NAMS MENOPAUSE CERTIFICATION EXAM
2023-2024 ACTUAL EXAM 250 QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
The period of endocrinologic, 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)
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?
2023-2024 ACTUAL EXAM 250 QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
The period of endocrinologic, 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)
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?
