Nams Menopause Certification Exam
Questions With Verified Answers
Climacteric cphase c- ccorrect canswers✔✔The cperiod cof cendrocrinologic, csomatic, cand
ctransitory cpsychologic cchanges cthat coccur caround cthe ctime cof cmenopause.
Early cmenopause c- ccorrect canswers✔✔LMP cbefore cage c45
Late cmenopause c- ccorrect canswers✔✔LMP cafter cage c54
Primary covarian cinsufficiency c- ccorrect canswers✔✔Menopause cthat coccurs cbefore
cage c40
Early cmenopause ctransition c(stage c-2) c- ccorrect canswers✔✔Persistent cdifference cof
c7 cdays cor cmore cin cthe clength cof cconsecutive ccycles.
Late cmenopause ctransition c(stage c-1) c- ccorrect canswers✔✔60 cor cmore cconsecutive
cdays cof camenorrhea
Luteal cout cof cphase cevent c(LOOP) c- ccorrect canswers✔✔Explains cwhy csome
cperimenopausal cwomen chave celevated cestrogen clevel csometimes...In cthe cearly
cmenopause ctransition, celevated cFSH clevels care cadequate cto crecruit ca csecond
cfollicle cwhich cresults cin ca cfollicular cphase-like crise cin cestradiol csecretion
csuperimposed con cthe cmid-to-late cluteal cphase cof cthe congoing covulatory ccycle.
Obese cwomen cand cestradiol clevels cduring cmenopause c- ccorrect canswers✔✔Obese
cwomen care cmore clikely cto chave canovulatory ccycles cwith chigh cestradiol clevels.
cThey care calso cmore clikely cto chave clower cpremenopause cyet chigher
cpostmenopause cestradiol clevels ccompared cwith cwomen cof cnormal cweight. c(why
cthey care cat chigher crisk cof cendometrial ccancer)
Chinese cand cJapanese cwomen c- ccorrect canswers✔✔These cethnic cgroups chave
clower cestradiol clevels cthen cwhite, cblack cand chispanic cwomen.
, stage c+2 c- ccorrect canswers✔✔late cmenopause cstage: c5-8 cyears cafter cFMP.
cSomatic caging cpredominates. cIncreased cgenitourinary csymptoms.
Stages c+1a, c+1b, c+1c c- ccorrect canswers✔✔early cpost cmenopause: c2 cyears cafter
cFMP. cFSH crises, cestradiol cdecreases. cVMS cpredominate.
Elevated cFSH, cLH c- ccorrect canswers✔✔Endocrine clabs cafter cmenopause
AMH, cinhibin cB c- ccorrect canswers✔✔These chormones cwork cduring creproductive
cyears cto cnot cdeplete cfollicle cpool ctoo cquickly.
Phases cduring cmenopause ctransition cand cPMS csymptoms c- ccorrect
canswers✔✔Menstrual ccycle cshortenes, cfollicular cphase ccompresses, cwomen cspend
cmore ctime cin cluteal cphase.. cmeaning cmore cpremenstrual csymptoms cand cmore
cfrequent cmenstrual cperiods.
How cto crespond cif ca cpatient crequests cFSH clab? c- ccorrect canswers✔✔many cpitfalls,
cvariable cdepending con cthe cday cof cthe ccycle cyou cdraw cthe clab, cnormal cor clow
cFSH cis cnot chelpful.
The cpotentially csuperior cmarker cof cmenopause, ca clab. c- ccorrect canswers✔✔AMH
DHEA c(dehydroepiandrosterone) c- ccorrect canswers✔✔Adrenal candrogens: cprecursor
chromones cproduced cby cthe cadrenal cgland cthat care cenzymatically cconverted cto
cactive candrogens cor cestrogens cin cperipheral ctissues.
Location cof cestrogen creceptors c- ccorrect canswers✔✔Vagina, cvulva, curethra, ctrigone
cof cthe cbladder
Effects cof cestrogen con ctissue c- ccorrect canswers✔✔maintain cblood cflow, cthe
ccollagen, cand cHA cwithin cthe cepithelial csurfaces. cSupports cmicrobiome cand cprotects
ctissue cfrom cpathogens.
Vaginal cchanges cwith cmenopause c- ccorrect canswers✔✔Thinning, closs cof celasticity,
closs cor cabsence cor crugae.
Vagina cand curethra cin cmenopause c- ccorrect canswers✔✔vagina cnarrows, curethra
cmoves ccloser cto cthe cintroitus.
Stress curinary cincontinence c- ccorrect canswers✔✔Vaginal cestrogen cand curinary
cincontinence: cwhat ctype cdoes cit chelp cwith?
