2024 - bj
NAMS Menopause Certification Exam Study Set
bj bj bj bj bj bj
NAMS MENOPAUSE CERTIFICATION EXAM
Climactericbjphasebj-bjanswer--
Thebjperiodbjofbjendrocrinologic,bjsomatic,bjandbjtransitorybjpsychologicbjchangesbjthatbjoccurbjaroundbjthebjtimebjofbjmen
pause.
Earlybjmenopausebj-bjanswer--LMPbjbeforebjagebj45
Latebjmenopausebj-bjanswer--LMPbjafterbjagebj54
Primarybjovarianbjinsufficiencybj-bjanswer--Menopausebjthatbjoccursbjbeforebjagebj40
Earlybjmenopausebjtransitionbj(stagebj-2)bj-bjanswer--
Persistentbjdifferencebjofbj7bjdaysbjorbjmorebjinbjthebjlengthbjofbjconsecutivebjcycles.
Latebjmenopausebjtransitionbj(stagebj-1)bj-bjanswer--60bjorbjmorebjconsecutivebjdaysbjofbjamenorrhea
Lutealbjoutbjofbjphasebjeventbj(LOOP)bj-bjanswer--
Explainsbjwhybjsomebjperimenopausalbjwomenbjhavebjelevatedbjestrogenbjlevelbjsometimes...Inbjthebjearlybjmenopaus
ransition,bjelevatedbjFSHbjlevelsbjarebjadequatebjtobjrecruitbjabjsecondbjfolliclebjwhichbjresultsbjinbjabjfollicularbjphase-
likebjrisebjinbjestradiolbjsecretionbjsuperimposedbjonbjthebjmid-to-latebjlutealbjphasebjofbjthebjongoingbjovulatorybjcycle.
Obesebjwomenbjandbjestradiolbjlevelsbjduringbjmenopausebj-bjanswer--
Obesebjwomenbjarebjmorebjlikelybjtobjhavebjanovulatorybjcyclesbjwithbjhighbjestradiolbjlevels.bjTheybjarebjalsobjmorebjlikely
objhavebjlowerbjpremenopausebjyetbjhigherbjpostmenopausebjestradiolbjlevelsbjcomparedbjwithbjwomenbjofbjnormalbjwei
t.bj(whybjtheybjarebjatbjhigherbjriskbjofbjendometrialbjcancer)
ChinesebjandbjJapanesebjwomenbj-bjanswer--
Thesebjethnicbjgroupsbjhavebjlowerbjestradiolbjlevelsbjthenbjwhite,bjblackbjandbjhispanicbjwomen.
stagebj+2bj-bjanswer--latebjmenopausebjstage:bj5-
8bjyearsbjafterbjFMP.bjSomaticbjagingbjpredominates.bjIncreasedbjgenitourinarybjsymptoms.
Stagesbj+1a,bj+1b,bj+1cbj-bjanswer--
earlybjpostbjmenopause:bj2bjyearsbjafterbjFMP.bjFSHbjrises,bjestradiolbjdecreases.bjVMSbjpredominate.
ElevatedbjFSH,bjLHbj-bjanswer--Endocrinebjlabsbjafterbjmenopause
AMH,bjinhibinbjBbj-bjanswer--
Thesebjhormonesbjworkbjduringbjreproductivebjyearsbjtobjnotbjdepletebjfolliclebjpoolbjtoobjquickly.
PhasesbjduringbjmenopausebjtransitionbjandbjPMSbjsymptomsbj-bjanswer--
Menstrualbjcyclebjshortenes,bjfollicularbjphasebjcompresses,bjwomenbjspendbjmorebjtimebjinbjlutealbjphase..bjmeaningbjm
ebjpremenstrualbjsymptomsbjandbjmorebjfrequentbjmenstrualbjperiods.
1bj/bj8
, 2024 -
bj
NAMS Menopause Certification Exam Study Set
bj bj bj bj bj bj
HowbjtobjrespondbjifbjabjpatientbjrequestsbjFSHbjlab?bj-bjanswer--
manybjpitfalls,bjvariablebjdependingbjonbjthebjdaybjofbjthebjcyclebjyoubjdrawbjthebjlab,bjnormalbjorbjlowbjFSHbjisbjnotbjhelpful.
