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NAMs Menopause Certification Exam
Questions with Correct Answers for
Specific Exam Mail
Climacteric phase
Ans: The period of endrocrinologic, somatic, and
transitory psychologic changes that occur around the
time of menopause.
Early menopause
Ans: LMP before age 45
Late menopause
Ans: LMP after age 54
Primary ovarian insufficiency
Ans: Menopause that occurs before age 40
Early menopause transition (stage -2)
Pretest - Stuvia US
,2
Ans: Persistent difference of 7 days or more in the length
of consecutive cycles.
Late menopause transition (stage -1)
Ans: 60 or more consecutive days of amenorrhea
Luteal out of phase event (LOOP)
Ans: 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.
Obese women and estradiol levels during menopause
Ans: 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)
Pretest - Stuvia US
, 3
Chinese and Japanese women
Ans: These ethnic groups have lower estradiol levels then
white, black and hispanic women.
stage +2
Ans: late menopause stage: 5-8 years after FMP. Somatic
aging predominates. Increased genitourinary symptoms.
Stages +1a, +1b, +1c
Ans: early post menopause: 2 years after FMP. FSH rises,
estradiol decreases. VMS predominate.
Elevated FSH, LH
Ans: Endocrine labs after menopause
AMH, inhibin B
Ans: These hormones work during reproductive years to
not deplete follicle pool too quickly.
Phases during menopause transition and PMS symptoms
Pretest - Stuvia US
NAMs Menopause Certification Exam
Questions with Correct Answers for
Specific Exam Mail
Climacteric phase
Ans: The period of endrocrinologic, somatic, and
transitory psychologic changes that occur around the
time of menopause.
Early menopause
Ans: LMP before age 45
Late menopause
Ans: LMP after age 54
Primary ovarian insufficiency
Ans: Menopause that occurs before age 40
Early menopause transition (stage -2)
Pretest - Stuvia US
,2
Ans: Persistent difference of 7 days or more in the length
of consecutive cycles.
Late menopause transition (stage -1)
Ans: 60 or more consecutive days of amenorrhea
Luteal out of phase event (LOOP)
Ans: 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.
Obese women and estradiol levels during menopause
Ans: 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)
Pretest - Stuvia US
, 3
Chinese and Japanese women
Ans: These ethnic groups have lower estradiol levels then
white, black and hispanic women.
stage +2
Ans: late menopause stage: 5-8 years after FMP. Somatic
aging predominates. Increased genitourinary symptoms.
Stages +1a, +1b, +1c
Ans: early post menopause: 2 years after FMP. FSH rises,
estradiol decreases. VMS predominate.
Elevated FSH, LH
Ans: Endocrine labs after menopause
AMH, inhibin B
Ans: These hormones work during reproductive years to
not deplete follicle pool too quickly.
Phases during menopause transition and PMS symptoms
Pretest - Stuvia US
