NAMS MENOPAUSE CERTIFICATION EXAM AND PRACTICE EXAM NEWEST 2026 TEST BANK|
MENOPAUSE SOCIETY CERTIFIED PRACTITIONER (MSCP) EXAM PREP WITH COMPLETE 300
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
The period of endrocrinologic, somatic, and transitory psychologic changes that occur around
the time of menopause. - Climacteric phase
LMP before age 45 - Early menopause
LMP after age 54 - Late menopause
Menopause that occurs before age 40 - Primary ovarian insufficiency
Persistent difference of 7 days or more in the length of consecutive cycles. - Early menopause
transition (stage -2)
60 or more consecutive days of amenorrhea - 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. - Luteal out of phase event (LOOP)
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) -
Obese women and estradiol levels during menopause
These ethnic groups have lower estradiol levels then white, black and hispanic women. -
Chinese and Japanese women
,lateKmenopauseKstage:K5-
8KyearsKafterKFMP.KSomaticKagingKpredominates.KIncreasedKgenitourinaryKsymptoms.K-KstageK+2
earlyKpostKmenopause:K2KyearsKafterKFMP.KFSHKrises,KestradiolKdecreases.KVMSKpredominate.K-
KStagesK+1a,K+1b,K+1c
EndocrineKlabsKafterKmenopauseK-KElevatedKFSH,KLH
TheseKhormonesKworkKduringKreproductiveKyearsKtoKnotKdepleteKfollicleKpoolKtooKquickly.K-
KAMH,KinhibinKB
MenstrualKcycleKvariable,KpersistentK>7KdayKdifferenceKbetweenKdifferenceKinKlengthKofKconsecutiv
eKcycles.K-KPhasesKduringKmenopauseKtransitionKandKPMSKsymptoms
manyKpitfalls,KvariableKdependingKonKtheKdayKofKtheKcycleKyouKdrawKtheKlab,KnormalKorKlowKFSHKisK
notKhelpful.K-KHowKtoKrespondKifKaKpatientKrequestsKFSHKlab?
AMHK-KTheKpotentiallyKsuperiorKmarkerKofKmenopause,KaKlab.
AdrenalKandrogens:KprecursorKhromonesKproducedKbyKtheKadrenalKglandKthatKareKenzymaticallyKc
onvertedKtoKactiveKandrogensKorKestrogensKinKperipheralKtissues.K-
KDHEAK(dehydroepiandrosterone)
Vagina,Kvulva,Kurethra,KtrigoneKofKtheKbladderK-KLocationKofKestrogenKreceptors
maintainKbloodKflow,KtheKcollagen,KandKHAKwithinKtheKepithelialKsurfaces.KSupportsKmicrobiomeKw
hichKsupportsKacidityKofKvaginaKandKprotectsKtissueKfromKpathogens.K-
KEffectsKofKestrogenKonKtissue
,Thinning,KlossKofKelasticity,KlossKorKabsenceKorKrugae.K-KVaginalKchangesKwithKmenopause
vaginaKnarrows,KurethraKmovesKcloserKtoKtheKintroitus.K-KVaginaKandKurethraKinKmenopause
VaginalKestrogenKandKurinaryKincontinence:KwhatKtypeKdoesKitKhelpKwith?K-
KStressKurinaryKincontinence
Minoxidil,Kspironolactone,Kfinasteride,KestrogenKtherapyK-KTreatmentKforKFPHL
-3b:KmenstrualKcyclesKnormal,KFSHKnormal,KAMHKlow,KAFCKlow,KinhibinKlow.K
-3a:KsubtleKmenstrualKchanges,KvariableKFSH,KAMHKlow,KAFCKlow,KinhibinKlow.K-
KLateKreporoductiveKyearsK-3bKandK-
3a.KWhatKhappensKwithKmenstrualKcycles,KFSH,KAMH,KAFC,Kinhibin?
