NAMS MENOPAUSE CERTIFICATION
COMPLETE ACTUAL EXAM 2 NEWEST 2025
INTRODUCTION:
This document provides the complete set of actual exam questions
and correct answers for the NAMS Menopause Certification, Exam
2 (newest 2025 edition). It covers key topics such as menopause
stages, hormonal changes, diagnosis and treatment strategies,
hormone replacement therapy (HRT), bone health, cardiovascular
,and cognitive impacts, sexual health, and evidence-based
alternative treatments. The material is structured in a Q&A format
with detailed explanations, making it an effective preparation tool
for students and healthcare professionals aiming to pass the NAMS
certification exam.
EXAM QUESTIONS AND ANSWERS:
What ethnicity has the least likely chance of having bad hot flashes?
--- correct answer ---Japanese
What ethnicity is the most likely to have bad hot flashes? --- correct
answer ---black
more frequent, longer duration.
Median length of hot flashes --- correct answer ---10 years, early
menopause transition women have them the longest.
Theories about etiology of hot flashes (6) --- correct answer ---
lower ovarian estradiol
thermoregulation zone is narrowed
neurokinins-regulate GnRH secretion. KNDy new meds
serotonin
,cortisol and HPI axis dysregulation
endothelial dysfunction.
VIN
low grade-what to do
high grade-what to do
differentiated VIN-what to do --- correct answer ---low grade is not
precancerous
high grade is precancerous-GYN ONC
differentiated-wide local excision-high risk of invasive carcinoma.
most common type of vulvar cancer --- correct answer ---squamous
cell carcinoma
Vulvar disorder commonly misdiagnosed as eczema or dermatitis? -
-- correct answer ---paget's disease
will not improve on steroids
screen for co-existing breast, GI or GU cancer. They are present 20-
30% of the time.
Normal PVR --- correct answer ---<100mL
, systemic and vaginal estrogen will not help with this type of
urinary incontinence? --- correct answer ---will NOT help with
stress incontinence.
Which topical vaginal estrogen has the highest dose? --- correct
answer ---the vaginal rings
FEMRING IS THE HIGHEST
Most common cause of vulvovaginitis? --- correct answer ---BV
post menopause burning and diffuse yellow/brown discharge and
dyspareunia that does not respond to local ET? --- correct answer --
-desquamative inflammatory vaginitis. treat different with
clindamycin or hydrocortisone+ET
What hormones are associated with sexual desire in women? ---
correct answer ---circulating androgens
Women who have had a BSO experience an abrupt and persistent
decline in what hormone? --- correct answer ---circulating
androgen levels
COMPLETE ACTUAL EXAM 2 NEWEST 2025
INTRODUCTION:
This document provides the complete set of actual exam questions
and correct answers for the NAMS Menopause Certification, Exam
2 (newest 2025 edition). It covers key topics such as menopause
stages, hormonal changes, diagnosis and treatment strategies,
hormone replacement therapy (HRT), bone health, cardiovascular
,and cognitive impacts, sexual health, and evidence-based
alternative treatments. The material is structured in a Q&A format
with detailed explanations, making it an effective preparation tool
for students and healthcare professionals aiming to pass the NAMS
certification exam.
EXAM QUESTIONS AND ANSWERS:
What ethnicity has the least likely chance of having bad hot flashes?
--- correct answer ---Japanese
What ethnicity is the most likely to have bad hot flashes? --- correct
answer ---black
more frequent, longer duration.
Median length of hot flashes --- correct answer ---10 years, early
menopause transition women have them the longest.
Theories about etiology of hot flashes (6) --- correct answer ---
lower ovarian estradiol
thermoregulation zone is narrowed
neurokinins-regulate GnRH secretion. KNDy new meds
serotonin
,cortisol and HPI axis dysregulation
endothelial dysfunction.
VIN
low grade-what to do
high grade-what to do
differentiated VIN-what to do --- correct answer ---low grade is not
precancerous
high grade is precancerous-GYN ONC
differentiated-wide local excision-high risk of invasive carcinoma.
most common type of vulvar cancer --- correct answer ---squamous
cell carcinoma
Vulvar disorder commonly misdiagnosed as eczema or dermatitis? -
-- correct answer ---paget's disease
will not improve on steroids
screen for co-existing breast, GI or GU cancer. They are present 20-
30% of the time.
Normal PVR --- correct answer ---<100mL
, systemic and vaginal estrogen will not help with this type of
urinary incontinence? --- correct answer ---will NOT help with
stress incontinence.
Which topical vaginal estrogen has the highest dose? --- correct
answer ---the vaginal rings
FEMRING IS THE HIGHEST
Most common cause of vulvovaginitis? --- correct answer ---BV
post menopause burning and diffuse yellow/brown discharge and
dyspareunia that does not respond to local ET? --- correct answer --
-desquamative inflammatory vaginitis. treat different with
clindamycin or hydrocortisone+ET
What hormones are associated with sexual desire in women? ---
correct answer ---circulating androgens
Women who have had a BSO experience an abrupt and persistent
decline in what hormone? --- correct answer ---circulating
androgen levels
