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1. secondary causes Hyperthyroidism, hyperparathyroidism, hypercalciuria, certain drugs (eg: ta-
of osteoporosis moxifen, steroids, PPIs), calcium/vitamin D deficiency, RA, celiac disease, mal-
absorptive diseases such as Crohn disease, and ulcerative colitis
which 3 common
drugs?
2. Median age of 52.54 y
menopause in US
women
3. POI Intermittent ovarian function & insuflcient estrogen levels occurring at age <40
y
4. which STRAW -5
stage?
menarche / early
reproductive
5. which STRAW -4
stage?
peak reproductive
6. which STRAW -3
stage?
late reproductive
7. which STRAW -2 to -1 & +1a
law, and mathematics. These disciplines not only have distinct areas of focus but also require unique approaches to assessment, with each exam
stage? testing different cognitive abilities, analytical skills, and subject-specific knowledge. In this essay, we will explore the nature of exams in
business, law, and mathematics, their
perimenopause
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8. which STRAW FMP = 0
stage? 12 months after = +1a
FMP &
12 months after fi-
nal menstrual peri-
od
9. which STRAW +1a (most likely)
stage? -1 (likely)
VMS most likely aka perimenopause/menopause transition
10. which STRAW +1a to +1c
stage?
early post
menopause
11. which STRAW +2
stage?
late post-
menopause
12. which STRAW -1
stage?
aka late menopause transition
amenorrhea >60
days
13. which STRAW -2
stage?
aka early menopause transition law, and mathematics. These disciplines not only have distinct areas of focus but also
require unique approaches to assessment, with each exam testing different cognitive abilities, analytical skills, and subject-specific knowledge.
In this essay, we will explore the nature of exams in business, law, and mathematics, their
, 2024 - NAMS Menopause Certification Exam Study Set
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variable cycle
lengths of >7 days
differences
14. difference between menopause transition: -2 and -1, prior to FMP
menopause tran-
sition vs per- perimenopause: -2 to +1a, includes 12 mo of amenorrhea following FMP
imenopause per
STRAW criteria?
15. which STRAW -3b
stage?
aka late reproductive
initial drop
in AMH/AFC/inhib-
in, cycles still regu-
lar, FSH normal
16. which STRAW -3a
stage?
aka late reproductive
cycles shorter, first
increase in FSH
17. levels spike with inhibin B
ovulation, marker
of ovarian reserve
18. Produced by gran- AMH law, and mathematics. These disciplines not only have distinct areas of focus but also require unique approaches to assessment, with
each exam testing different cognitive abilities, analytical skills, and subject-specific knowledge. In this essay, we will explore the nature of
ulosa cells of exams in business, law, and mathematics, their
activated follicles,
most reflective of
true ovarian re-
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serve; provides the
best single predic-
tion of time to
menopause
19. what day of cy- day 3
cle to draw FSH to
predict ovarian re-
sponse/reserve?
20. normal day 3 FSH? < 10
FSH value for >25
menopause?
21. # of ultrasound de- AFC (antral follicle count)
tected follicles 2-10
mm in size
22. normal AFC >12
23. Luteal-Out-Of-Phase- FSH elevation recruits follicles for the subsequent cycle before the current
(LOOP) event cycle is over
- Excess estradiol production as new follicles start growing
- Increase chance of TWINS
- Very short follicular phase
- More time spent in luteal phase (more PMS/PMDD sx)
24. symptoms of LOOP —Mastalgia
event —Worsening migraine
—Growing fibroids
—Risk of endometrial hyperplasia
- longer time in luteal phase (worsening PMDD in peri) law, and mathematics. These disciplines
not only have distinct areas of focus but also require unique approaches to assessment, with each exam testing different cognitive abilities,
analytical skills, and subject-specific knowledge. In this essay, we will explore the nature of exams in business, law, and mathematics, their