1
NAMS Menopause Certification Exam 2025–2026 | 100 Real
Practice Questions with Verified Answers & Rationales | Updated &
Solved Study Guide
Q1. What age defines early menopause?
A. Before 40
B. Before 45
C. Before 45 ✅
Q2. What hormone is measured on day 3 of the cycle to assess ovarian
reserve?
A. LH
B. AMH
C. FSH ✅
, 2
Q3. What is the best treatment for moderate to severe vasomotor
symptoms in a healthy 52-year-old?
A. Gabapentin
B. SSRIs
C. Estrogen therapy ✅
Q4. A woman with an intact uterus should receive which hormone
therapy?
A. Estrogen only
B. Progesterone only
C. Estrogen + Progestin ✅
Q5. A woman without a uterus can be safely prescribed:
A. Progesterone only
B. Estrogen + Progestin
C. Estrogen only ✅
, 3
Q6. Which staging system defines menopausal transition?
A. Tanner
B. WHO
C. STRAW ✅
Q7. Late menopausal transition is identified by:
A. 7+ day cycle variability
B. Menorrhagia
C. 60+ days of amenorrhea ✅
Q8. What event marks natural menopause?
A. Menstrual irregularity
B. FSH >50
C. 12 months of amenorrhea ✅
, 4
Q9. Which route of estrogen has the lowest risk of VTE?
A. Oral
B. IM
C. Transdermal ✅
Q10. Which symptom is not a typical vasomotor symptom?
A. Hot flash
B. Night sweats
C. Urinary frequency ✅
Q11. Which ethnicity is more likely to have lower estradiol during
menopause?
A. Black
B. Hispanic
C. Asian ✅
NAMS Menopause Certification Exam 2025–2026 | 100 Real
Practice Questions with Verified Answers & Rationales | Updated &
Solved Study Guide
Q1. What age defines early menopause?
A. Before 40
B. Before 45
C. Before 45 ✅
Q2. What hormone is measured on day 3 of the cycle to assess ovarian
reserve?
A. LH
B. AMH
C. FSH ✅
, 2
Q3. What is the best treatment for moderate to severe vasomotor
symptoms in a healthy 52-year-old?
A. Gabapentin
B. SSRIs
C. Estrogen therapy ✅
Q4. A woman with an intact uterus should receive which hormone
therapy?
A. Estrogen only
B. Progesterone only
C. Estrogen + Progestin ✅
Q5. A woman without a uterus can be safely prescribed:
A. Progesterone only
B. Estrogen + Progestin
C. Estrogen only ✅
, 3
Q6. Which staging system defines menopausal transition?
A. Tanner
B. WHO
C. STRAW ✅
Q7. Late menopausal transition is identified by:
A. 7+ day cycle variability
B. Menorrhagia
C. 60+ days of amenorrhea ✅
Q8. What event marks natural menopause?
A. Menstrual irregularity
B. FSH >50
C. 12 months of amenorrhea ✅
, 4
Q9. Which route of estrogen has the lowest risk of VTE?
A. Oral
B. IM
C. Transdermal ✅
Q10. Which symptom is not a typical vasomotor symptom?
A. Hot flash
B. Night sweats
C. Urinary frequency ✅
Q11. Which ethnicity is more likely to have lower estradiol during
menopause?
A. Black
B. Hispanic
C. Asian ✅
