1|P age
NAMS MENOPAUSE CERTIFICATION
ACTUAL EXAM WITH REAL
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
LATEST2026-2027 UPDATED
|GUARANTEED A+
Climacteric phase >>correct answer >> The
period of endrocrinologic, somatic, and
transitory psychologic changes that occur
around the time of menopause.
Early menopause >>correct answer >> LMP
before age 45
Late menopause >>correct answer >> LMP
after age 54
,2|P age
Primary ovarian insufficiency >>correct
answer >> Menopause that occurs before age 40
Early menopause transition (stage -2)
>>correct answer >> Persistent difference of 7
days or more in the length of consecutive
cycles.
Late menopause transition (stage -1)
>>correct answer >> 60 or more consecutive
days of amenorrhea
Luteal out of phase event (LOOP) >>correct
answer >> Explains why some perimenopausal
women have elevated estrogen level
sometimes...In the early menopause transition,
elevated FSH levels are adequate to recruit a
second follicle which results in a follicular
,3|P age
phase-like rise in estradiol secretion
superimposed on the mid-to-late luteal phase of
the ongoing ovulatory cycle.
Obese women and estradiol levels during
menopause >>correct answer >> Obese
women are more likely to have anovulatory
cycles with high estradiol levels. They are also
more likely to have lower premenopause yet
higher postmenopause estradiol levels compared
with women of normal weight. (why they are at
higher risk of endometrial cancer)
Chinese and Japanese women >>correct
answer >> These ethnic groups have lower
estradiol levels then white, black and hispanic
women.
Stage +2 >>correct answer >> late
menopause stage: 5-8 years after FMP. Somatic
, 4|P age
aging predominates. Increased genitourinary
symptoms.
Stages +1a, +1b, +1c >>correct answer >>
early post menopause: 2 years after FMP. FSH
rises, estradiol decreases. VMS predominate.
Elevated FSH, LH >>correct answer >>
Endocrine labs after menopause
AMH, inhibin B >>correct answer >> These
hormones work during reproductive years to not
deplete follicle pool too quickly.
Phases during menopause transition and PMS
symptoms >>correct answer >> Menstrual
cycle shortenes, follicular phase compresses,
women spend more time in luteal phase..
NAMS MENOPAUSE CERTIFICATION
ACTUAL EXAM WITH REAL
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
LATEST2026-2027 UPDATED
|GUARANTEED A+
Climacteric phase >>correct answer >> The
period of endrocrinologic, somatic, and
transitory psychologic changes that occur
around the time of menopause.
Early menopause >>correct answer >> LMP
before age 45
Late menopause >>correct answer >> LMP
after age 54
,2|P age
Primary ovarian insufficiency >>correct
answer >> Menopause that occurs before age 40
Early menopause transition (stage -2)
>>correct answer >> Persistent difference of 7
days or more in the length of consecutive
cycles.
Late menopause transition (stage -1)
>>correct answer >> 60 or more consecutive
days of amenorrhea
Luteal out of phase event (LOOP) >>correct
answer >> Explains why some perimenopausal
women have elevated estrogen level
sometimes...In the early menopause transition,
elevated FSH levels are adequate to recruit a
second follicle which results in a follicular
,3|P age
phase-like rise in estradiol secretion
superimposed on the mid-to-late luteal phase of
the ongoing ovulatory cycle.
Obese women and estradiol levels during
menopause >>correct answer >> Obese
women are more likely to have anovulatory
cycles with high estradiol levels. They are also
more likely to have lower premenopause yet
higher postmenopause estradiol levels compared
with women of normal weight. (why they are at
higher risk of endometrial cancer)
Chinese and Japanese women >>correct
answer >> These ethnic groups have lower
estradiol levels then white, black and hispanic
women.
Stage +2 >>correct answer >> late
menopause stage: 5-8 years after FMP. Somatic
, 4|P age
aging predominates. Increased genitourinary
symptoms.
Stages +1a, +1b, +1c >>correct answer >>
early post menopause: 2 years after FMP. FSH
rises, estradiol decreases. VMS predominate.
Elevated FSH, LH >>correct answer >>
Endocrine labs after menopause
AMH, inhibin B >>correct answer >> These
hormones work during reproductive years to not
deplete follicle pool too quickly.
Phases during menopause transition and PMS
symptoms >>correct answer >> Menstrual
cycle shortenes, follicular phase compresses,
women spend more time in luteal phase..
