1|Page
NAMs MENOPAUSE CERTIFICATION
EXAM
ACTUAL EXAM 250 QUESTIONS AND
CORRECT
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED
A+BRAND NEW!!
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
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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
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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...
Is it a screening tool for fertility?
When does it peak?
NAMs MENOPAUSE CERTIFICATION
EXAM
ACTUAL EXAM 250 QUESTIONS AND
CORRECT
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED
A+BRAND NEW!!
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
,2|Page
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
, 3|Page
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...
Is it a screening tool for fertility?
When does it peak?
