NAMS Menopause Certification Exam
Practice Questions with correct Answers
Latest 2025
What is the 1st line treatment to help with VMS of menopause after
trying nonpharmacologic therapies? --- correct answer ---Systemic
hormone therapy (HT), since it provides optimal relief of hot flushes
What symptoms should be present for a woman to be on HT? ---
correct answer ---VMS
If patients have vaginal symptoms only, only use what kind of
products? --- correct answer ---Vaginal products
What are the 2 most common estrogens used in HT? --- correct
answer ---Estradiol and Conjugated equine estrogens (CEE)
What are the 2 most common progestogens used in HT? --- correct
answer ---Medroxyprogesterone acetate (MPA) and Micronized
progesterone (MP)
, Which hormone should be used with caution in patients with a peanut
allergy? --- correct answer ---Micronized Progesterone (MP)
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
Practice Questions with correct Answers
Latest 2025
What is the 1st line treatment to help with VMS of menopause after
trying nonpharmacologic therapies? --- correct answer ---Systemic
hormone therapy (HT), since it provides optimal relief of hot flushes
What symptoms should be present for a woman to be on HT? ---
correct answer ---VMS
If patients have vaginal symptoms only, only use what kind of
products? --- correct answer ---Vaginal products
What are the 2 most common estrogens used in HT? --- correct
answer ---Estradiol and Conjugated equine estrogens (CEE)
What are the 2 most common progestogens used in HT? --- correct
answer ---Medroxyprogesterone acetate (MPA) and Micronized
progesterone (MP)
, Which hormone should be used with caution in patients with a peanut
allergy? --- correct answer ---Micronized Progesterone (MP)
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