CycleKdayK#3.KElevatedKestradiolKcanKsuppressKFSHKgivingKaKfalselyKnormalKFSHKlevel.K-
KWhenKitKisKappropriateKtoKcheckKanKFSHKduringKtheKcycleKifKyouKcheckKit?KandKwhy?
producedKbyKgranulosaKcells
usedKtoKtestKdamageKtoKovarianKfollicleKreserve.KIfKAMHKisKlow,KtheKwomanKhasKaKlowKovarianKreser
ve.K
notKrecommendedKasKaKscreeningKtoolKtoKpredictKfertility.K
PeaksKatKaroundK25KyearsKold.KSoKbeforeKageK25,KthisKtestKisKnotKhelpful.K
, ItKisKinfluencedKbyKexogenousKhormones.KLowerKinKhormonalKcontraceptionKusers,KbutKincreasesKa
fterKd/cing.K-KAMH
producedKby...
usedKtoKtest...
IsKitKaKscreeningKtoolKforKfertility?
WhenKdoesKitKpeak?
AntralKfollicleKcount
NumberKofKfolliclesKthatKareKdetectableKwithKultrasound.K
TheyKareKsensitiveKtoKFSHKandKconsideredKtoKrepresentKtheKavailabilityKpoolKofKfollicles.K-KAFC
25KorKhigherK-KLateKmenopauseKtransitionK(-1)KFSHKlevelKonKrandomKdraw
HigherK-KBlackKwomenKhaveKhigherKorKlowerKFSHKlevels?
lowerK-
KChineseKandKJapaneseKwomenKhaveKhigherKorKlowerKestradiolKlevelsKcomparedKtoKwhite,KblackKan
dKhispanicKwomen?
SHBGKdecreasesK
Testosterone/SHBGKratioKincreasesKbyK80%.K-KMenopauseKtransition-
changesKinKSHBGKandKtestosterone?Kratio?
TheKfreeKandrogenKindexK-KTestosterone/SHGBKratioKisKcalledKwhat?
+1bK(generallyKlastK2Kyears)K-KWhatKstageKareKVMSKmoreKlikely?
MENOPAUSE SOCIETY CERTIFIED PRACTITIONER (MSCP) EXAM PREP WITH COMPLETE 300
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
The period of endrocrinologic, somatic, and transitory psychologic changes that occur around
the time of menopause. - Climacteric phase
LMP before age 45 - Early menopause
LMP after age 54 - Late menopause
Menopause that occurs before age 40 - Primary ovarian insufficiency
Persistent difference of 7 days or more in the length of consecutive cycles. - Early menopause
transition (stage -2)
60 or more consecutive days of amenorrhea - 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. - Luteal out of phase event (LOOP)
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) -
Obese women and estradiol levels during menopause
These ethnic groups have lower estradiol levels then white, black and hispanic women. -
Chinese and Japanese women
,lateKmenopauseKstage:K5-
8KyearsKafterKFMP.KSomaticKagingKpredominates.KIncreasedKgenitourinaryKsymptoms.K-KstageK+2
earlyKpostKmenopause:K2KyearsKafterKFMP.KFSHKrises,KestradiolKdecreases.KVMSKpredominate.K-
KStagesK+1a,K+1b,K+1c
EndocrineKlabsKafterKmenopauseK-KElevatedKFSH,KLH
TheseKhormonesKworkKduringKreproductiveKyearsKtoKnotKdepleteKfollicleKpoolKtooKquickly.K-
KAMH,KinhibinKB
MenstrualKcycleKvariable,KpersistentK>7KdayKdifferenceKbetweenKdifferenceKinKlengthKofKconsecutiv
eKcycles.K-KPhasesKduringKmenopauseKtransitionKandKPMSKsymptoms
manyKpitfalls,KvariableKdependingKonKtheKdayKofKtheKcycleKyouKdrawKtheKlab,KnormalKorKlowKFSHKisK
notKhelpful.K-KHowKtoKrespondKifKaKpatientKrequestsKFSHKlab?