Treatment cfor cFPHL c- ccorrect canswers✔✔Minoxidil, cspironolactone, cfinasteride,
cestrogen ctherapy
Questions With Verified Answers
Climacteric cphase c- ccorrect canswers✔✔The cperiod cof cendrocrinologic, csomatic, cand
ctransitory cpsychologic cchanges cthat coccur caround cthe ctime cof cmenopause.
Early cmenopause c- ccorrect canswers✔✔LMP cbefore cage c45
Late cmenopause c- ccorrect canswers✔✔LMP cafter cage c54
Primary covarian cinsufficiency c- ccorrect canswers✔✔Menopause cthat coccurs cbefore
cage c40
Early cmenopause ctransition c(stage c-2) c- ccorrect canswers✔✔Persistent cdifference cof
c7 cdays cor cmore cin cthe clength cof cconsecutive ccycles.
Late cmenopause ctransition c(stage c-1) c- ccorrect canswers✔✔60 cor cmore cconsecutive
cdays cof camenorrhea
Luteal cout cof cphase cevent c(LOOP) c- ccorrect canswers✔✔Explains cwhy csome
cperimenopausal cwomen chave celevated cestrogen clevel csometimes...In cthe cearly
cmenopause ctransition, celevated cFSH clevels care cadequate cto crecruit ca csecond
cfollicle cwhich cresults cin ca cfollicular cphase-like crise cin cestradiol csecretion
csuperimposed con cthe cmid-to-late cluteal cphase cof cthe congoing covulatory ccycle.
Obese cwomen cand cestradiol clevels cduring cmenopause c- ccorrect canswers✔✔Obese
cwomen care cmore clikely cto chave canovulatory ccycles cwith chigh cestradiol clevels.
cThey care calso cmore clikely cto chave clower cpremenopause cyet chigher
cpostmenopause cestradiol clevels ccompared cwith cwomen cof cnormal cweight. c(why
cthey care cat chigher crisk cof cendometrial ccancer)
Chinese cand cJapanese cwomen c- ccorrect canswers✔✔These cethnic cgroups chave
clower cestradiol clevels cthen cwhite, cblack cand chispanic cwomen.
, stage c+2 c- ccorrect canswers✔✔late cmenopause cstage: c5-8 cyears cafter cFMP.
cSomatic caging cpredominates. cIncreased cgenitourinary csymptoms.
Stages c+1a, c+1b, c+1c c- ccorrect canswers✔✔early cpost cmenopause: c2 cyears cafter
cFMP. cFSH crises, cestradiol cdecreases. cVMS cpredominate.
Elevated cFSH, cLH c- ccorrect canswers✔✔Endocrine clabs cafter cmenopause
AMH, cinhibin cB c- ccorrect canswers✔✔These chormones cwork cduring creproductive
cyears cto cnot cdeplete cfollicle cpool ctoo cquickly.
Phases cduring cmenopause ctransition cand cPMS csymptoms c- ccorrect
canswers✔✔Menstrual ccycle cshortenes, cfollicular cphase ccompresses, cwomen cspend
cmore ctime cin cluteal cphase.. cmeaning cmore cpremenstrual csymptoms cand cmore
cfrequent cmenstrual cperiods.
How cto crespond cif ca cpatient crequests cFSH clab? c- ccorrect canswers✔✔many cpitfalls,
cvariable cdepending con cthe cday cof cthe ccycle cyou cdraw cthe clab, cnormal cor clow
cFSH cis cnot chelpful.
The cpotentially csuperior cmarker cof cmenopause, ca clab. c- ccorrect canswers✔✔AMH
DHEA c(dehydroepiandrosterone) c- ccorrect canswers✔✔Adrenal candrogens: cprecursor
chromones cproduced cby cthe cadrenal cgland cthat care cenzymatically cconverted cto
cactive candrogens cor cestrogens cin cperipheral ctissues.
Location cof cestrogen creceptors c- ccorrect canswers✔✔Vagina, cvulva, curethra, ctrigone
cof cthe cbladder
Effects cof cestrogen con ctissue c- ccorrect canswers✔✔maintain cblood cflow, cthe
ccollagen, cand cHA cwithin cthe cepithelial csurfaces. cSupports cmicrobiome cand cprotects
ctissue cfrom cpathogens.
Vaginal cchanges cwith cmenopause c- ccorrect canswers✔✔Thinning, closs cof celasticity,
closs cor cabsence cor crugae.
Vagina cand curethra cin cmenopause c- ccorrect canswers✔✔vagina cnarrows, curethra
cmoves ccloser cto cthe cintroitus.
Stress curinary cincontinence c- ccorrect canswers✔✔Vaginal cestrogen cand curinary
cincontinence: cwhat ctype cdoes cit chelp cwith?
Treatment cfor cFPHL c- ccorrect canswers✔✔Minoxidil, cspironolactone, cfinasteride,
cestrogen ctherapy
