NAMS Menopause Certification Practice Questions (1–50)
1. What is the average age of natural menopause in the U.S.?
A) 45 years
B) 48 years
C) 51 years
D) 55 years
2. Which hormone declines most significantly during menopause?
A) Testosterone
B) Cortisol
C) Progesterone
D) Estrogen
3. What defines the start of menopause?
A) 6 months of missed periods
B) High FSH levels
C) Last menstrual period
D) 12 months without menstruation
4. What is the most common symptom of menopause?
A) Vaginal dryness
B) Irregular bleeding
C) Hot flashes
D) Anxiety
5. Which hormone therapy is required for women with an intact uterus?
A) Estrogen alone
B) Estrogen + Progestogen
C) Progesterone only
D) Testosterone
6. What is the first-line treatment for moderate-to-severe hot flashes?
A) Acupuncture
,B) Systemic hormone therapy
C) Gabapentin
D) Diet modification
7. What does a T-score of -2.7 indicate?
A) Osteopenia
B) Normal bone density
C) Osteomalacia
D) Osteoporosis
8. Which bone scan is used to diagnose osteoporosis?
A) CT scan
B) MRI
C) DEXA scan
D) Ultrasound
9. What daily calcium intake is recommended for postmenopausal women?
A) 800 mg
B) 1000 mg
C) 1200 mg
D) 1500 mg
10. Which delivery method of estrogen has the lowest risk of thromboembolism?
A) Oral
B) Transdermal
C) Injectable
D) Sublingual
11. What is the primary reason progestogen is added to estrogen therapy?
A) Reduce hot flashes
B) Improve libido
C) Prevent endometrial hyperplasia
D) Lower blood pressure
,12. What is the most effective non-hormonal option for vasomotor symptoms?
A) Vitamin E
B) SSRIs or SNRIs
C) Herbal supplements
D) Calcium
13. Which of the following is a contraindication to systemic hormone therapy?
A) Family history of osteoporosis
B) Menopause before age 50
C) History of breast cancer
D) Mild anxiety
14. Which vitamin is essential for bone health post-menopause?
A) Vitamin A
B) Vitamin C
C) Vitamin D
D) Vitamin K
15. What term describes vaginal dryness and urinary symptoms post-menopause?
A) Vulvodynia
B) Pelvic floor disorder
C) Genitourinary Syndrome of Menopause (GSM)
D) Menorrhagia
16. What is the first-line treatment for GSM?
A) Oral estrogen
B) Low-dose vaginal estrogen
C) Probiotics
D) NSAIDs
17. What cardiovascular change is common after menopause?
A) Decreased LDL
B) Lower blood pressure
C) Increased LDL cholesterol
D) Higher estrogen
, 18. When is hormone therapy generally recommended to begin?
A) After age 60
B) Anytime post-menopause
C) Before age 60 or within 10 years of menopause
D) Only with severe symptoms
19. Which test measures bone density?
A) ECG
B) ECHO
C) DEXA scan
D) PET scan
20. Which drug class helps treat menopausal sleep disturbances?
A) NSAIDs
B) Antihistamines
C) Low-dose antidepressants (e.g., trazodone)
D) Estrogen alone
21. What is the effect of menopause on cardiovascular risk?
A) No change
B) Increased risk
C) Reduced heart rate
D) Stronger immunity
22. Which lifestyle change reduces vasomotor symptoms?
A) High protein intake
B) Avoiding triggers like caffeine/alcohol
C) Running daily
D) High-dose vitamin D
23. What is the best treatment for sleep disturbances due to night sweats?
A) Antihistamines
B) Hormone therapy
1. What is the average age of natural menopause in the U.S.?
A) 45 years
B) 48 years
C) 51 years
D) 55 years
2. Which hormone declines most significantly during menopause?
A) Testosterone
B) Cortisol
C) Progesterone
D) Estrogen
3. What defines the start of menopause?
A) 6 months of missed periods
B) High FSH levels
C) Last menstrual period
D) 12 months without menstruation
4. What is the most common symptom of menopause?
A) Vaginal dryness
B) Irregular bleeding
C) Hot flashes
D) Anxiety
5. Which hormone therapy is required for women with an intact uterus?
A) Estrogen alone
B) Estrogen + Progestogen
C) Progesterone only
D) Testosterone
6. What is the first-line treatment for moderate-to-severe hot flashes?
A) Acupuncture
,B) Systemic hormone therapy
C) Gabapentin
D) Diet modification
7. What does a T-score of -2.7 indicate?
A) Osteopenia
B) Normal bone density
C) Osteomalacia
D) Osteoporosis
8. Which bone scan is used to diagnose osteoporosis?
A) CT scan
B) MRI
C) DEXA scan
D) Ultrasound
9. What daily calcium intake is recommended for postmenopausal women?
A) 800 mg
B) 1000 mg
C) 1200 mg
D) 1500 mg
10. Which delivery method of estrogen has the lowest risk of thromboembolism?
A) Oral
B) Transdermal
C) Injectable
D) Sublingual
11. What is the primary reason progestogen is added to estrogen therapy?
A) Reduce hot flashes
B) Improve libido
C) Prevent endometrial hyperplasia
D) Lower blood pressure
,12. What is the most effective non-hormonal option for vasomotor symptoms?
A) Vitamin E
B) SSRIs or SNRIs
C) Herbal supplements
D) Calcium
13. Which of the following is a contraindication to systemic hormone therapy?
A) Family history of osteoporosis
B) Menopause before age 50
C) History of breast cancer
D) Mild anxiety
14. Which vitamin is essential for bone health post-menopause?
A) Vitamin A
B) Vitamin C
C) Vitamin D
D) Vitamin K
15. What term describes vaginal dryness and urinary symptoms post-menopause?
A) Vulvodynia
B) Pelvic floor disorder
C) Genitourinary Syndrome of Menopause (GSM)
D) Menorrhagia
16. What is the first-line treatment for GSM?
A) Oral estrogen
B) Low-dose vaginal estrogen
C) Probiotics
D) NSAIDs
17. What cardiovascular change is common after menopause?
A) Decreased LDL
B) Lower blood pressure
C) Increased LDL cholesterol
D) Higher estrogen
, 18. When is hormone therapy generally recommended to begin?
A) After age 60
B) Anytime post-menopause
C) Before age 60 or within 10 years of menopause
D) Only with severe symptoms
19. Which test measures bone density?
A) ECG
B) ECHO
C) DEXA scan
D) PET scan
20. Which drug class helps treat menopausal sleep disturbances?
A) NSAIDs
B) Antihistamines
C) Low-dose antidepressants (e.g., trazodone)
D) Estrogen alone
21. What is the effect of menopause on cardiovascular risk?
A) No change
B) Increased risk
C) Reduced heart rate
D) Stronger immunity
22. Which lifestyle change reduces vasomotor symptoms?
A) High protein intake
B) Avoiding triggers like caffeine/alcohol
C) Running daily
D) High-dose vitamin D
23. What is the best treatment for sleep disturbances due to night sweats?
A) Antihistamines
B) Hormone therapy