Thebjpotentiallybjsuperiorbjmarkerbjofbjmenopause,bjabjlab.bj-bjanswer--AMH
DHEAbj(dehydroepiandrosterone)bj-bjanswer--
Adrenalbjandrogens:bjprecursorbjhromonesbjproducedbjbybjthebjadrenalbjglandbjthatbjarebjenzymaticallybjconvertedbjtobja
vebjandrogensbjorbjestrogensbjinbjperipheralbjtissues.
Locationbjofbjestrogenbjreceptorsbj-bjanswer--Vagina,bjvulva,bjurethra,bjtrigonebjofbjthebjbladder
Effectsbjofbjestrogenbjonbjtissuebj-bjanswer--
maintainbjbloodbjflow,bjthebjcollagen,bjandbjHAbjwithinbjthebjepithelialbjsurfaces.bjSupportsbjmicrobiomebjandbjprotectsbjtis
ebjfrombjpathogens.
Vaginalbjchangesbjwithbjmenopausebj-bjanswer--Thinning,bjlossbjofbjelasticity,bjlossbjorbjabsencebjorbjrugae.
Vaginabjandbjurethrabjinbjmenopausebj-bjanswer--vaginabjnarrows,bjurethrabjmovesbjcloserbjtobjthebjintroitus.
Stressbjurinarybjincontinencebj-bjanswer--Vaginalbjestrogenbjandbjurinarybjincontinence:bjwhatbjtypebjdoesbjitbjhelpbjwith?
TreatmentbjforbjFPHLbj-bjanswer--Minoxidil,bjspironolactone,bjfinasteride,bjestrogenbjtherapy
Latebjreporoductivebjyearsbj-3bbjandbj-3a.bjWhatbjhappensbjwithbjmenstrualbjcycles,bjFSH,bjAMH,bjAFC,bjinhibin?bj-
bjanswer---3b:bjmenstrualbjcyclesbjnormal,bjFSHbjnormal,bjAMHbjlow,bjAFCbjlow,bjinhibinbjlow.bj
-3a:bjsubtlebjmenstrualbjchanges,bjvariablebjFSH,bjAMHbjlow,bjAFCbjlow,bjinhibinbjlow.
WhenbjitbjisbjappropriatebjtobjcheckbjanbjFSHbjduringbjthebjcyclebjifbjyoubjcheckbjit?bjandbjwhy?bj-bjanswer--
Cyclebjdaybj#3.bjElevatedbjestradiolbjcanbjsuppressbjFSHbjgivingbjabjfalselybjnormalbjFSHbjlevel.
AMH
producedbjby...
usedbjtobjtest...
Isbjitbjabjscreeningbjtoolbjforbjfertility?
Whenbjdoesbjitbjpeak?bj-bjanswer--producedbjbybjgranulosabjcells
usedbjtobjtestbjdamagebjtobjovarianbjfolliclebjreserve.bjIfbjAMHbjisbjlow,bjthebjwomanbjhasbjabjlowbjovarianbjreserve.bj
notbjrecommendedbjasbjabjscreeningbjtoolbjtobjpredictbjfertility.bj
Peaksbjatbjaroundbj25bjyearsbjold.bjSobjbeforebjagebj25,bjthisbjtestbjisbjnotbjhelpful.bj
Itbjisbjinfluencedbjbybjexogenousbjhormones.bjLowerbjinbjhormonalbjcontraceptionbjusers,bjbutbjincreasesbjafterbjd/cing.
AFCbj-bjanswer--Antralbjfolliclebjcount
Numberbjofbjfolliclesbjthatbjarebjdetectablebjwithbjultrasound.bj
TheybjarebjsensitivebjtobjFSHbjandbjconsideredbjtobjrepresentbjthebjavailabilitybjpoobjofbjfollicles.
