NAMs Menopause Certification Exam
Questions & Answers (Grade 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
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
,NAMs Menopause Certification Exam
Questions & Answers (Grade A+)
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
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 aging predominates. Increased genitourinary symptoms.
, NAMs Menopause Certification Exam
Questions & Answers (Grade A+)
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.. meaning
more premenstrual symptoms and more frequent menstrual
periods.
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.
Questions & Answers (Grade 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
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
,NAMs Menopause Certification Exam
Questions & Answers (Grade A+)
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
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 aging predominates. Increased genitourinary symptoms.
, NAMs Menopause Certification Exam
Questions & Answers (Grade A+)
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.. meaning
more premenstrual symptoms and more frequent menstrual
periods.
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.
