NAMS Menopause Certification Exam –
120 Practice Questions with Verified
Correct Answers
Description:
This document provides 120 practice questions with verified
answers to prepare for the NAMS (North American Menopause
Society) Menopause Certification Exam. The material covers key
topics such as adrenal androgens, hormonal regulation, diagnosis
and treatment of POI, hot flashes, vulvar and vaginal disorders,
cognition, migraine management, bone health, and hormone
replacement therapy. It is a complete set of exam-style Q&As
designed to help with focused study and test readiness.
Questions and Answers:
What region of the adrenal gland secretes the androgens? -
Answer:-zona reticularis
what are considered the 'adrenal androgens'? -Answer:-DHEA,
DHEAS, Androstenedione.
Aldosterone secretion from the zona reticularis in the adrenal
gland is regulated by 3 main factors. -Answer:-Angiotensin II,
potassium concentration, adrenocorticotropic hormone secreted
by the anterior pituitary.
,What part of the pituitary gland secretes adrenocorticotropic
hormone? -Answer:-Anterior pituitary. The posterior only
secretes vasopressin and oxytosin.
Cortisol and HRT -Answer:-Most serum cortisol circulates bound
to cortisol binding globulin.
Oral estrogen increases the cortisol binding globulin, which
increases total cortisol concentration.
Oral tamoxifen acts similarly.
Transdermal does not increase it, so it has a minimal effect on
serum cortisol concentration.
Do cortisol levels associate with VMS severity? -Answer:-No,
cortisol levels have NOT been associated with more severe VMS.
Local DHEA has been proven to help with what? -Answer:-vaginal
pain and dyspareunia
How to DX POI? -Answer:-Menstrual disturbance-oligomenorrhea
or amenorrhea for at least 4 months.
AND
elevated FSH over 25 on two occasions at least 4 weeks apart.
, Anyone <40years old who misses 3+ consecutive cycles gets these
labs -Answer:-prolactin
FSH
estradiol
TSH
pregnancy test
treatment of POI -Answer:-100 microgram estradiol patch
1.25 mg CEE
2mg oral estradiol
If intact uterus-progesterone for 12 days of the month.
Physiologic is better than continuous hormonal contractption, but
if menorrhagia-IUD plus estrogen patch, or if really not wanting to
risk pregnancy, continuous HRT can be used.
Hair loss. Difference between FPHL and telogen effluvium? -
Answer:-FPHL is gradual, telogen effluvium is sudden and usually
precipitated by a life stressor, chronic illness, beta blockers or
anticoagulants-usually more patchy hair loss.
FPHL pattern -Answer:-thinning at the crown of the head and
widening of the hair part
Treating FPHL -Answer:-MINOXIDIL
120 Practice Questions with Verified
Correct Answers
Description:
This document provides 120 practice questions with verified
answers to prepare for the NAMS (North American Menopause
Society) Menopause Certification Exam. The material covers key
topics such as adrenal androgens, hormonal regulation, diagnosis
and treatment of POI, hot flashes, vulvar and vaginal disorders,
cognition, migraine management, bone health, and hormone
replacement therapy. It is a complete set of exam-style Q&As
designed to help with focused study and test readiness.
Questions and Answers:
What region of the adrenal gland secretes the androgens? -
Answer:-zona reticularis
what are considered the 'adrenal androgens'? -Answer:-DHEA,
DHEAS, Androstenedione.
Aldosterone secretion from the zona reticularis in the adrenal
gland is regulated by 3 main factors. -Answer:-Angiotensin II,
potassium concentration, adrenocorticotropic hormone secreted
by the anterior pituitary.
,What part of the pituitary gland secretes adrenocorticotropic
hormone? -Answer:-Anterior pituitary. The posterior only
secretes vasopressin and oxytosin.
Cortisol and HRT -Answer:-Most serum cortisol circulates bound
to cortisol binding globulin.
Oral estrogen increases the cortisol binding globulin, which
increases total cortisol concentration.
Oral tamoxifen acts similarly.
Transdermal does not increase it, so it has a minimal effect on
serum cortisol concentration.
Do cortisol levels associate with VMS severity? -Answer:-No,
cortisol levels have NOT been associated with more severe VMS.
Local DHEA has been proven to help with what? -Answer:-vaginal
pain and dyspareunia
How to DX POI? -Answer:-Menstrual disturbance-oligomenorrhea
or amenorrhea for at least 4 months.
AND
elevated FSH over 25 on two occasions at least 4 weeks apart.
, Anyone <40years old who misses 3+ consecutive cycles gets these
labs -Answer:-prolactin
FSH
estradiol
TSH
pregnancy test
treatment of POI -Answer:-100 microgram estradiol patch
1.25 mg CEE
2mg oral estradiol
If intact uterus-progesterone for 12 days of the month.
Physiologic is better than continuous hormonal contractption, but
if menorrhagia-IUD plus estrogen patch, or if really not wanting to
risk pregnancy, continuous HRT can be used.
Hair loss. Difference between FPHL and telogen effluvium? -
Answer:-FPHL is gradual, telogen effluvium is sudden and usually
precipitated by a life stressor, chronic illness, beta blockers or
anticoagulants-usually more patchy hair loss.
FPHL pattern -Answer:-thinning at the crown of the head and
widening of the hair part
Treating FPHL -Answer:-MINOXIDIL
