NAMS Certification Exam LATEST Test
and Exam question and answers latest
update 2026 RATED A+
Early Menopause - CORRECT ANSWERS FMP before age 45
Late Menopause - CORRECT ANSWERS FMP after age 54
Bilateral oophorectomy prior to age 45 increases risks for: - CORRECT ANSWERS - All cause
mortality
- Coronary heart disease
- CVD
- Menopause symptoms
- Worsening mood symptoms
- Higher incidence of Parkinson Disease
- Associated with cognitive impairment
Early Menopause Transition (-2) - CORRECT ANSWERS 7 or more days persistent difference in
cycle length from previous normal cycle
- Results of increased follicular aging and depletion
- Inhibin B decreases
- FSH increases (Variable)
LOOP Cycles - CORRECT ANSWERS Explains elevation of Estradiol in perimenopause
- Rising FSH levels recruit 2nd follicle during luteal phase which leads to overproduction of Estradiol
- This causes menstrual changes in future cycles
Decreased AMH in Early Menopause Transition - CORRECT ANSWERS More frequent
anovulatory cycles
Decreased Inhibin B in Early Menopause Transition - CORRECT ANSWERS - Skipped menstrual
cycles
- Mastalgia
- Migraine
- Menorrhagia (with LOOP cycles)
- Endometrial Hyperplasia
Late Menopause Transition (-1) - CORRECT ANSWERS 60 or more days of amenorrhea for
women aged 45 years or older
- Women 40-44 years with recurrent episodes of amenorrhea of 60 day for longer within a year
improves prediction of entry into late menopause transition
Late Menopause Transition (-1) Duration - CORRECT ANSWERS 1-3 years
Late Menopause Transition (-1) Symptoms - CORRECT ANSWERS VMS likely
, STRAW Stage where FSH > 25 - CORRECT ANSWERS Late Menopause Transition (-1)
Elevated FSH symptoms in Late Menopause Transition - CORRECT ANSWERS - VMS
- Sleep disturbance
- Changes in weight distribution
- Increased variability in cycle length
Decreased Inhibin B in Late Menopause Transition - CORRECT ANSWERS - Mood changes
- Cognitive complaints
- Changes in sexual functioning
- Increased prevalence of anovulation
Decreased AMH in Late Menopause Transition - CORRECT ANSWERS - GSM
- Bone loss
- CVD issues
- Interval of amenorrhea > 60 days
POI - CORRECT ANSWERS Menopause before age 40
POI diagnosis - CORRECT ANSWERS - Oligomenorrhea or amenorrhea x 4 months
- FSH > 25 on two occasions at least 4 weeks apart
POI Symptoms - CORRECT ANSWERS - Hot flashes
- Mood changes - depression
- Insomnia
- Vaginal dryness, dyspareunia
POI Management - CORRECT ANSWERS HT until average of menopause
Early Menopause Risks (natural or surgical) - CORRECT ANSWERS - CVD
- Low bone density
- Memory for verbal information compromised
- Low libido due to decreased testosterone
- Depression due to fertility
Ovarian Reserve Lab - CORRECT ANSWERS - Antral follicle count & AMH
Secondary Amenorrhea differential with low FSH - CORRECT ANSWERS - Pregnancy
- Hypothalamic amenorrhea (e.g., Diabetes, celiac disease, excessive exercise/caloric restriction, stress,
lesions of hypothalamus/pituitary)
- Hyperprolactinemia
- Thyroid disease
- PCOS
Adrenal Insufficiency - CORRECT ANSWERS - Hypofunction of adrenal gland and pituitary
gland
- Diagnosed by low cortisol at baseline
- Treatment includes glucocorticoid replacement
and Exam question and answers latest
update 2026 RATED A+
Early Menopause - CORRECT ANSWERS FMP before age 45
Late Menopause - CORRECT ANSWERS FMP after age 54
Bilateral oophorectomy prior to age 45 increases risks for: - CORRECT ANSWERS - All cause
mortality
- Coronary heart disease
- CVD
- Menopause symptoms
- Worsening mood symptoms
- Higher incidence of Parkinson Disease
- Associated with cognitive impairment
Early Menopause Transition (-2) - CORRECT ANSWERS 7 or more days persistent difference in
cycle length from previous normal cycle
- Results of increased follicular aging and depletion
- Inhibin B decreases
- FSH increases (Variable)
LOOP Cycles - CORRECT ANSWERS Explains elevation of Estradiol in perimenopause
- Rising FSH levels recruit 2nd follicle during luteal phase which leads to overproduction of Estradiol
- This causes menstrual changes in future cycles
Decreased AMH in Early Menopause Transition - CORRECT ANSWERS More frequent
anovulatory cycles
Decreased Inhibin B in Early Menopause Transition - CORRECT ANSWERS - Skipped menstrual
cycles
- Mastalgia
- Migraine
- Menorrhagia (with LOOP cycles)
- Endometrial Hyperplasia
Late Menopause Transition (-1) - CORRECT ANSWERS 60 or more days of amenorrhea for
women aged 45 years or older
- Women 40-44 years with recurrent episodes of amenorrhea of 60 day for longer within a year
improves prediction of entry into late menopause transition
Late Menopause Transition (-1) Duration - CORRECT ANSWERS 1-3 years
Late Menopause Transition (-1) Symptoms - CORRECT ANSWERS VMS likely
, STRAW Stage where FSH > 25 - CORRECT ANSWERS Late Menopause Transition (-1)
Elevated FSH symptoms in Late Menopause Transition - CORRECT ANSWERS - VMS
- Sleep disturbance
- Changes in weight distribution
- Increased variability in cycle length
Decreased Inhibin B in Late Menopause Transition - CORRECT ANSWERS - Mood changes
- Cognitive complaints
- Changes in sexual functioning
- Increased prevalence of anovulation
Decreased AMH in Late Menopause Transition - CORRECT ANSWERS - GSM
- Bone loss
- CVD issues
- Interval of amenorrhea > 60 days
POI - CORRECT ANSWERS Menopause before age 40
POI diagnosis - CORRECT ANSWERS - Oligomenorrhea or amenorrhea x 4 months
- FSH > 25 on two occasions at least 4 weeks apart
POI Symptoms - CORRECT ANSWERS - Hot flashes
- Mood changes - depression
- Insomnia
- Vaginal dryness, dyspareunia
POI Management - CORRECT ANSWERS HT until average of menopause
Early Menopause Risks (natural or surgical) - CORRECT ANSWERS - CVD
- Low bone density
- Memory for verbal information compromised
- Low libido due to decreased testosterone
- Depression due to fertility
Ovarian Reserve Lab - CORRECT ANSWERS - Antral follicle count & AMH
Secondary Amenorrhea differential with low FSH - CORRECT ANSWERS - Pregnancy
- Hypothalamic amenorrhea (e.g., Diabetes, celiac disease, excessive exercise/caloric restriction, stress,
lesions of hypothalamus/pituitary)
- Hyperprolactinemia
- Thyroid disease
- PCOS
Adrenal Insufficiency - CORRECT ANSWERS - Hypofunction of adrenal gland and pituitary
gland
- Diagnosed by low cortisol at baseline
- Treatment includes glucocorticoid replacement
