NAMS Certification Exam - 2026 | Verified Answers & Complete Study Guide
Page
NAMS
for
1 ofExam
Certification
8 Prep, Exam.pdf, including verified answers and complete solutions.
NAMS Certification Exam
Late reproductive. Low FSH, Low AMH, Low inhibin B regular cycles
-3b
Late reproductive, subtle changes to menses, variable FSH, low amh, low
inhibit B
-3A
Variable cycle <= 7 days, variable FSH, low amh, low inhibit b, low af
-2 early menopause
60 days or more amenorrhea, FSH >=25, low amh, low inhibit b, low af
-1 late menopause
Variable elevated FSH, low amh, low inhibin b, very low af
+1a, +1b early menopause
FSH stabilizes, very low amh, very low inhibin B, very low af, increasing
GSM
+1c early menopause
Decreased estrogen causes more rapid bone resorption by osteoclasts,
exceeding the the ability of osteoblasts to form new bone- bone loss and
Page 1 of 8 1 NAMS Certification Exam.pdf
, NAMS Certification Exam - 2026 | Verified Answers & Complete Study Guide
Page
NAMS
for
2 ofExam
Certification
8 Prep, Exam.pdf, including verified answers and complete solutions.
gradual deterioration of micro architecture of both trabecular and cortical
bone.
Path of Osteoporosis in meno
10-12% or 1 t-score across the meno transitions. Starts 1-3 years before
menopause and lasts 5-10 years. Then 0.5% per year. By 80 -30% peak
bone mass is lost.
Bone loss across memo transition
Comparing women's bmd to average young white adult. Standard
deviations away from that. +/- 2. Used for diagnosis.
Osteoporosis -2.5 or lowere
T-score
Number of SD away from bmd of average person if same age, gender and
ethnicity. -2 to +2. Preferred for those premenopause.
Premenopausal osteoporosis-2.0
Z-score
40-50% of postmenopausal women
Fx related to osteoporosis
5-8 fold increase in mortality compared to other osteoporosis fx 20%
mortality at 1 year symptomatic vertebral 10%
Hip fracture
Page 2 of 8 2 NAMS Certification Exam.pdf
Page
NAMS
for
1 ofExam
Certification
8 Prep, Exam.pdf, including verified answers and complete solutions.
NAMS Certification Exam
Late reproductive. Low FSH, Low AMH, Low inhibin B regular cycles
-3b
Late reproductive, subtle changes to menses, variable FSH, low amh, low
inhibit B
-3A
Variable cycle <= 7 days, variable FSH, low amh, low inhibit b, low af
-2 early menopause
60 days or more amenorrhea, FSH >=25, low amh, low inhibit b, low af
-1 late menopause
Variable elevated FSH, low amh, low inhibin b, very low af
+1a, +1b early menopause
FSH stabilizes, very low amh, very low inhibin B, very low af, increasing
GSM
+1c early menopause
Decreased estrogen causes more rapid bone resorption by osteoclasts,
exceeding the the ability of osteoblasts to form new bone- bone loss and
Page 1 of 8 1 NAMS Certification Exam.pdf
, NAMS Certification Exam - 2026 | Verified Answers & Complete Study Guide
Page
NAMS
for
2 ofExam
Certification
8 Prep, Exam.pdf, including verified answers and complete solutions.
gradual deterioration of micro architecture of both trabecular and cortical
bone.
Path of Osteoporosis in meno
10-12% or 1 t-score across the meno transitions. Starts 1-3 years before
menopause and lasts 5-10 years. Then 0.5% per year. By 80 -30% peak
bone mass is lost.
Bone loss across memo transition
Comparing women's bmd to average young white adult. Standard
deviations away from that. +/- 2. Used for diagnosis.
Osteoporosis -2.5 or lowere
T-score
Number of SD away from bmd of average person if same age, gender and
ethnicity. -2 to +2. Preferred for those premenopause.
Premenopausal osteoporosis-2.0
Z-score
40-50% of postmenopausal women
Fx related to osteoporosis
5-8 fold increase in mortality compared to other osteoporosis fx 20%
mortality at 1 year symptomatic vertebral 10%
Hip fracture
Page 2 of 8 2 NAMS Certification Exam.pdf
