NAMS Menopause Certification Exam
2025–2026 | Complete Practice
Questions with Correct Verified Answers
Introduction:
This comprehensive study guide covers the full set of verified
questions and answers for the NAMS
...
NAMS Menopause Certification Exam
2025–2026 | Complete Practice
Questions with Correct Verified Answers
Introduction:
This comprehensive study guide covers the full set of verified
questions and answers for the NAMS Menopause Certification Exam
for 2025–2026. It includes detailed Q&A on endocrinology, hormone
regulation, menopause stages, hormone replacement therapy,
osteoporosis management, sexual dysfunction, cognition, and
metabolic changes. The document is ideal for healthcare
professionals preparing for NAMS certification and provides
accurate, up-to-date information aligned with current clinical
practice standards.
Questions and Answers:
What region of the adrenal gland secretes the androgens? -
Answer:-zona reticularis
what are considered the 'adrenal androgens'? -Answer:-DHEA,
DHEAS, Androstenedione.
Aldosterone secretion from the zona reticularis in the adrenal
gland is regulated by 3 main factors. -Answer:-Angiotensin II,
potassium concentration, adrenocorticotropic hormone secreted
by the anterior pituitary.
What part of the pituitary gland secretes adrenocorticotropic
hormone? -Answer:-Anterior pituitary. The posterior only
secretes vasopressin and oxytosin.
Cortisol and HRT -Answer:-Most serum cortisol circulates bound
to cortisol binding globulin.
Oral estrogen increases the cortisol binding globulin, which
increases total cortisol concentration.
Oral tamoxifen acts similarly.
Transdermal does not increase it, so it has a minimal effect on
serum cortisol concentration.
Do cortisol levels associate with VMS severity? -Answer:-No,
cortisol levels have NOT been associated with more severe VMS.
Local DHEA has been proven to help with what? -Answer:-vaginal
pain and dyspareunia
How to DX POI? -Answer:-Menstrual disturbance-oligomenorrhea
or amenorrhea for at least 4 months.
AND
elevated FSH over 25 on two occasions at least 4 weeks apart.
Anyone <40years old who misses 3+ consecutive cycles gets these
labs -Answer:-prolactin
FSH
estradiol
TSH
pregnancy test
treatment of POI -Answer:-100 microgram estradiol patch
1.25 mg CEE
2mg oral estradiol
If intact uterus-progesterone for 12 days of the month.
Physiologic is better than continuous hormonal contractption, but
if menorrhagia-IUD plus estrogen patch, or if really not wanting to
risk pregnancy, continuous HRT can be used.
Hair loss. Difference between FPHL and telogen effluvium? -
Answer:-FPHL is gradual, telogen effluvium is sudden and usually
precipitated by a life stressor, chronic illness, beta blockers or
anticoagulants-usually more patchy hair loss.
FPHL pattern -Answer:-thinning at the crown of the head and
widening of the hair part
Treating FPHL -Answer:-MINOXIDIL
spironolactone
finasteride
What ethnicity has the least likely chance of having bad hot
flashes? -Answer:-Japanese
What ethnicity is the most likely to have bad hot flashes? -
Answer:-black
more frequent, longer duration.
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