NAMS Menopause Certification Exam Practice
Questions with correct Answers | Latest 2025/2026
Graded A+.
What other nonpharmacologic options are used to treat VMS? - correct answer -Temperature control
(colder pillow)
Yoga/relaxation therapy
Avoid spicy foods, chocolate, caffeine
Exercise
Acupuncture
Paced respiration (slowed down breathing)
What are vasomotor symptoms? - correct answer -Hot flushes and night sweats
Which 2 nonpharmacologic treatments are HIGHLY recommended by the North American Menopause
Society (NAMS) to treat VMS? - correct answer -Cognitive behavioral therapy, clinical hypnosis
What are the non-VMS of menopause? - correct answer -Dyspareunia, vaginal dryness, mood changes,
sleep disturbances, concentration and memory issues, arthralgia
If patient has a uterus, you must give them - correct answer -estrogen + progestin combo
What are the 3 main differences in estrogen of transdermal estrogens? - correct answer -Lower VTE risk
No impact on triglycerides
Potential lower stroke risk, so lower blood clot risk
, NAMS Menopause Certification Exam Practice Questions with
correct Answers |Latest 2025/2026
What are the 2 main differences in estrogen of oral estrogens? - correct answer -Increases triglycerides
Potential for decreased libido
What is the Women's Health Initiative (WHI)? - correct answer -Clinical study started in 1991. Studied
the use of conjugated equine estrogens (CEE) and medroxyprogesterone acetate (MPA) in women with
and without a uterus
If patient does NOT have a uterus, you can give them - correct answer -estrogen alone
What was the most important "shocking" result from the WHI? - correct answer -Estrogen + progestin
combo resulted in an increased risk of breast cancer
What symptoms should be present for a woman to be on HT? - correct answer -VMS
If patients have vaginal symptoms only, only use what kind of products? - correct answer -Vaginal
products
When is it considered safe to start menopause hormone therapy (MHT) in women? - correct answer
Likely safe to start in patients with no contraindications who are within 10 years of menopause, and/or
<60 years old according to NAMS (North American Menopause Society)
What are the 2 most common estrogens used in HT? - correct answer -Estradiol and Conjugated equine
estrogens (CEE)
What are all of the contraindications to MHT? - correct answer --History/concern for breast cancer
-Estrogen-sensitive malignancies
-Undiagnosed genital bleeding
-Untreated endometrial hyperplasia
-Past idiopathic or current DVT/PE
-Active or recent arterial thrombolic disease (stroke or MI)
-Uncontrolled hypertension >140/90
-Active liver disease
-Porphyria cutanea tarda (skin condition more sensitive to bruising)
Questions with correct Answers | Latest 2025/2026
Graded A+.
What other nonpharmacologic options are used to treat VMS? - correct answer -Temperature control
(colder pillow)
Yoga/relaxation therapy
Avoid spicy foods, chocolate, caffeine
Exercise
Acupuncture
Paced respiration (slowed down breathing)
What are vasomotor symptoms? - correct answer -Hot flushes and night sweats
Which 2 nonpharmacologic treatments are HIGHLY recommended by the North American Menopause
Society (NAMS) to treat VMS? - correct answer -Cognitive behavioral therapy, clinical hypnosis
What are the non-VMS of menopause? - correct answer -Dyspareunia, vaginal dryness, mood changes,
sleep disturbances, concentration and memory issues, arthralgia
If patient has a uterus, you must give them - correct answer -estrogen + progestin combo
What are the 3 main differences in estrogen of transdermal estrogens? - correct answer -Lower VTE risk
No impact on triglycerides
Potential lower stroke risk, so lower blood clot risk
, NAMS Menopause Certification Exam Practice Questions with
correct Answers |Latest 2025/2026
What are the 2 main differences in estrogen of oral estrogens? - correct answer -Increases triglycerides
Potential for decreased libido
What is the Women's Health Initiative (WHI)? - correct answer -Clinical study started in 1991. Studied
the use of conjugated equine estrogens (CEE) and medroxyprogesterone acetate (MPA) in women with
and without a uterus
If patient does NOT have a uterus, you can give them - correct answer -estrogen alone
What was the most important "shocking" result from the WHI? - correct answer -Estrogen + progestin
combo resulted in an increased risk of breast cancer
What symptoms should be present for a woman to be on HT? - correct answer -VMS
If patients have vaginal symptoms only, only use what kind of products? - correct answer -Vaginal
products
When is it considered safe to start menopause hormone therapy (MHT) in women? - correct answer
Likely safe to start in patients with no contraindications who are within 10 years of menopause, and/or
<60 years old according to NAMS (North American Menopause Society)
What are the 2 most common estrogens used in HT? - correct answer -Estradiol and Conjugated equine
estrogens (CEE)
What are all of the contraindications to MHT? - correct answer --History/concern for breast cancer
-Estrogen-sensitive malignancies
-Undiagnosed genital bleeding
-Untreated endometrial hyperplasia
-Past idiopathic or current DVT/PE
-Active or recent arterial thrombolic disease (stroke or MI)
-Uncontrolled hypertension >140/90
-Active liver disease
-Porphyria cutanea tarda (skin condition more sensitive to bruising)