Latebjmenopausebjtransitionbj(-1)bjFSHbjlevelbjonbjrandombjdrawbj-bjanswer--25bjorbjhigher
2bj/bj8
NAMS Menopause Certification Exam Study Set
bj bj bj bj bj bj
NAMS MENOPAUSE CERTIFICATION EXAM
Climactericbjphasebj-bjanswer--
Thebjperiodbjofbjendrocrinologic,bjsomatic,bjandbjtransitorybjpsychologicbjchangesbjthatbjoccurbjaroundbjthebjtimebjofbjmen
pause.
Earlybjmenopausebj-bjanswer--LMPbjbeforebjagebj45
Latebjmenopausebj-bjanswer--LMPbjafterbjagebj54
Primarybjovarianbjinsufficiencybj-bjanswer--Menopausebjthatbjoccursbjbeforebjagebj40
Earlybjmenopausebjtransitionbj(stagebj-2)bj-bjanswer--
Persistentbjdifferencebjofbj7bjdaysbjorbjmorebjinbjthebjlengthbjofbjconsecutivebjcycles.
Latebjmenopausebjtransitionbj(stagebj-1)bj-bjanswer--60bjorbjmorebjconsecutivebjdaysbjofbjamenorrhea
Lutealbjoutbjofbjphasebjeventbj(LOOP)bj-bjanswer--
Explainsbjwhybjsomebjperimenopausalbjwomenbjhavebjelevatedbjestrogenbjlevelbjsometimes...Inbjthebjearlybjmenopaus
ransition,bjelevatedbjFSHbjlevelsbjarebjadequatebjtobjrecruitbjabjsecondbjfolliclebjwhichbjresultsbjinbjabjfollicularbjphase-
likebjrisebjinbjestradiolbjsecretionbjsuperimposedbjonbjthebjmid-to-latebjlutealbjphasebjofbjthebjongoingbjovulatorybjcycle.
Obesebjwomenbjandbjestradiolbjlevelsbjduringbjmenopausebj-bjanswer--
Obesebjwomenbjarebjmorebjlikelybjtobjhavebjanovulatorybjcyclesbjwithbjhighbjestradiolbjlevels.bjTheybjarebjalsobjmorebjlikely
objhavebjlowerbjpremenopausebjyetbjhigherbjpostmenopausebjestradiolbjlevelsbjcomparedbjwithbjwomenbjofbjnormalbjwei
t.bj(whybjtheybjarebjatbjhigherbjriskbjofbjendometrialbjcancer)
ChinesebjandbjJapanesebjwomenbj-bjanswer--
Thesebjethnicbjgroupsbjhavebjlowerbjestradiolbjlevelsbjthenbjwhite,bjblackbjandbjhispanicbjwomen.
stagebj+2bj-bjanswer--latebjmenopausebjstage:bj5-
8bjyearsbjafterbjFMP.bjSomaticbjagingbjpredominates.bjIncreasedbjgenitourinarybjsymptoms.
Stagesbj+1a,bj+1b,bj+1cbj-bjanswer--
earlybjpostbjmenopause:bj2bjyearsbjafterbjFMP.bjFSHbjrises,bjestradiolbjdecreases.bjVMSbjpredominate.
ElevatedbjFSH,bjLHbj-bjanswer--Endocrinebjlabsbjafterbjmenopause
AMH,bjinhibinbjBbj-bjanswer--
Thesebjhormonesbjworkbjduringbjreproductivebjyearsbjtobjnotbjdepletebjfolliclebjpoolbjtoobjquickly.
PhasesbjduringbjmenopausebjtransitionbjandbjPMSbjsymptomsbj-bjanswer--
Menstrualbjcyclebjshortenes,bjfollicularbjphasebjcompresses,bjwomenbjspendbjmorebjtimebjinbjlutealbjphase..bjmeaningbjm
ebjpremenstrualbjsymptomsbjandbjmorebjfrequentbjmenstrualbjperiods.
1bj/bj8
, 2024 -
bj
NAMS Menopause Certification Exam Study Set
bj bj bj bj bj bj
HowbjtobjrespondbjifbjabjpatientbjrequestsbjFSHbjlab?bj-bjanswer--
manybjpitfalls,bjvariablebjdependingbjonbjthebjdaybjofbjthebjcyclebjyoubjdrawbjthebjlab,bjnormalbjorbjlowbjFSHbjisbjnotbjhelpful.
