2024 - NAMS MENOPAUSE CERTIFICATION EXAM||QUESTIONS
EACH AND A STUDY GUIDE | ACCURATE EXPERT VERIFIED FOR
GUARANTEED PASS | LATEST UPDATE
1. secondary causes of osteoporosis
which 3 common drugs?: Hyperthyroidism, hyperparathyroidism, hypercalciuria,
certain drugs (eg: tamoxifen, steroids, PPIs), calcium/vitamin D deficiency, RA,
celiac disease, malabsorptive diseases such as Crohn disease, and ulcerative colitis
2. Median age of menopause in US women: 52.54 y
3. POI: Intermittent ovarian function & insufficient estrogen levels occurring at age
<40 y
4. which STRAW stage?
,menarche / early reproductive: -5
5. which STRAW stage?
peak reproductive: -4
6. which STRAW stage?
late reproductive: -3
7. which STRAW stage?
perimenopause: -2 to -1 & +1a
8. which STRAW stage?
FMP &
12 months after final menstrual period: FMP = 0
12 months after = +1a
9. which STRAW stage?
VMS most likely: +1a (most likely)
-1 (likely)
aka perimenopause/menopause transition
10. which STRAW stage?
early post menopause: +1a to +1c
11. which STRAW stage?
late postmenopause: +2
12. which STRAW stage?
, amenorrhea >60 days: -1
aka late menopause transition
13. which STRAW stage?
variable cycle lengths of >7 days differences: -2
aka early menopause transition
14. difference between menopause transition vs perimenopause per STRAW
criteria?: menopause transition: -2 and -1, prior to FMP
perimenopause: -2 to +1a, includes 12 mo of amenorrhea following FMP
15. which STRAW stage?
initial drop in AMH/AFC/inhibin, cycles still regular, FSH normal: -3b
aka late reproductive
16. which STRAW stage?
cycles shorter, first increase in FSH: -3a
aka late reproductive
17. levels spike with ovulation, marker of ovarian reserve: inhibin B
18. Produced by granulosa cells of activated follicles, most reflective of true
ovarian reserve; provides the best single prediction of time to menopause: -
AMH
19. what day of cycle to draw FSH to predict ovarian response/reserve?: day 3
20. normal day 3 FSH?
FSH value for menopause?: < 10
>25
21. # of ultrasound detected follicles 2-10 mm in size: AFC (antral follicle count)
22. normal AFC: >12
23. Luteal-Out-Of-Phase (LOOP) event: - FSH elevation recruits follicles for the
subsequent cycle before the current cycle is over
- Excess estradiol production as new follicles start growing
- Increase chance of TWINS
- Very short follicular phase
- More time spent in luteal phase (more PMS/PMDD sx)
EACH AND A STUDY GUIDE | ACCURATE EXPERT VERIFIED FOR
GUARANTEED PASS | LATEST UPDATE
1. secondary causes of osteoporosis
which 3 common drugs?: Hyperthyroidism, hyperparathyroidism, hypercalciuria,
certain drugs (eg: tamoxifen, steroids, PPIs), calcium/vitamin D deficiency, RA,
celiac disease, malabsorptive diseases such as Crohn disease, and ulcerative colitis
2. Median age of menopause in US women: 52.54 y
3. POI: Intermittent ovarian function & insufficient estrogen levels occurring at age
<40 y
4. which STRAW stage?
,menarche / early reproductive: -5
5. which STRAW stage?
peak reproductive: -4
6. which STRAW stage?
late reproductive: -3
7. which STRAW stage?
perimenopause: -2 to -1 & +1a
8. which STRAW stage?
FMP &
12 months after final menstrual period: FMP = 0
12 months after = +1a
9. which STRAW stage?
VMS most likely: +1a (most likely)
-1 (likely)
aka perimenopause/menopause transition
10. which STRAW stage?
early post menopause: +1a to +1c
11. which STRAW stage?
late postmenopause: +2
12. which STRAW stage?
, amenorrhea >60 days: -1
aka late menopause transition
13. which STRAW stage?
variable cycle lengths of >7 days differences: -2
aka early menopause transition
14. difference between menopause transition vs perimenopause per STRAW
criteria?: menopause transition: -2 and -1, prior to FMP
perimenopause: -2 to +1a, includes 12 mo of amenorrhea following FMP
15. which STRAW stage?
initial drop in AMH/AFC/inhibin, cycles still regular, FSH normal: -3b
aka late reproductive
16. which STRAW stage?
cycles shorter, first increase in FSH: -3a
aka late reproductive
17. levels spike with ovulation, marker of ovarian reserve: inhibin B
18. Produced by granulosa cells of activated follicles, most reflective of true
ovarian reserve; provides the best single prediction of time to menopause: -
AMH
19. what day of cycle to draw FSH to predict ovarian response/reserve?: day 3
20. normal day 3 FSH?
FSH value for menopause?: < 10
>25
21. # of ultrasound detected follicles 2-10 mm in size: AFC (antral follicle count)
22. normal AFC: >12
23. Luteal-Out-Of-Phase (LOOP) event: - FSH elevation recruits follicles for the
subsequent cycle before the current cycle is over
- Excess estradiol production as new follicles start growing
- Increase chance of TWINS
- Very short follicular phase
- More time spent in luteal phase (more PMS/PMDD sx)
