FNP 3 Exam 3: Menopause Questions &
Answers (Grade A+)
Menopause -
correct answer ✅12 months of amenorrhea
Premature Menopause -
correct answer ✅Cessation of menses in 3rd decade
Menopause age -
correct answer ✅Average: 51
Range 42-58
Menopause physiology -
correct answer ✅In early menopause, FSH rises. Increased FSH
recruits more follicles per cycle, which contributes to acceleration
of follicular atresia and overproduction of estradiol, which causes
perimenopausal symptoms.
Diagnosis -
correct answer ✅FSH consistently >25-30
Estradiol < 50
* If patient has erratic menses and symptoms, but normal labs, do
NOT assume she is not menopausal.
, FNP 3 Exam 3: Menopause Questions &
Answers (Grade A+)
*SWAN study suggests menstrual bleeding pattern is a better
predictor of menopausal stage and final menstrual period than FSH
concentrations**
Late Reproductive Years -
correct answer ✅Slight increase in FSH, maintained estradiol level.
Luteal phase progesterone levels decrease. Still ovulating.
Shortened follicular phase, so cycles shorten.
Menopausal Transition -
correct answer ✅Average 4 years before final menses.
Early transition: 47, intermittent lengthening of cycle. FSH levels
variable, changes in bleeding pattern.
Late Transition: Final stage of MT. Dramatic fluctuations in FSH and
estradiol. Amenorrhea, decrease in bleeding. Bad hot flashes.
May benefit from low dose OCPs (20mcg). Can discontinue at age
50.
If > 35 yo and smoke- OCPs contraindicated.
Perimenopause s/s -
correct answer ✅fluctuating hormones
Answers (Grade A+)
Menopause -
correct answer ✅12 months of amenorrhea
Premature Menopause -
correct answer ✅Cessation of menses in 3rd decade
Menopause age -
correct answer ✅Average: 51
Range 42-58
Menopause physiology -
correct answer ✅In early menopause, FSH rises. Increased FSH
recruits more follicles per cycle, which contributes to acceleration
of follicular atresia and overproduction of estradiol, which causes
perimenopausal symptoms.
Diagnosis -
correct answer ✅FSH consistently >25-30
Estradiol < 50
* If patient has erratic menses and symptoms, but normal labs, do
NOT assume she is not menopausal.
, FNP 3 Exam 3: Menopause Questions &
Answers (Grade A+)
*SWAN study suggests menstrual bleeding pattern is a better
predictor of menopausal stage and final menstrual period than FSH
concentrations**
Late Reproductive Years -
correct answer ✅Slight increase in FSH, maintained estradiol level.
Luteal phase progesterone levels decrease. Still ovulating.
Shortened follicular phase, so cycles shorten.
Menopausal Transition -
correct answer ✅Average 4 years before final menses.
Early transition: 47, intermittent lengthening of cycle. FSH levels
variable, changes in bleeding pattern.
Late Transition: Final stage of MT. Dramatic fluctuations in FSH and
estradiol. Amenorrhea, decrease in bleeding. Bad hot flashes.
May benefit from low dose OCPs (20mcg). Can discontinue at age
50.
If > 35 yo and smoke- OCPs contraindicated.
Perimenopause s/s -
correct answer ✅fluctuating hormones
