENOPAUSE CERTIFICATION Exam 2025–
2026 Accurate Real Exam Questions and
Verified Correct Answers JUST RELEASED
Salmon calcitonin and osteoporosis? - answer>>>small increase in spine BMD.
daily SQ injections or nasal.


Implications of estrogen drop on skin during menopause - answer>>>Decreased
fibroblast activity
disrupted elastin
decreased GAG
production
Disrupted melanocyte regulation
Decreased blood flow and cellular oxygenation effects on
keratinocytes Disruption of cellular growth factors and
repair enzymes
accelerated
lipoatrophy Fat
pad modification
Bone resorptuon


Definition of stress incontinence - answer>>>Involuntary loss of urine that
occurs with an activity such as coughing or sneezing that increases
intraabdominal pressure. Leakage is in drops, usually 2/2 to poor
urethral support, urethral sphincter weakness, dysfunction of pelvic floor


Definition of urgency incontinence - answer>>>Involuntary loss of
urine preceded by sensation of urgency to urinate. Generally
associated with losses of larger volumes of urine that soak through
pads and clothing.


Leakage results from detrusor (bladder) overactivity/uninhabited
contractions of detrusser

, NAMS MENOPAUSE CERTIFICATION Exam 2025–
2026 Accurate Real Exam Questions and
Verified Correct Answers JUST RELEASED
Definition of mixed incontinence - answer>>>includes stress and urgency


A postvoid residuals (w/in 15 minutes of emptying) of what volume is considered
normal - answer>>>100 or less, whereas >200 is abnormal, between 100-200
advised to repeat on different day

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