Exam
NAMS Menopause Certification Exam –
Questions and Answers
Luteal out of phase event (LOOP) - 100 correct answer as - 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 - 100 correct answer as - 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 - 100 correct answer as - These ethnic groups have lower
estradiol levels then white, black and hispanic women.
stage +2 - 100 correct answer as - late menopause stage: 5-8 years after FMP. Somatic aging
predominates. Increased genitourinary symptoms.
Stages +1a, +1b, +1c - 100 correct answer as - early post menopause: 2 years after FMP. FSH
rises, estradiol decreases. VMS predominate.
Elevated FSH, LH - 100 correct answer as - Endocrine labs after menopause
AMH, inhibin B - 100 correct answer as - These hormones work during reproductive years to
not deplete follicle pool too quickly.
Phases during menopause transition and PMS symptoms - 100 correct answer as - Menstrual
cycle shortenes, follicular phase compresses, women spend more time in luteal phase.. meaning
more premenstrual symptoms and more frequent menstrual periods.
, How to respond if a patient requests FSH lab? - 100 correct answer as - many pitfalls, variable
depending on the day of the cycle you draw the lab, normal or low FSH is not helpful.
The potentially superior marker of menopause, a lab. - 100 correct answer as - AMH
DHEA (dehydroepiandrosterone) - 100 correct answer as - Adrenal androgens: precursor
hromones produced by the adrenal gland that are enzymatically converted to active androgens or
estrogens in peripheral tissues.
Location of estrogen receptors - 100 correct answer as - Vagina, vulva, urethra, trigone of the
bladder
Effects of estrogen on tissue - 100 correct answer as - maintain blood flow, the collagen, and
HA within the epithelial surfaces. Supports microbiome and protects tissue from pathogens.
Vaginal changes with menopause - 100 correct answer as - Thinning, loss of elasticity, loss or
absence or rugae.
Vagina and urethra in menopause - 100 correct answer as - vagina narrows, urethra moves
closer to the introitus.
Stress urinary incontinence - 100 correct answer as - Vaginal estrogen and urinary
incontinence: what type does it help with?
Treatment for FPHL - 100 correct answer as - Minoxidil, spironolactone, finasteride, estrogen
therapy
Late reporoductive years -3b and -3a. What happens with menstrual cycles, FSH, AMH, AFC, inhibin?
- 100 correct answer as - -3b: menstrual cycles normal, FSH normal, AMH low, AFC low, inhibin
low.
-3a: subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low.
NAMS Menopause Certification Exam –
Questions and Answers
Luteal out of phase event (LOOP) - 100 correct answer as - 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 - 100 correct answer as - 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 - 100 correct answer as - These ethnic groups have lower
estradiol levels then white, black and hispanic women.
stage +2 - 100 correct answer as - late menopause stage: 5-8 years after FMP. Somatic aging
predominates. Increased genitourinary symptoms.
Stages +1a, +1b, +1c - 100 correct answer as - early post menopause: 2 years after FMP. FSH
rises, estradiol decreases. VMS predominate.
Elevated FSH, LH - 100 correct answer as - Endocrine labs after menopause
AMH, inhibin B - 100 correct answer as - These hormones work during reproductive years to
not deplete follicle pool too quickly.
Phases during menopause transition and PMS symptoms - 100 correct answer as - Menstrual
cycle shortenes, follicular phase compresses, women spend more time in luteal phase.. meaning
more premenstrual symptoms and more frequent menstrual periods.
, How to respond if a patient requests FSH lab? - 100 correct answer as - many pitfalls, variable
depending on the day of the cycle you draw the lab, normal or low FSH is not helpful.
The potentially superior marker of menopause, a lab. - 100 correct answer as - AMH
DHEA (dehydroepiandrosterone) - 100 correct answer as - Adrenal androgens: precursor
hromones produced by the adrenal gland that are enzymatically converted to active androgens or
estrogens in peripheral tissues.
Location of estrogen receptors - 100 correct answer as - Vagina, vulva, urethra, trigone of the
bladder
Effects of estrogen on tissue - 100 correct answer as - maintain blood flow, the collagen, and
HA within the epithelial surfaces. Supports microbiome and protects tissue from pathogens.
Vaginal changes with menopause - 100 correct answer as - Thinning, loss of elasticity, loss or
absence or rugae.
Vagina and urethra in menopause - 100 correct answer as - vagina narrows, urethra moves
closer to the introitus.
Stress urinary incontinence - 100 correct answer as - Vaginal estrogen and urinary
incontinence: what type does it help with?
Treatment for FPHL - 100 correct answer as - Minoxidil, spironolactone, finasteride, estrogen
therapy
Late reporoductive years -3b and -3a. What happens with menstrual cycles, FSH, AMH, AFC, inhibin?
- 100 correct answer as - -3b: menstrual cycles normal, FSH normal, AMH low, AFC low, inhibin
low.
-3a: subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low.
