NAMS MENOPAUSE CERTIFICATION
ACTUAL EXAM |QUESTIONS AND
ANSWERS FROM VERIFIED SOURCE FOR
GUARANTEED PASS | LATEST UPDATE
2025
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
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
,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
ACTUAL EXAM |QUESTIONS AND
ANSWERS FROM VERIFIED SOURCE FOR
GUARANTEED PASS | LATEST UPDATE
2025
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
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
,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
