NAMS Menopause Certification Exam
Questions and Answers 100% Solved
The period of endrocrinologic, somatic, and transitory psychologic
changes that occur around the time of menopause. -
correct answer ✅climacteric phase
Perimenopause Menopause Transition, Early
List the STRAW Stage
What defines the phase? -
correct answer ✅STRAW Stage: (Stage -2)
Persistent difference of 7 days or more in the length of consecutive
cycles.
Perimenopause Menopause Transition, Late
List the STRAW Stage
What defines the phase? -
correct answer ✅STRAW Stage: (Stage -1)
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 phase-like rise in estradiol
,NAMS Menopause Certification Exam
Questions and Answers 100% Solved
secretion superimposed on the mid-to-late luteal phase of the
ongoing ovulatory cycle.
Describe the E2 level during the life of a patient with obesity. -
correct answer ✅They are also more likely to have lower
premenopause/perimenopausal estradiol levels compared to
patients with average BMIs. However, the level is the highest in
postmenopausal patients with obesity.
In comparison to other ethnicities, Chinese and Japanese women
have ___ E2 levels? -
correct answer ✅These ethnic groups have lower estradiol levels
than white, black and hispanic women.
STRAW Stage +2, describe the timeline as well as the predominant
symptoms. -
correct answer ✅Postmenopause, Late. (Remaining Lifespan) 5-8
years after FMP. Somatic aging predominates. Increased
genitourinary symptoms.
Stages +1a, +1b, +1c, describe the timeline as well as the supportive
criteria and the symptoms. -
correct answer ✅Postmenopause, Early. 2 years after FMP.
,NAMS Menopause Certification Exam
Questions and Answers 100% Solved
+1a/b (2yrs) FSH variable where as the AMH and InhB are low. The
AFC are very low. VMS predominate.
1c (3-6yrs) FSH levels stabilize. The other measures continue as
previous.
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.
Describe the phases during the early menopause transition and
what happens with PMS symptoms -
correct answer ✅Menstrual cycle shortens. Due to unrestrained
FSH, follicular phase compresses. More premenstrual symptoms
due to the longer luteal phase. Cycle irregularity and skipped cycles
because of ovulatory failure and increased atresia.
How to respond if a patient requests FSH lab? -
correct answer ✅many pitfalls, variable depending on the day of
the cycle you draw the lab, normal or low FSH is not helpful.
, NAMS Menopause Certification Exam
Questions and Answers 100% Solved
What lab is potentially the superior marker of time to menopause?
-
correct answer ✅AMH
DHEA (dehydroepiandrosterone) -
correct answer ✅Adrenal androgens: precursor hromones
produced by the adrenal gland that are enzymatically converted to
active androgens or estrogens in peripheral tissues.
Location of GU estrogen receptors (4) -
correct answer ✅Vagina, vulva, urethra, trigone of the bladder
List the effects of estrogen on tissue (4+2) -
correct answer ✅1 ) maintains blood flow to tissue, maintains the
collagen within the epithelium, and maintains the hyaluronic acid
and mucopolysaccharides within the moistened epithelial surface,
maintains pH (4.5) 2) supports microbiome and protects tissue from
pathogens
List the vaginal changes with menopause you might note on
clinical/microscopic exam. -
correct answer ✅Thinning of the epithelial layer, loss of elasticity
Questions and Answers 100% Solved
The period of endrocrinologic, somatic, and transitory psychologic
changes that occur around the time of menopause. -
correct answer ✅climacteric phase
Perimenopause Menopause Transition, Early
List the STRAW Stage
What defines the phase? -
correct answer ✅STRAW Stage: (Stage -2)
Persistent difference of 7 days or more in the length of consecutive
cycles.
Perimenopause Menopause Transition, Late
List the STRAW Stage
What defines the phase? -
correct answer ✅STRAW Stage: (Stage -1)
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 phase-like rise in estradiol
,NAMS Menopause Certification Exam
Questions and Answers 100% Solved
secretion superimposed on the mid-to-late luteal phase of the
ongoing ovulatory cycle.
Describe the E2 level during the life of a patient with obesity. -
correct answer ✅They are also more likely to have lower
premenopause/perimenopausal estradiol levels compared to
patients with average BMIs. However, the level is the highest in
postmenopausal patients with obesity.
In comparison to other ethnicities, Chinese and Japanese women
have ___ E2 levels? -
correct answer ✅These ethnic groups have lower estradiol levels
than white, black and hispanic women.
STRAW Stage +2, describe the timeline as well as the predominant
symptoms. -
correct answer ✅Postmenopause, Late. (Remaining Lifespan) 5-8
years after FMP. Somatic aging predominates. Increased
genitourinary symptoms.
Stages +1a, +1b, +1c, describe the timeline as well as the supportive
criteria and the symptoms. -
correct answer ✅Postmenopause, Early. 2 years after FMP.
,NAMS Menopause Certification Exam
Questions and Answers 100% Solved
+1a/b (2yrs) FSH variable where as the AMH and InhB are low. The
AFC are very low. VMS predominate.
1c (3-6yrs) FSH levels stabilize. The other measures continue as
previous.
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.
Describe the phases during the early menopause transition and
what happens with PMS symptoms -
correct answer ✅Menstrual cycle shortens. Due to unrestrained
FSH, follicular phase compresses. More premenstrual symptoms
due to the longer luteal phase. Cycle irregularity and skipped cycles
because of ovulatory failure and increased atresia.
How to respond if a patient requests FSH lab? -
correct answer ✅many pitfalls, variable depending on the day of
the cycle you draw the lab, normal or low FSH is not helpful.
, NAMS Menopause Certification Exam
Questions and Answers 100% Solved
What lab is potentially the superior marker of time to menopause?
-
correct answer ✅AMH
DHEA (dehydroepiandrosterone) -
correct answer ✅Adrenal androgens: precursor hromones
produced by the adrenal gland that are enzymatically converted to
active androgens or estrogens in peripheral tissues.
Location of GU estrogen receptors (4) -
correct answer ✅Vagina, vulva, urethra, trigone of the bladder
List the effects of estrogen on tissue (4+2) -
correct answer ✅1 ) maintains blood flow to tissue, maintains the
collagen within the epithelium, and maintains the hyaluronic acid
and mucopolysaccharides within the moistened epithelial surface,
maintains pH (4.5) 2) supports microbiome and protects tissue from
pathogens
List the vaginal changes with menopause you might note on
clinical/microscopic exam. -
correct answer ✅Thinning of the epithelial layer, loss of elasticity
