NAMs Menopause Certification Exam Q-Bank – Complete Certified Menopause Practitioner Questions and Answers & Explanations

NAMs Menopause Certification Exam Q-Bank – Complete Certified Menopause Practitioner Questions and
Answers & Explanations




NAMs Menopause Certification Exam Q-
Bank – Complete Certified Menopause
Practitioner Questions and Answers &
Explanations
Question 1
Climacteric phase
Correct Answer
The period of endrocrinologic, somatic, and transitory psychologic changes that
occur around the time of menopause.



Question 2
Early menopause
Correct Answer
LMP before age 45



Question 3
Late menopause
Correct Answer
LMP after age 54



Question 4
Primary ovarian insufficiency

Correct Answer
Menopause that occurs before age 40




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,NAMs Menopause Certification Exam Q-Bank – Complete Certified Menopause Practitioner Questions and
Answers & Explanations




Question 5
Early menopause transition (stage -2)
Correct Answer
Persistent difference of 7 days or more in the length of consecutive cycles.



Question 6
Late menopause transition (stage -1)
Correct Answer
60 or more consecutive days of amenorrhea



Question 7
Luteal out of phase event (LOOP)
Correct Answer
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.



Question 8
Obese women and estradiol levels during menopause
Correct Answer
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)



Question 9
Chinese and Japanese women
Correct Answer
These ethnic groups have lower estradiol levels then white, black and hispanic
women.




Page 2 of 56

,NAMs Menopause Certification Exam Q-Bank – Complete Certified Menopause Practitioner Questions and
Answers & Explanations




Question 10
stage +2
Correct Answer
late menopause stage: 5-8 years after FMP. Somatic aging predominates. Increased
genitourinary symptoms.



Question 11
Stages +1a, +1b, +1c
Correct Answer
early post menopause: 2 years after FMP. FSH rises, estradiol decreases. VMS
predominate.



Question 12
Elevated FSH, LH
Correct Answer
Endocrine labs after menopause



Question 13
AMH, inhibin B
Correct Answer
These hormones work during reproductive years to not deplete follicle pool too
quickly.



Question 14
Phases during menopause transition and PMS symptoms
Correct Answer
Menstrual cycle variable, persistent >7 day difference between difference in length
of consecutive cycles.




Page 3 of 56

, NAMs Menopause Certification Exam Q-Bank – Complete Certified Menopause Practitioner Questions and
Answers & Explanations




Question 15
How to respond if a patient requests FSH lab?
Correct Answer
many pitfalls, variable depending on the day of the cycle you draw the lab, normal
or low FSH is not helpful.



Question 16
The potentially superior marker of menopause, a lab.
Correct Answer
AMH



Question 17
DHEA (dehydroepiandrosterone)
Correct Answer
Adrenal androgens: precursor hromones produced by the adrenal gland that are
enzymatically converted to active androgens or estrogens in peripheral tissues.



Question 18
Location of estrogen receptors
Correct Answer
Vagina, vulva, urethra, trigone of the bladder



Question 19
Effects of estrogen on tissue
Correct Answer
maintain blood flow, the collagen, and HA within the epithelial surfaces. Supports
microbiome which supports acidity of vagina and protects tissue from pathogens.




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