AMHK-KTheKpotentiallyKsuperiorKmarkerKofKmenopause,KaKlab.
AdrenalKandrogens:KprecursorKhromonesKproducedKbyKtheKadrenalKglandKthatKareKenzymaticallyKc
onvertedKtoKactiveKandrogensKorKestrogensKinKperipheralKtissues.K-
KDHEAK(dehydroepiandrosterone)
Vagina,Kvulva,Kurethra,KtrigoneKofKtheKbladderK-KLocationKofKestrogenKreceptors
maintainKbloodKflow,KtheKcollagen,KandKHAKwithinKtheKepithelialKsurfaces.KSupportsKmicrobiomeKw
hichKsupportsKacidityKofKvaginaKandKprotectsKtissueKfromKpathogens.K-
KEffectsKofKestrogenKonKtissue
,Thinning,KlossKofKelasticity,KlossKorKabsenceKorKrugae.K-KVaginalKchangesKwithKmenopause
vaginaKnarrows,KurethraKmovesKcloserKtoKtheKintroitus.K-KVaginaKandKurethraKinKmenopause
VaginalKestrogenKandKurinaryKincontinence:KwhatKtypeKdoesKitKhelpKwith?K-
KStressKurinaryKincontinence
Minoxidil,Kspironolactone,Kfinasteride,KestrogenKtherapyK-KTreatmentKforKFPHL
-3b:KmenstrualKcyclesKnormal,KFSHKnormal,KAMHKlow,KAFCKlow,KinhibinKlow.K
-3a:KsubtleKmenstrualKchanges,KvariableKFSH,KAMHKlow,KAFCKlow,KinhibinKlow.K-
KLateKreporoductiveKyearsK-3bKandK-
3a.KWhatKhappensKwithKmenstrualKcycles,KFSH,KAMH,KAFC,Kinhibin?
CycleKdayK#3.KElevatedKestradiolKcanKsuppressKFSHKgivingKaKfalselyKnormalKFSHKlevel.K-
KWhenKitKisKappropriateKtoKcheckKanKFSHKduringKtheKcycleKifKyouKcheckKit?KandKwhy?
producedKbyKgranulosaKcells
usedKtoKtestKdamageKtoKovarianKfollicleKreserve.KIfKAMHKisKlow,KtheKwomanKhasKaKlowKovarianKreser
ve.K
notKrecommendedKasKaKscreeningKtoolKtoKpredictKfertility.K
PeaksKatKaroundK25KyearsKold.KSoKbeforeKageK25,KthisKtestKisKnotKhelpful.K
, ItKisKinfluencedKbyKexogenousKhormones.KLowerKinKhormonalKcontraceptionKusers,KbutKincreasesKa
fterKd/cing.K-KAMH
producedKby...
usedKtoKtest...
IsKitKaKscreeningKtoolKforKfertility?
WhenKdoesKitKpeak?
AntralKfollicleKcount
NumberKofKfolliclesKthatKareKdetectableKwithKultrasound.K
TheyKareKsensitiveKtoKFSHKandKconsideredKtoKrepresentKtheKavailabilityKpoolKofKfollicles.K-KAFC
25KorKhigherK-KLateKmenopauseKtransitionK(-1)KFSHKlevelKonKrandomKdraw
HigherK-KBlackKwomenKhaveKhigherKorKlowerKFSHKlevels?
lowerK-
KChineseKandKJapaneseKwomenKhaveKhigherKorKlowerKestradiolKlevelsKcomparedKtoKwhite,KblackKan
dKhispanicKwomen?
SHBGKdecreasesK
Testosterone/SHBGKratioKincreasesKbyK80%.K-KMenopauseKtransition-
changesKinKSHBGKandKtestosterone?Kratio?
TheKfreeKandrogenKindexK-KTestosterone/SHGBKratioKisKcalledKwhat?
+1bK(generallyKlastK2Kyears)K-KWhatKstageKareKVMSKmoreKlikely?
