2024 NAMS MENOPAUSE CERTIFICATION EXAM
AND PRACTICE EXAM NEWEST ACTUAL EXAM
COMPLETE 350 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
The period of endrocrinologic, 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?
AMH - CORRECT ANSWER The potentially superior marker
of menopause, a lab.
Adrenal androgens: precursor hromones produced by the
adrenal gland that are enzymatically converted to active
androgens or estrogens in peripheral tissues. - CORRECT
ANSWER DHEA (dehydroepiandrosterone)
Vagina, vulva, urethra, trigone of the bladder - CORRECT
ANSWER Location of estrogen receptors
maintain blood flow, the collagen, and HA within the
epithelial surfaces. Supports microbiome which supports
acidity of vagina and protects tissue from pathogens. -
CORRECT ANSWER Effects of estrogen on tissue
Thinning, loss of elasticity, loss or absence or rugae. -
CORRECT ANSWER Vaginal changes with menopause
vagina narrows, urethra moves closer to the introitus. -
CORRECT ANSWER Vagina and urethra in menopause
Vaginal estrogen and urinary incontinence: what type does it
help with? - CORRECT ANSWER Stress urinary
incontinence
, Minoxidil, spironolactone, finasteride, estrogen therapy -
CORRECT ANSWER Treatment for FPHL
-3b: menstrual cycles normal, FSH normal, AMH low, AFC
low, inhibin low.
-3a: subtle menstrual changes, variable FSH, AMH low, AFC
low, inhibin low. - CORRECT ANSWER Late reporoductive
years -3b and -3a. What happens with menstrual cycles, FSH,
AMH, AFC, inhibin?
Cycle day #3. Elevated estradiol can suppress FSH giving a
falsely normal FSH level. - CORRECT ANSWER When it is
appropriate to check an FSH during the cycle if you check
it? and why?
produced by granulosa cells
used to test damage to ovarian follicle reserve. If AMH is
low, the woman has a low ovarian reserve.
not recommended as a screening tool to predict fertility.
Peaks at around 25 years old. So before age 25, this test is
not helpful.
It is influenced by exogenous hormones. Lower in hormonal
contraception users, but increases after d/cing. - CORRECT
ANSWER AMH
produced by...
used to test...
AND PRACTICE EXAM NEWEST ACTUAL EXAM
COMPLETE 350 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
The period of endrocrinologic, 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?
AMH - CORRECT ANSWER The potentially superior marker
of menopause, a lab.
Adrenal androgens: precursor hromones produced by the
adrenal gland that are enzymatically converted to active
androgens or estrogens in peripheral tissues. - CORRECT
ANSWER DHEA (dehydroepiandrosterone)
Vagina, vulva, urethra, trigone of the bladder - CORRECT
ANSWER Location of estrogen receptors
maintain blood flow, the collagen, and HA within the
epithelial surfaces. Supports microbiome which supports
acidity of vagina and protects tissue from pathogens. -
CORRECT ANSWER Effects of estrogen on tissue
Thinning, loss of elasticity, loss or absence or rugae. -
CORRECT ANSWER Vaginal changes with menopause
vagina narrows, urethra moves closer to the introitus. -
CORRECT ANSWER Vagina and urethra in menopause
Vaginal estrogen and urinary incontinence: what type does it
help with? - CORRECT ANSWER Stress urinary
incontinence
, Minoxidil, spironolactone, finasteride, estrogen therapy -
CORRECT ANSWER Treatment for FPHL
-3b: menstrual cycles normal, FSH normal, AMH low, AFC
low, inhibin low.
-3a: subtle menstrual changes, variable FSH, AMH low, AFC
low, inhibin low. - CORRECT ANSWER Late reporoductive
years -3b and -3a. What happens with menstrual cycles, FSH,
AMH, AFC, inhibin?
Cycle day #3. Elevated estradiol can suppress FSH giving a
falsely normal FSH level. - CORRECT ANSWER When it is
appropriate to check an FSH during the cycle if you check
it? and why?
produced by granulosa cells
used to test damage to ovarian follicle reserve. If AMH is
low, the woman has a low ovarian reserve.
not recommended as a screening tool to predict fertility.
Peaks at around 25 years old. So before age 25, this test is
not helpful.
It is influenced by exogenous hormones. Lower in hormonal
contraception users, but increases after d/cing. - CORRECT
ANSWER AMH
produced by...
used to test...
