NAMS MENOPAUSE CERTIFICATION REAL
EXAM 2 | 2025 CURRENTLY TESTING ACTUAL
EXAM WITH QUESTIONS AND DETAILED
ANSWERS | GUARANTEED EXCELLENCE PASS
These ethnic groups have lower estradiol levels then white, black and
hispanic women. - ✔✔✔ Correct Answer > Chinese and Japanese women
Can consider, adjust therapy to achieve goal range of 80-120 pg/ml -
✔✔✔ Correct Answer > Should you check estradiol levels for prematures
No studied
General principle, use higher doses; micronized 200-400 mg/d
(cont/cyclically)
or IUD - ✔✔✔ Correct Answer > Use of progestogen in premature menopause
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)
,Can consider, adjust therapy to achieve goal range of 80-120 pg/ml -
✔✔✔ Correct Answer > Should you check estradiol levels for prematures
No studied
General principle, use higher doses; micronized 200-400 mg/d
(cont/cyclically)
or IUD - ✔✔✔ Correct Answer > Use of progestogen in premature menopause
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
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
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?
EXAM 2 | 2025 CURRENTLY TESTING ACTUAL
EXAM WITH QUESTIONS AND DETAILED
ANSWERS | GUARANTEED EXCELLENCE PASS
These ethnic groups have lower estradiol levels then white, black and
hispanic women. - ✔✔✔ Correct Answer > Chinese and Japanese women
Can consider, adjust therapy to achieve goal range of 80-120 pg/ml -
✔✔✔ Correct Answer > Should you check estradiol levels for prematures
No studied
General principle, use higher doses; micronized 200-400 mg/d
(cont/cyclically)
or IUD - ✔✔✔ Correct Answer > Use of progestogen in premature menopause
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)
,Can consider, adjust therapy to achieve goal range of 80-120 pg/ml -
✔✔✔ Correct Answer > Should you check estradiol levels for prematures
No studied
General principle, use higher doses; micronized 200-400 mg/d
(cont/cyclically)
or IUD - ✔✔✔ Correct Answer > Use of progestogen in premature menopause
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
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
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?
