NAMS Menopause Certification – Practice
Questions
Items 1–30
1. The average age of natural menopause in the United States is:
✅ A) 51 years
B) 45 years
C) 55 years
D) 60 years
2. Menopause is defined as:
A) One month without menses
✅ B) 12 consecutive months without menstruation
C) Six months of irregular cycles
D) FSH level above 30 mIU/mL
3. The hallmark symptom of menopause is:
A) Vaginal bleeding
✅ B) Vasomotor symptoms (hot flashes)
C) Weight loss
D) Hair growth
4. Which hormone primarily decreases during menopause?
✅ A) Estradiol
B) Progesterone only
C) Testosterone
D) Cortisol
5. Early menopause is defined as menopause occurring before age:
A) 45 years
✅ B) 40 years
C) 50 years
D) 35 years
,6. Perimenopause typically begins:
A) 1 year before menopause
✅ B) 4–7 years before menopause
C) At age 60
D) After menopause
7. First-line treatment for vasomotor symptoms in healthy women <60 years is:
✅ A) Hormone therapy
B) SSRIs
C) Gabapentin
D) Clonidine
8. Contraindications to systemic hormone therapy include:
✅ A) History of breast cancer
B) Osteoporosis
C) Severe vasomotor symptoms
D) Surgical menopause
9. The most effective treatment for vaginal atrophy is:
✅ A) Local estrogen therapy
B) Oral progestin
C) SSRIs
D) Clonidine
10. Progestin is added to estrogen therapy in women with a uterus to:
✅ A) Improve bone density
✅ B) Reduce risk of endometrial hyperplasia
C) Increase libido
D) Prevent hot flashes
11. Tibolone is approved for menopause management in which region?
✅ A) Europe
B) United States
, C) Canada
D) Australia
12. A selective estrogen receptor modulator used for dyspareunia is:
✅ A) Ospemifene
B) Tamoxifen
C) Raloxifene
D) Bazedoxifene
13. Genitourinary syndrome of menopause includes:
✅ A) Vaginal dryness and urinary symptoms
B) Hot flashes only
C) Cognitive impairment
D) Mood disorders
14. The STRAW+10 staging system is used to:
✅ A) Classify reproductive aging
B) Diagnose osteoporosis
C) Determine hormone therapy dose
D) Stage breast cancer
15. Which vasomotor symptom treatment is FDA-approved and non-hormonal?
✅ A) Paroxetine low-dose (7.5 mg)
B) Gabapentin
C) Venlafaxine
D) Clonidine
16. Menopause before age 40 is termed:
✅ A) Premature menopause
B) Natural menopause
C) Surgical menopause
D) Perimenopause
Questions
Items 1–30
1. The average age of natural menopause in the United States is:
✅ A) 51 years
B) 45 years
C) 55 years
D) 60 years
2. Menopause is defined as:
A) One month without menses
✅ B) 12 consecutive months without menstruation
C) Six months of irregular cycles
D) FSH level above 30 mIU/mL
3. The hallmark symptom of menopause is:
A) Vaginal bleeding
✅ B) Vasomotor symptoms (hot flashes)
C) Weight loss
D) Hair growth
4. Which hormone primarily decreases during menopause?
✅ A) Estradiol
B) Progesterone only
C) Testosterone
D) Cortisol
5. Early menopause is defined as menopause occurring before age:
A) 45 years
✅ B) 40 years
C) 50 years
D) 35 years
,6. Perimenopause typically begins:
A) 1 year before menopause
✅ B) 4–7 years before menopause
C) At age 60
D) After menopause
7. First-line treatment for vasomotor symptoms in healthy women <60 years is:
✅ A) Hormone therapy
B) SSRIs
C) Gabapentin
D) Clonidine
8. Contraindications to systemic hormone therapy include:
✅ A) History of breast cancer
B) Osteoporosis
C) Severe vasomotor symptoms
D) Surgical menopause
9. The most effective treatment for vaginal atrophy is:
✅ A) Local estrogen therapy
B) Oral progestin
C) SSRIs
D) Clonidine
10. Progestin is added to estrogen therapy in women with a uterus to:
✅ A) Improve bone density
✅ B) Reduce risk of endometrial hyperplasia
C) Increase libido
D) Prevent hot flashes
11. Tibolone is approved for menopause management in which region?
✅ A) Europe
B) United States
, C) Canada
D) Australia
12. A selective estrogen receptor modulator used for dyspareunia is:
✅ A) Ospemifene
B) Tamoxifen
C) Raloxifene
D) Bazedoxifene
13. Genitourinary syndrome of menopause includes:
✅ A) Vaginal dryness and urinary symptoms
B) Hot flashes only
C) Cognitive impairment
D) Mood disorders
14. The STRAW+10 staging system is used to:
✅ A) Classify reproductive aging
B) Diagnose osteoporosis
C) Determine hormone therapy dose
D) Stage breast cancer
15. Which vasomotor symptom treatment is FDA-approved and non-hormonal?
✅ A) Paroxetine low-dose (7.5 mg)
B) Gabapentin
C) Venlafaxine
D) Clonidine
16. Menopause before age 40 is termed:
✅ A) Premature menopause
B) Natural menopause
C) Surgical menopause
D) Perimenopause