Thebjpotentiallybjsuperiorbjmarkerbjofbjmenopause,bjabjlab.bj-bjanswer--AMH
DHEAbj(dehydroepiandrosterone)bj-bjanswer--
Adrenalbjandrogens:bjprecursorbjhromonesbjproducedbjbybjthebjadrenalbjglandbjthatbjarebjenzymaticallybjconvertedbjtobja
vebjandrogensbjorbjestrogensbjinbjperipheralbjtissues.
Locationbjofbjestrogenbjreceptorsbj-bjanswer--Vagina,bjvulva,bjurethra,bjtrigonebjofbjthebjbladder
Effectsbjofbjestrogenbjonbjtissuebj-bjanswer--
maintainbjbloodbjflow,bjthebjcollagen,bjandbjHAbjwithinbjthebjepithelialbjsurfaces.bjSupportsbjmicrobiomebjandbjprotectsbjtis
ebjfrombjpathogens.
Vaginalbjchangesbjwithbjmenopausebj-bjanswer--Thinning,bjlossbjofbjelasticity,bjlossbjorbjabsencebjorbjrugae.
Vaginabjandbjurethrabjinbjmenopausebj-bjanswer--vaginabjnarrows,bjurethrabjmovesbjcloserbjtobjthebjintroitus.
Stressbjurinarybjincontinencebj-bjanswer--Vaginalbjestrogenbjandbjurinarybjincontinence:bjwhatbjtypebjdoesbjitbjhelpbjwith?
TreatmentbjforbjFPHLbj-bjanswer--Minoxidil,bjspironolactone,bjfinasteride,bjestrogenbjtherapy
Latebjreporoductivebjyearsbj-3bbjandbj-3a.bjWhatbjhappensbjwithbjmenstrualbjcycles,bjFSH,bjAMH,bjAFC,bjinhibin?bj-
bjanswer---3b:bjmenstrualbjcyclesbjnormal,bjFSHbjnormal,bjAMHbjlow,bjAFCbjlow,bjinhibinbjlow.bj
-3a:bjsubtlebjmenstrualbjchanges,bjvariablebjFSH,bjAMHbjlow,bjAFCbjlow,bjinhibinbjlow.
WhenbjitbjisbjappropriatebjtobjcheckbjanbjFSHbjduringbjthebjcyclebjifbjyoubjcheckbjit?bjandbjwhy?bj-bjanswer--
Cyclebjdaybj#3.bjElevatedbjestradiolbjcanbjsuppressbjFSHbjgivingbjabjfalselybjnormalbjFSHbjlevel.
AMH
producedbjby...
usedbjtobjtest...
Isbjitbjabjscreeningbjtoolbjforbjfertility?
Whenbjdoesbjitbjpeak?bj-bjanswer--producedbjbybjgranulosabjcells
usedbjtobjtestbjdamagebjtobjovarianbjfolliclebjreserve.bjIfbjAMHbjisbjlow,bjthebjwomanbjhasbjabjlowbjovarianbjreserve.bj
notbjrecommendedbjasbjabjscreeningbjtoolbjtobjpredictbjfertility.bj
Peaksbjatbjaroundbj25bjyearsbjold.bjSobjbeforebjagebj25,bjthisbjtestbjisbjnotbjhelpful.bj
Itbjisbjinfluencedbjbybjexogenousbjhormones.bjLowerbjinbjhormonalbjcontraceptionbjusers,bjbutbjincreasesbjafterbjd/cing.
AFCbj-bjanswer--Antralbjfolliclebjcount
Numberbjofbjfolliclesbjthatbjarebjdetectablebjwithbjultrasound.bj
TheybjarebjsensitivebjtobjFSHbjandbjconsideredbjtobjrepresentbjthebjavailabilitybjpoobjofbjfollicles.
Latebjmenopausebjtransitionbj(-1)bjFSHbjlevelbjonbjrandombjdrawbj-bjanswer--25bjorbjhigher
2bj/bj8
