NAMs Menopause Certification Exam
QUESTIONS AND ANSWERS 100%
SOLVED (Newest 2025)
Climacteric phase - Correct Answers ✅The period of
endrocrinologic, somatic, and transitory psychologic changes
that occur around the time of menopause.
Early menopause - Correct Answers ✅LMP before age 45
Late menopause - Correct Answers ✅LMP after age 54
Primary ovarian insufficiency - Correct Answers
✅Menopause that occurs before age 40
Early menopause transition (stage -2) - Correct Answers
✅Persistent difference of 7 days or more in the length of
consecutive cycles.
Late menopause transition (stage -1) - Correct Answers
✅60 or more consecutive days of amenorrhea
Luteal out of phase event (LOOP) - Correct Answers
✅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.
,NAMs Menopause Certification Exam
QUESTIONS AND ANSWERS 100%
SOLVED (Newest 2025)
Obese women and estradiol levels during menopause -
Correct Answers ✅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 Answers ✅These
ethnic groups have lower estradiol levels then white, black
and hispanic women.
stage +2 - Correct Answers ✅late menopause stage: 5-8
years after FMP. Somatic aging predominates. Increased
genitourinary symptoms.
Stages +1a, +1b, +1c - Correct Answers ✅early post
menopause: 2 years after FMP. FSH rises, estradiol decreases.
VMS predominate.
Elevated FSH, LH - Correct Answers ✅Endocrine labs after
menopause
, NAMs Menopause Certification Exam
QUESTIONS AND ANSWERS 100%
SOLVED (Newest 2025)
AMH, inhibin B - Correct Answers ✅These hormones work
during reproductive years to not deplete follicle pool too
quickly.
Phases during menopause transition and PMS symptoms -
Correct Answers ✅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
Answers ✅many pitfalls, variable depending on the day of
the cycle you draw the lab, normal or low FSH is not helpful.
The potentially superior marker of menopause, a lab. -
Correct Answers ✅AMH
DHEA (dehydroepiandrosterone) - Correct Answers
✅Adrenal androgens: precursor hromones produced by the
adrenal gland that are enzymatically converted to active
androgens or estrogens in peripheral tissues.
Location of estrogen receptors - Correct Answers ✅Vagina,
vulva, urethra, trigone of the bladder
QUESTIONS AND ANSWERS 100%
SOLVED (Newest 2025)
Climacteric phase - Correct Answers ✅The period of
endrocrinologic, somatic, and transitory psychologic changes
that occur around the time of menopause.
Early menopause - Correct Answers ✅LMP before age 45
Late menopause - Correct Answers ✅LMP after age 54
Primary ovarian insufficiency - Correct Answers
✅Menopause that occurs before age 40
Early menopause transition (stage -2) - Correct Answers
✅Persistent difference of 7 days or more in the length of
consecutive cycles.
Late menopause transition (stage -1) - Correct Answers
✅60 or more consecutive days of amenorrhea
Luteal out of phase event (LOOP) - Correct Answers
✅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.
,NAMs Menopause Certification Exam
QUESTIONS AND ANSWERS 100%
SOLVED (Newest 2025)
Obese women and estradiol levels during menopause -
Correct Answers ✅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 Answers ✅These
ethnic groups have lower estradiol levels then white, black
and hispanic women.
stage +2 - Correct Answers ✅late menopause stage: 5-8
years after FMP. Somatic aging predominates. Increased
genitourinary symptoms.
Stages +1a, +1b, +1c - Correct Answers ✅early post
menopause: 2 years after FMP. FSH rises, estradiol decreases.
VMS predominate.
Elevated FSH, LH - Correct Answers ✅Endocrine labs after
menopause
, NAMs Menopause Certification Exam
QUESTIONS AND ANSWERS 100%
SOLVED (Newest 2025)
AMH, inhibin B - Correct Answers ✅These hormones work
during reproductive years to not deplete follicle pool too
quickly.
Phases during menopause transition and PMS symptoms -
Correct Answers ✅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
Answers ✅many pitfalls, variable depending on the day of
the cycle you draw the lab, normal or low FSH is not helpful.
The potentially superior marker of menopause, a lab. -
Correct Answers ✅AMH
DHEA (dehydroepiandrosterone) - Correct Answers
✅Adrenal androgens: precursor hromones produced by the
adrenal gland that are enzymatically converted to active
androgens or estrogens in peripheral tissues.
Location of estrogen receptors - Correct Answers ✅Vagina,
vulva, urethra, trigone of the bladder
