NAMS NCMP MSCP MENOPAUSE
CERTIFICATION EXAM STUDY GUIDE
2026 KEY CONCEPTS AND PRACTICE
REVIEW
What hormone is generally higher in obese women?-
CORRECT ANSWER-Estrone-via aromatization.
The postmenopausal ovary continues to produce what two
hormones?- CORRECT ANSWER-testosterone and
androstenedione
,Surgical menopause causes women to have lower levels of
what hormone?- CORRECT ANSWER-testosterone. 40-
50% lower than in women w/ intact ovaries.
Driving piece of menopause is ovarian follicles depleting.
What does this do to the inhibin B and AMH?- CORRECT
ANSWER-inhibin and AMH decrease
therefore, follicle growth is not restrained, this allows for
the growth of the remaining, diminished follicle pool.
In the menopause transition, women spend more time in
what phase?- CORRECT ANSWER-Luteal-more PMS
symptoms, more frequent menstrual periods.
,HPO axis theory and the menopause transition-
CORRECT ANSWER-It is felt that the HPO axis may
become less sensitive to estrogen, so even with good
follicle growth and estradiol secretion, LH surges can fail
which can lead to more cycle irregularity.
In the first year after the FMP, there is no production of
what hormone?- CORRECT ANSWER-progesterone
What region of the adrenal gland secretes the androgens?-
CORRECT ANSWER-zona reticularis
what are considered the 'adrenal androgens'?- CORRECT
ANSWER-DHEA, DHEAS, Androstenedione.
, Aldosterone secretion from the zona reticularis in the
adrenal gland is regulated by 3 main factors.- CORRECT
ANSWER-Angiotensin II, potassium concentration,
adrenocorticotropic hormone secreted by the anterior
pituitary.
What part of the pituitary gland secretes
adrenocorticotropic hormone?- CORRECT ANSWER-
Anterior pituitary. The posterior only secretes vasopressin
and oxytosin.
Cortisol and HRT- CORRECT ANSWER-Most serum
cortisol circulates bound to cortisol binding globulin.
CERTIFICATION EXAM STUDY GUIDE
2026 KEY CONCEPTS AND PRACTICE
REVIEW
What hormone is generally higher in obese women?-
CORRECT ANSWER-Estrone-via aromatization.
The postmenopausal ovary continues to produce what two
hormones?- CORRECT ANSWER-testosterone and
androstenedione
,Surgical menopause causes women to have lower levels of
what hormone?- CORRECT ANSWER-testosterone. 40-
50% lower than in women w/ intact ovaries.
Driving piece of menopause is ovarian follicles depleting.
What does this do to the inhibin B and AMH?- CORRECT
ANSWER-inhibin and AMH decrease
therefore, follicle growth is not restrained, this allows for
the growth of the remaining, diminished follicle pool.
In the menopause transition, women spend more time in
what phase?- CORRECT ANSWER-Luteal-more PMS
symptoms, more frequent menstrual periods.
,HPO axis theory and the menopause transition-
CORRECT ANSWER-It is felt that the HPO axis may
become less sensitive to estrogen, so even with good
follicle growth and estradiol secretion, LH surges can fail
which can lead to more cycle irregularity.
In the first year after the FMP, there is no production of
what hormone?- CORRECT ANSWER-progesterone
What region of the adrenal gland secretes the androgens?-
CORRECT ANSWER-zona reticularis
what are considered the 'adrenal androgens'?- CORRECT
ANSWER-DHEA, DHEAS, Androstenedione.
, Aldosterone secretion from the zona reticularis in the
adrenal gland is regulated by 3 main factors.- CORRECT
ANSWER-Angiotensin II, potassium concentration,
adrenocorticotropic hormone secreted by the anterior
pituitary.
What part of the pituitary gland secretes
adrenocorticotropic hormone?- CORRECT ANSWER-
Anterior pituitary. The posterior only secretes vasopressin
and oxytosin.
Cortisol and HRT- CORRECT ANSWER-Most serum
cortisol circulates bound to cortisol binding globulin.
