NAMS MENOPAUSE CERTIFICATION
ACTUAL EXAM QUESTIONS AND ANSWERS
COMPREHENSIVE EXAM REVIEW STUDY
SHEET COMPLETE SOLVED GUIDE
●● Characteristic hormonal change in menopause transition.
Answer: Declining estrogen
●● Reproductive stage of a 49-year-old with irregular periods and
vasomotor symptoms.
Answer: Perimenopause
●● Definition of postmenopause.
Answer: 12 consecutive months without menstruation
●● Laboratory finding supporting menopause diagnosis in a 52-year-old
woman.
Answer: Elevated FSH (>25 IU/L)
●● Most effective treatment for moderate-to-severe hot flashes.
Answer: Hormone therapy
,●● Hormone therapy regimen for postmenopausal woman with intact
uterus.
Answer: Estrogen plus progestogen
●● Recommended treatment for hot flashes in breast cancer survivor.
Answer: Paroxetine
●● Contraindication for systemic hormone therapy.
Answer: Unexplained vaginal bleeding
●● Non-hormonal medication effective for menopausal sleep
disturbances.
Answer: Gabapentin
●● Primary risk factor for osteoporosis in postmenopausal women.
Answer: Estrogen deficiency
●● Diagnosis for a 60-year-old woman with a T-score of -2.8 on DEXA
scan.
Answer: Osteoporosis
●● Gabapentin.
Answer: Improves sleep and reduces hot flashes in menopausal women.
, ●● T-score of -2.8 on DEXA scan.
Answer: Indicates osteoporosis.
●● First-line medication for postmenopausal osteoporosis treatment.
Answer: Bisphosphonates.
●● Recommended daily calcium intake for women aged 51-70 years.
Answer: 1200 mg.
●● Medication that reduces fracture risk and breast cancer risk.
Answer: Raloxifene.
●● Cardiovascular risk factor that increases significantly after
menopause.
Answer: Coronary artery disease.
●● Contributing factor to elevated LDL cholesterol post-menopause.
Answer: Estrogen decline.
●● Common metabolic change in postmenopausal women.
Answer: Increased visceral fat.
ACTUAL EXAM QUESTIONS AND ANSWERS
COMPREHENSIVE EXAM REVIEW STUDY
SHEET COMPLETE SOLVED GUIDE
●● Characteristic hormonal change in menopause transition.
Answer: Declining estrogen
●● Reproductive stage of a 49-year-old with irregular periods and
vasomotor symptoms.
Answer: Perimenopause
●● Definition of postmenopause.
Answer: 12 consecutive months without menstruation
●● Laboratory finding supporting menopause diagnosis in a 52-year-old
woman.
Answer: Elevated FSH (>25 IU/L)
●● Most effective treatment for moderate-to-severe hot flashes.
Answer: Hormone therapy
,●● Hormone therapy regimen for postmenopausal woman with intact
uterus.
Answer: Estrogen plus progestogen
●● Recommended treatment for hot flashes in breast cancer survivor.
Answer: Paroxetine
●● Contraindication for systemic hormone therapy.
Answer: Unexplained vaginal bleeding
●● Non-hormonal medication effective for menopausal sleep
disturbances.
Answer: Gabapentin
●● Primary risk factor for osteoporosis in postmenopausal women.
Answer: Estrogen deficiency
●● Diagnosis for a 60-year-old woman with a T-score of -2.8 on DEXA
scan.
Answer: Osteoporosis
●● Gabapentin.
Answer: Improves sleep and reduces hot flashes in menopausal women.
, ●● T-score of -2.8 on DEXA scan.
Answer: Indicates osteoporosis.
●● First-line medication for postmenopausal osteoporosis treatment.
Answer: Bisphosphonates.
●● Recommended daily calcium intake for women aged 51-70 years.
Answer: 1200 mg.
●● Medication that reduces fracture risk and breast cancer risk.
Answer: Raloxifene.
●● Cardiovascular risk factor that increases significantly after
menopause.
Answer: Coronary artery disease.
●● Contributing factor to elevated LDL cholesterol post-menopause.
Answer: Estrogen decline.
●● Common metabolic change in postmenopausal women.
Answer: Increased visceral fat.
