NAMS Menopause Certification Exam 2025 Complete Q&A Guide

NAMS Menopause Certification Exam 2025:
Complete Q&A Guide

, NAMS MENOPAUSE CERTIFICATION Exam LATEST 2025
UPDATE WITH COMPLETE QUESTIONS AND CORRECTLY
WELL DEFINED ANSWERS 100%GUARANTEED PASS!!!




Obese women are more likely to have anovulatory cycles with high estradiol
levels. They are also more likely to have lower premenopause yet higher
postmenopause estradiol levels compared with women of normal weight. (why
they are at higher risk of endometrial cancer) - CORRECT ANSWER-Obese women and
estradiol levels during menopause



These ethnic groups have lower estradiol levels then white, black and hispanic
women. - CORRECT ANSWER-Chinese and Japanese women



late menopause stage: 5-8 years after FMP. Somatic aging predominates.
Increased genitourinary symptoms. - CORRECT ANSWER-stage +2



early post menopause: 2 years after FMP. FSH rises, estradiol decreases. VMS
predominate. - CORRECT ANSWER-Stages +1a, +1b, +1c



Endocrine labs after menopause - CORRECT ANSWER-Elevated FSH, LH


These hormones work during reproductive years to not deplete follicle pool too
quickly. - CORRECT ANSWER-AMH, inhibin B

,Menstrual cycle variable, persistent >7 day difference between difference in
length of consecutive cycles. - CORRECT ANSWER-Phases during menopause
transition and PMS symptoms



many pitfalls, variable depending on the day of the cycle you draw the lab, normal
or low FSH is not helpful. - CORRECT ANSWER-How to respond if a patient requests
FSH lab?



AMH - CORRECT ANSWER-The potentially superior marker of menopause, a lab.



Adrenal androgens: precursor hromones produced by the adrenal gland that are
enzymatically converted to active androgens or estrogens in peripheral tissues. -
CORRECT ANSWER-DHEA (dehydroepiandrosterone)



Vagina, vulva, urethra, trigone of the bladder - CORRECT ANSWER-Location of
estrogen receptors



maintain blood flow, the collagen, and HA within the epithelial surfaces. Supports
microbiome which supports acidity of vagina and protects tissue from pathogens.
- CORRECT ANSWER-Effects of estrogen on tissue


Thinning, loss of elasticity, loss or absence or rugae. - CORRECT ANSWER-Vaginal
changes with menopause

The period of endrocrinologic, somatic, and transitory psychologic changes that
occur around the time of menopause. - CORRECT ANSWER-Climacteric phase

, LMP before age 45 - CORRECT ANSWER-Early menopause



LMP after age 54 - CORRECT ANSWER-Late menopause



Menopause that occurs before age 40 - CORRECT ANSWER-Primary ovarian
insufficiency



Persistent difference of 7 days or more in the length of consecutive cycles. -
CORRECT ANSWER-Early menopause transition (stage -2)



60 or more consecutive days of amenorrhea - CORRECT ANSWER-Late menopause
transition (stage -1)



Explains why some perimenopausal women have elevated estrogen level
sometimes...In the early menopause transition, elevated FSH levels are adequate
to recruit a second follicle which results in a follicular phase-like rise in estradiol
secretion superimposed on the mid-to-late luteal phase of the ongoing ovulatory
cycle. - CORRECT ANSWER-Luteal out of phase event (LOOP)


vagina narrows, urethra moves closer to the introitus. - CORRECT ANSWER-Vagina
and urethra in menopause



Vaginal estrogen and urinary incontinence: what type does it help with? - CORRECT
ANSWER-Stress urinary incontinence