NAMs Menopause Certification Updated
EXAM QUESTIONS AND CORRECT
ANSWERS GRADED A+/
Climacteric phase
Ans: The period of endocrinologic, somatic, and transitory psychologic changes
that occur around the time of menopause.
Quiz Early menopause
Ans: LMP before age 45.
Quiz Late menopause
Ans: LMP after age 54.
,Quiz Primary ovarian insufficiency
Ans: Menopause that occurs before age 40.
Quiz Early menopause transition (stage -2)
Ans: Persistent difference of 7 days or more in the length of consecutive cycles.
Quiz Late menopause transition (stage -1)
Ans: 60 or more consecutive days of amenorrhea.
Quiz Luteal out of phase event (LOOP)
Ans: Explains why some perimenopausal women have elevated estrogen levels
sometimes.
Quiz Obese women and estradiol levels during menopause
Ans: Obese women are more likely to have anovulatory cycles with high estradiol
levels.
,Quiz Chinese and Japanese women
Ans: These ethnic groups have lower estradiol levels than white, black, and
Hispanic women.
Quiz Stage +2
Ans: Late menopause stage: 5-8 years after FMP. Somatic aging predominates.
Quiz Stages +1a, +1b, +1c
Ans: Early post menopause: 2 years after FMP. FSH rises, estradiol decreases.
Quiz Elevated FSH, LH
Ans: Endocrine labs after menopause.
Quiz AMH, inhibin B
Ans: These hormones work during reproductive years to not deplete follicle pool
too quickly.
, Quiz Phases during menopause transition and PMS symptoms
Ans: Menstrual cycle variable, persistent >7 day difference between difference in
length of consecutive cycles.
Quiz How to respond if a patient requests FSH lab?
Ans: Many pitfalls, variable depending on the day of the cycle you draw the lab.
Quiz The potentially superior marker of menopause, a lab.
Ans: AMH.
Quiz DHEA (dehydroepiandrosterone)
Ans: Adrenal androgens: precursor hormones produced by the adrenal gland that
are enzymatically converted to active androgens or estrogens in peripheral
tissues.
Quiz Location of estrogen receptors
Ans: Vagina, vulva, urethra, trigone of the bladder.
EXAM QUESTIONS AND CORRECT
ANSWERS GRADED A+/
Climacteric phase
Ans: The period of endocrinologic, somatic, and transitory psychologic changes
that occur around the time of menopause.
Quiz Early menopause
Ans: LMP before age 45.
Quiz Late menopause
Ans: LMP after age 54.
,Quiz Primary ovarian insufficiency
Ans: Menopause that occurs before age 40.
Quiz Early menopause transition (stage -2)
Ans: Persistent difference of 7 days or more in the length of consecutive cycles.
Quiz Late menopause transition (stage -1)
Ans: 60 or more consecutive days of amenorrhea.
Quiz Luteal out of phase event (LOOP)
Ans: Explains why some perimenopausal women have elevated estrogen levels
sometimes.
Quiz Obese women and estradiol levels during menopause
Ans: Obese women are more likely to have anovulatory cycles with high estradiol
levels.
,Quiz Chinese and Japanese women
Ans: These ethnic groups have lower estradiol levels than white, black, and
Hispanic women.
Quiz Stage +2
Ans: Late menopause stage: 5-8 years after FMP. Somatic aging predominates.
Quiz Stages +1a, +1b, +1c
Ans: Early post menopause: 2 years after FMP. FSH rises, estradiol decreases.
Quiz Elevated FSH, LH
Ans: Endocrine labs after menopause.
Quiz AMH, inhibin B
Ans: These hormones work during reproductive years to not deplete follicle pool
too quickly.
, Quiz Phases during menopause transition and PMS symptoms
Ans: Menstrual cycle variable, persistent >7 day difference between difference in
length of consecutive cycles.
Quiz How to respond if a patient requests FSH lab?
Ans: Many pitfalls, variable depending on the day of the cycle you draw the lab.
Quiz The potentially superior marker of menopause, a lab.
Ans: AMH.
Quiz DHEA (dehydroepiandrosterone)
Ans: Adrenal androgens: precursor hormones produced by the adrenal gland that
are enzymatically converted to active androgens or estrogens in peripheral
tissues.
Quiz Location of estrogen receptors
Ans: Vagina, vulva, urethra, trigone of the bladder.
