NAMS MENOPAUSE CERTIFICATION LATEST EXAM 2025 WITH
ACTUAL QUESTIONS AND CORRECT ANSWERS/ALREADY
GRADED A+
60 or more consecutive days of amenorrhea - CORRECT ANSWER-Late menopause
transition (stage -1)
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. - CORRECT ANSWER-Luteal out of phase event (LOOP)
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) - CORRECT ANSWER-Obese women
and estradiol levels during menopause
These ethnic groups have lower estradiol levels then white, black and hispanic
women. - CORRECT ANSWER-Chinese and Japanese women
,late menopause stage: 5-8 years after FMP. Somatic aging predominates.
Increased genitourinary symptoms. - CORRECT ANSWER-stage +2
early post menopause: 2 years after FMP. FSH rises, estradiol decreases. VMS
predominate. - CORRECT ANSWER-Stages +1a, +1b, +1c
Endocrine labs after menopause - CORRECT ANSWER-Elevated FSH, LH
These hormones work during reproductive years to not deplete follicle pool too
quickly. - CORRECT ANSWER-AMH, inhibin B
Menstrual cycle variable, persistent >7 day difference between difference in
length of consecutive cycles. - CORRECT ANSWER-Phases during menopause
transition and PMS symptoms
many pitfalls, variable depending on the day of the cycle you draw the lab, normal
or low FSH is not helpful. - CORRECT ANSWER-How to respond if a patient
requests FSH lab?
AMH - CORRECT ANSWER-The potentially superior marker of menopause, a lab.
Adrenal androgens: precursor hromones produced by the adrenal gland that are
enzymatically converted to active androgens or estrogens in peripheral tissues. -
CORRECT ANSWER-DHEA (dehydroepiandrosterone)
,Vagina, vulva, urethra, trigone of the bladder - CORRECT ANSWER-Location of
estrogen receptors
maintain blood flow, the collagen, and HA within the epithelial surfaces. Supports
microbiome which supports acidity of vagina and protects tissue from pathogens.
- CORRECT ANSWER-Effects of estrogen on tissue
The period of endrocrinologic, somatic, and transitory psychologic changes that
occur around the time of menopause. - CORRECT ANSWER-Climacteric phase
LMP before age 45 - CORRECT ANSWER-Early menopause
LMP after age 54 - CORRECT ANSWER-Late menopause
Menopause that occurs before age 40 - CORRECT ANSWER-Primary ovarian
insufficiency
Persistent difference of 7 days or more in the length of consecutive cycles. -
CORRECT ANSWER-Early menopause transition (stage -2)
Thinning, loss of elasticity, loss or absence or rugae. - CORRECT ANSWER-Vaginal
changes with menopause
vagina narrows, urethra moves closer to the introitus. - CORRECT ANSWER-Vagina
and urethra in menopause
, Vaginal estrogen and urinary incontinence: what type does it help with? -
CORRECT ANSWER-Stress urinary incontinence
Minoxidil, spironolactone, finasteride, estrogen therapy - CORRECT ANSWER-
Treatment for FPHL
-3b: menstrual cycles normal, FSH normal, AMH low, AFC low, inhibin low.
-3a: subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low. -
CORRECT ANSWER-Late reporoductive years -3b and -3a. What happens with
menstrual cycles, FSH, AMH, AFC, inhibin?
Cycle day #3. Elevated estradiol can suppress FSH giving a falsely normal FSH level.
- CORRECT ANSWER-When it is appropriate to check an FSH during the cycle if
you check it? and why?
produced by granulosa cells
used to test damage to ovarian follicle reserve. If AMH is low, the woman has a
low ovarian reserve.
not recommended as a screening tool to predict fertility.
Peaks at around 25 years old. So before age 25, this test is not helpful.
ACTUAL QUESTIONS AND CORRECT ANSWERS/ALREADY
GRADED A+
60 or more consecutive days of amenorrhea - CORRECT ANSWER-Late menopause
transition (stage -1)
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. - CORRECT ANSWER-Luteal out of phase event (LOOP)
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) - CORRECT ANSWER-Obese women
and estradiol levels during menopause
These ethnic groups have lower estradiol levels then white, black and hispanic
women. - CORRECT ANSWER-Chinese and Japanese women
,late menopause stage: 5-8 years after FMP. Somatic aging predominates.
Increased genitourinary symptoms. - CORRECT ANSWER-stage +2
early post menopause: 2 years after FMP. FSH rises, estradiol decreases. VMS
predominate. - CORRECT ANSWER-Stages +1a, +1b, +1c
Endocrine labs after menopause - CORRECT ANSWER-Elevated FSH, LH
These hormones work during reproductive years to not deplete follicle pool too
quickly. - CORRECT ANSWER-AMH, inhibin B
Menstrual cycle variable, persistent >7 day difference between difference in
length of consecutive cycles. - CORRECT ANSWER-Phases during menopause
transition and PMS symptoms
many pitfalls, variable depending on the day of the cycle you draw the lab, normal
or low FSH is not helpful. - CORRECT ANSWER-How to respond if a patient
requests FSH lab?
AMH - CORRECT ANSWER-The potentially superior marker of menopause, a lab.
Adrenal androgens: precursor hromones produced by the adrenal gland that are
enzymatically converted to active androgens or estrogens in peripheral tissues. -
CORRECT ANSWER-DHEA (dehydroepiandrosterone)
,Vagina, vulva, urethra, trigone of the bladder - CORRECT ANSWER-Location of
estrogen receptors
maintain blood flow, the collagen, and HA within the epithelial surfaces. Supports
microbiome which supports acidity of vagina and protects tissue from pathogens.
- CORRECT ANSWER-Effects of estrogen on tissue
The period of endrocrinologic, somatic, and transitory psychologic changes that
occur around the time of menopause. - CORRECT ANSWER-Climacteric phase
LMP before age 45 - CORRECT ANSWER-Early menopause
LMP after age 54 - CORRECT ANSWER-Late menopause
Menopause that occurs before age 40 - CORRECT ANSWER-Primary ovarian
insufficiency
Persistent difference of 7 days or more in the length of consecutive cycles. -
CORRECT ANSWER-Early menopause transition (stage -2)
Thinning, loss of elasticity, loss or absence or rugae. - CORRECT ANSWER-Vaginal
changes with menopause
vagina narrows, urethra moves closer to the introitus. - CORRECT ANSWER-Vagina
and urethra in menopause
, Vaginal estrogen and urinary incontinence: what type does it help with? -
CORRECT ANSWER-Stress urinary incontinence
Minoxidil, spironolactone, finasteride, estrogen therapy - CORRECT ANSWER-
Treatment for FPHL
-3b: menstrual cycles normal, FSH normal, AMH low, AFC low, inhibin low.
-3a: subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low. -
CORRECT ANSWER-Late reporoductive years -3b and -3a. What happens with
menstrual cycles, FSH, AMH, AFC, inhibin?
Cycle day #3. Elevated estradiol can suppress FSH giving a falsely normal FSH level.
- CORRECT ANSWER-When it is appropriate to check an FSH during the cycle if
you check it? and why?
produced by granulosa cells
used to test damage to ovarian follicle reserve. If AMH is low, the woman has a
low ovarian reserve.
not recommended as a screening tool to predict fertility.
Peaks at around 25 years old. So before age 25, this test is not helpful.
