NAMs Menopause Certification Exam Questions and
Answers Latest Version 2024/2025 & NAMS Menopause
Test Questions and Answers Latest Update 2024/2025
Graded A+. Complete Exam
The potentially superior AMH
marker of menopause, a
lab.
Adrenal androgens: precursor hromones produced by
DHEA
(dehydroepiandrosterone) the adrenal gland that are enzymatically converted to
active androgens or estrogens in peripheral tissues.
Location of estrogen Vagina, vulva, urethra, trigone of the bladder
receptors
maintain blood flow, the collagen, and HA within the
Effects of estrogen on tissue
epithelial surfaces. Supports microbiome and
protects tissue from pathogens.
Vaginal changes with Thinning, loss of elasticity, loss or absence or rugae.
menopause
Vagina and urethra in vagina narrows, urethra moves closer to the introitus.
menopause
Stress urinary incontinence Vaginal estrogen and urinary incontinence: what type does it
help with?
Treatment for FPHL Minoxidil, spironolactone, finasteride, estrogen therapy
Late reporoductive years - -3b: menstrual cycles normal, FSH normal, AMH low, AFC low,
3b and -3a. What happens inhibin low.
with menstrual cycles, FSH,
-3a: subtle menstrual changes, variable FSH, AMH low, AFC
AMH, AFC, inhibin?
low, inhibin low.
When it is appropriate to Cycle day #3. Elevated estradiol can suppress FSH
check an FSH during the giving a falsely normal FSH level.
cycle if you check it? and
why?
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, 3/6/25, 5:45 PM NAMs Menopause Certification Exam Questions and Answers Latest Update 2024/2025 & NAMS a…
produced by granulosa cells
used to test damage to ovarian follicle reserve. If
AMH AMH is low, the woman has a low ovarian reserve.
produced
by... used not recommended as a screening tool to predict fertility.
to test...
Peaks at around 25 years old. So before age 25, this test is not
Is it a screening tool
helpful.
for fertility? When
does it peak? It is influenced by exogenous hormones. Lower in
hormonal contraception users, but increases after
d/cing.
Antral follicle count
Number of follicles that are detectable with ultrasound.
AFC
They are sensitive to FSH and considered to represent
the availability poo of follicles.
Late menopause transition 25 or higher
(-1) FSH level on random
draw
Black women have higher or Higher
lower FSH levels?
Chinese and Japanese lower
women have higher or
lower estradiol levels
compared to white, black
and hispanic women?
Menopause transition- SHBG decreases
changes in SHBG and Testosterone/SHBG ratio increases by 80%.
testosterone? ratio?
Testosterone/SHGB ratio is The free androgen index
called what?
What stage are VMS more +1b (generally last 2 years)
likely?
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