NAMs Menopause Certification Exam
2025
3 reasons supporting the idea that HRT in early menopause may decrease a woman's
chance of developing alzheimer's disease? - Answers>>1. Observational studies imply
it
2. Clinical trial of transdermal estradiol during the early postmenopause stage is
associated with reductions in AD pathology.
3. 18 year cumulative follow up data from WHI found that women randomized to ET had
significantly lower risk of dying from AD or dementia compared with women randomized
to receive placebo.
AFC - Answers>>Antral follicle count
Number of follicles that are detectable with ultrasound.
They are sensitive to FSH and considered to represent the availability poo of follicles.
Aldosterone secretion from the zona reticularis in the adrenal gland is regulated by 3
main factors. - Answers>>Angiotensin II, potassium concentration, adrenocorticotropic
hormone secreted by the anterior pituitary.
all adults born from what year to what year should recieve one time hep c testing? -
Answers>>1945 to 1965
AMH
produced by...
used to test...
Is it a screening tool for fertility?
When does it peak? - Answers>>produced by granulosa cells
used to test damage to ovarian follicle reserve. If AMH is low, the woman has a low
ovarian reserve.
not recommended as a screening tool to predict fertility.
Peaks at around 25 years old. So before age 25, this test is not helpful.
It is influenced by exogenous hormones. Lower in hormonal contraception users, but
increases after d/cing.
AMH, inhibin B - Answers>>These hormones work during reproductive years to not
deplete follicle pool too quickly.
Anyone <40years old who misses 3+ consecutive cycles gets these labs -
Answers>>prolactin
, FSH
estradiol
TSH
pregnancy test
are hot or cold thyroid nodules typically most likely to be malignant? - Answers>>cold
nodules
Asians have ____BMD than white people? - Answers>>lower
atypical femur risk in women on bisphosphonate? - Answers>>1 in 1000 after 2-3 years.
Black box warning for PTH receptor agonists? - Answers>>osteosarcoma
Black women have ____BMD than white people? - Answers>>higher
Black women have higher or lower FSH levels? - Answers>>Higher
by age 50 what percentage of US women will have acquired a genital HPV infection? -
Answers>>80%-HPV is very common, but it is the high risk ones to worry about
caution using PTH receptor agonists in what condition? - Answers>>hypercalcemia
cdc and who guidelines for migraine treatment - Answers>>migraine with aura-advise to
not use combined hormone contraception
caution in women with migraine without aura
Chinese and Japanese women - Answers>>These ethnic groups have lower estradiol
levels then white, black and hispanic women.
Chinese and Japanese women have higher or lower estradiol levels compared to white,
black and hispanic women? - Answers>>lower
Climacteric phase - Answers>>The period of endrocrinologic, somatic, and transitory
psychologic changes that occur around the time of menopause.
Cortisol and HRT - Answers>>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.
2025
3 reasons supporting the idea that HRT in early menopause may decrease a woman's
chance of developing alzheimer's disease? - Answers>>1. Observational studies imply
it
2. Clinical trial of transdermal estradiol during the early postmenopause stage is
associated with reductions in AD pathology.
3. 18 year cumulative follow up data from WHI found that women randomized to ET had
significantly lower risk of dying from AD or dementia compared with women randomized
to receive placebo.
AFC - Answers>>Antral follicle count
Number of follicles that are detectable with ultrasound.
They are sensitive to FSH and considered to represent the availability poo of follicles.
Aldosterone secretion from the zona reticularis in the adrenal gland is regulated by 3
main factors. - Answers>>Angiotensin II, potassium concentration, adrenocorticotropic
hormone secreted by the anterior pituitary.
all adults born from what year to what year should recieve one time hep c testing? -
Answers>>1945 to 1965
AMH
produced by...
used to test...
Is it a screening tool for fertility?
When does it peak? - Answers>>produced by granulosa cells
used to test damage to ovarian follicle reserve. If AMH is low, the woman has a low
ovarian reserve.
not recommended as a screening tool to predict fertility.
Peaks at around 25 years old. So before age 25, this test is not helpful.
It is influenced by exogenous hormones. Lower in hormonal contraception users, but
increases after d/cing.
AMH, inhibin B - Answers>>These hormones work during reproductive years to not
deplete follicle pool too quickly.
Anyone <40years old who misses 3+ consecutive cycles gets these labs -
Answers>>prolactin
, FSH
estradiol
TSH
pregnancy test
are hot or cold thyroid nodules typically most likely to be malignant? - Answers>>cold
nodules
Asians have ____BMD than white people? - Answers>>lower
atypical femur risk in women on bisphosphonate? - Answers>>1 in 1000 after 2-3 years.
Black box warning for PTH receptor agonists? - Answers>>osteosarcoma
Black women have ____BMD than white people? - Answers>>higher
Black women have higher or lower FSH levels? - Answers>>Higher
by age 50 what percentage of US women will have acquired a genital HPV infection? -
Answers>>80%-HPV is very common, but it is the high risk ones to worry about
caution using PTH receptor agonists in what condition? - Answers>>hypercalcemia
cdc and who guidelines for migraine treatment - Answers>>migraine with aura-advise to
not use combined hormone contraception
caution in women with migraine without aura
Chinese and Japanese women - Answers>>These ethnic groups have lower estradiol
levels then white, black and hispanic women.
Chinese and Japanese women have higher or lower estradiol levels compared to white,
black and hispanic women? - Answers>>lower
Climacteric phase - Answers>>The period of endrocrinologic, somatic, and transitory
psychologic changes that occur around the time of menopause.
Cortisol and HRT - Answers>>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.
