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Exam (elaborations)

NAMS MENOPAUSE CERTIFICATION EXAM QUESTIONS WITH FULLY SOLVED ANSWERS

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NAMS MENOPAUSE CERTIFICATION EXAM QUESTIONS WITH FULLY SOLVED ANSWERS WITH WELL ELABORATED RATIONALE

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Psychopharmacology/menopause
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Institution
Psychopharmacology/menopause
Course
Psychopharmacology/menopause

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Uploaded on
August 14, 2025
Number of pages
11
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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, Climacteric phase - CORRECT ANSWERS -The period of endrocrinologic, somatic, and
transitory psychologic changes that occur around the time of menopause.

Early menopause - CORRECT ANSWERS -LMP before age 45

Late menopause - CORRECT ANSWERS -LMP after age 54

Primary ovarian insufficiency - CORRECT ANSWERS -Menopause that occurs before
age 40

Early menopause transition (stage -2) - CORRECT ANSWERS -Persistent difference of
7 days or more in the length of consecutive cycles.

Late menopause transition (stage -1) - CORRECT ANSWERS -60 or more consecutive
days of amenorrhea

Luteal out of phase event (LOOP) - CORRECT ANSWERS -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 - CORRECT ANSWERS -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)

Chinese and Japanese women - CORRECT ANSWERS -These ethnic groups have
lower estradiol levels then white, black and hispanic women.

stage +2 - CORRECT ANSWERS -late menopause stage: 5-8 years after FMP.
Somatic aging predominates. Increased genitourinary symptoms.

Stages +1a, +1b, +1c - CORRECT ANSWERS -early post menopause: 2 years after
FMP. FSH rises, estradiol decreases. VMS predominate.

Elevated FSH, LH - CORRECT ANSWERS -Endocrine labs after menopause

AMH, inhibin B - CORRECT ANSWERS -These hormones work during reproductive
years to not deplete follicle pool too quickly.

Phases during menopause transition and PMS symptoms - CORRECT ANSWERS -
Menstrual cycle shortenes, follicular phase compresses, women spend more time in
luteal phase.. meaning more premenstrual symptoms and more frequent menstrual
periods.
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