NAMS Menopause Certification Exam Study Set
Questions with correct Answers
secondary causes of osteoporosis
which 3 common drugs? Correct Ans ✓✓ Hyperthyroidism,
hyperparathyroidism, hypercalciuria, certain drugs (eg: tamoxifen,
steroids, PPIs), calcium/vitamin D deficiency, RA, celiac disease,
malabsorptive diseases such as Crohn disease, and ulcerative colitis
Median age of menopause in US women Correct Ans ✓✓ 52.54 y
POI Correct Ans ✓✓ Intermittent ovarian function & insufficient
estrogen levels occurring at age <40 y
which STRAW stage?
menarche / early reproductive Correct Ans ✓✓ -5
which STRAW stage?
peak reproductive Correct Ans ✓✓ -4
which STRAW stage?
,late reproductive Correct Ans ✓✓ -3
which STRAW stage?
perimenopause Correct Ans ✓✓ -2 to -1 & +1a
which STRAW stage?
FMP &
12 months after final menstrual period Correct Ans ✓✓ FMP = 0
12 months after = +1a
which STRAW stage?
VMS most likely Correct Ans ✓✓ +1a (most likely)
-1 (likely)
aka perimenopause/menopause transition
which STRAW stage?
early post menopause Correct Ans ✓✓ +1a to +1c
,which STRAW stage?
late postmenopause Correct Ans ✓✓ +2
which STRAW stage?
amenorrhea >60 days Correct Ans ✓✓ -1
aka late menopause transition
which STRAW stage?
variable cycle lengths of >7 days differences Correct Ans ✓✓ -2
aka early menopause transition
difference between menopause transition vs perimenopause per STRAW
criteria? Correct Ans ✓✓ menopause transition: -2 and -1, prior to FMP
perimenopause: -2 to +1a, includes 12 mo of amenorrhea following FMP
which STRAW stage?
, initial drop in AMH/AFC/inhibin, cycles still regular, FSH normal
Correct Ans ✓✓ -3b
aka late reproductive
which STRAW stage?
cycles shorter, first increase in FSH Correct Ans ✓✓ -3a
aka late reproductive
levels spike with ovulation, marker of ovarian reserve Correct Ans ✓✓
inhibin B
Produced by granulosa cells of activated follicles, most reflective of true
ovarian reserve; provides the best single prediction of time to
menopause Correct Ans ✓✓ AMH
what day of cycle to draw FSH to predict ovarian response/reserve?
Correct Ans ✓✓ day 3
normal day 3 FSH?
FSH value for menopause? Correct Ans ✓✓ < 10
>25
Questions with correct Answers
secondary causes of osteoporosis
which 3 common drugs? Correct Ans ✓✓ Hyperthyroidism,
hyperparathyroidism, hypercalciuria, certain drugs (eg: tamoxifen,
steroids, PPIs), calcium/vitamin D deficiency, RA, celiac disease,
malabsorptive diseases such as Crohn disease, and ulcerative colitis
Median age of menopause in US women Correct Ans ✓✓ 52.54 y
POI Correct Ans ✓✓ Intermittent ovarian function & insufficient
estrogen levels occurring at age <40 y
which STRAW stage?
menarche / early reproductive Correct Ans ✓✓ -5
which STRAW stage?
peak reproductive Correct Ans ✓✓ -4
which STRAW stage?
,late reproductive Correct Ans ✓✓ -3
which STRAW stage?
perimenopause Correct Ans ✓✓ -2 to -1 & +1a
which STRAW stage?
FMP &
12 months after final menstrual period Correct Ans ✓✓ FMP = 0
12 months after = +1a
which STRAW stage?
VMS most likely Correct Ans ✓✓ +1a (most likely)
-1 (likely)
aka perimenopause/menopause transition
which STRAW stage?
early post menopause Correct Ans ✓✓ +1a to +1c
,which STRAW stage?
late postmenopause Correct Ans ✓✓ +2
which STRAW stage?
amenorrhea >60 days Correct Ans ✓✓ -1
aka late menopause transition
which STRAW stage?
variable cycle lengths of >7 days differences Correct Ans ✓✓ -2
aka early menopause transition
difference between menopause transition vs perimenopause per STRAW
criteria? Correct Ans ✓✓ menopause transition: -2 and -1, prior to FMP
perimenopause: -2 to +1a, includes 12 mo of amenorrhea following FMP
which STRAW stage?
, initial drop in AMH/AFC/inhibin, cycles still regular, FSH normal
Correct Ans ✓✓ -3b
aka late reproductive
which STRAW stage?
cycles shorter, first increase in FSH Correct Ans ✓✓ -3a
aka late reproductive
levels spike with ovulation, marker of ovarian reserve Correct Ans ✓✓
inhibin B
Produced by granulosa cells of activated follicles, most reflective of true
ovarian reserve; provides the best single prediction of time to
menopause Correct Ans ✓✓ AMH
what day of cycle to draw FSH to predict ovarian response/reserve?
Correct Ans ✓✓ day 3
normal day 3 FSH?
FSH value for menopause? Correct Ans ✓✓ < 10
>25
