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Nams Menopause Certification Exam |
Comprehensive Q&A For Certification
Success
In the menopause transition, women spend more time in what phase?-correct-
answer-Luteal-more PMS symptoms, more frequent menstrual periods.
HPO axis theory and the menopause transition-correct-answer-It is felt that the
HPO axis may become less sensitive to estrogen, so even with good follicle growth
and estradiol secretion, LH surges can fail which can lead to more cycle
irregularity.
In the first year after the FMP, there is no production of what hormone?-correct-
answer-progesterone
What region of the adrenal gland secretes the androgens?-correct-answer-zona
reticularis
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what are considered the 'adrenal androgens'?-correct-answer-DHEA, DHEAS,
Androstenedione.
Aldosterone secretion from the zona reticularis in the adrenal gland is regulated
by 3 main factors.-correct-answer-Angiotensin II, potassium concentration,
adrenocorticotropic hormone secreted by the anterior pituitary.
What part of the pituitary gland secretes adrenocorticotropic hormone?-correct-
answer-Anterior pituitary. The posterior only secretes vasopressin and oxytosin.
Cortisol and HRT-correct-answer-Most serum cortisol circulates bound to cortisol
binding globulin.
Oral estrogen increases the cortisol binding globulin, which increases total cortisol
concentration.
Oral tamoxifen acts similarly.
Transdermal does not increase it, so it has a minimal effect on serum cortisol
concentration.
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Do cortisol levels associate with VMS severity?-correct-answer-No, cortisol levels
have NOT been associated with more severe VMS.
Local DHEA has been proven to help with what?-correct-answer-vaginal pain and
dyspareunia
How to DX POI?-correct-answer-Menstrual disturbance-oligomenorrhea or
amenorrhea for at least 4 months.
AND
elevated FSH over 25 on two occasions at least 4 weeks apart.
Anyone <40years old who misses 3+ consecutive cycles gets these labs-correct-
answer-prolactin
FSH
estradiol
TSH
pregnancy test
Nams Menopause Certification Exam |
Comprehensive Q&A For Certification
Success
In the menopause transition, women spend more time in what phase?-correct-
answer-Luteal-more PMS symptoms, more frequent menstrual periods.
HPO axis theory and the menopause transition-correct-answer-It is felt that the
HPO axis may become less sensitive to estrogen, so even with good follicle growth
and estradiol secretion, LH surges can fail which can lead to more cycle
irregularity.
In the first year after the FMP, there is no production of what hormone?-correct-
answer-progesterone
What region of the adrenal gland secretes the androgens?-correct-answer-zona
reticularis
,2|Page
what are considered the 'adrenal androgens'?-correct-answer-DHEA, DHEAS,
Androstenedione.
Aldosterone secretion from the zona reticularis in the adrenal gland is regulated
by 3 main factors.-correct-answer-Angiotensin II, potassium concentration,
adrenocorticotropic hormone secreted by the anterior pituitary.
What part of the pituitary gland secretes adrenocorticotropic hormone?-correct-
answer-Anterior pituitary. The posterior only secretes vasopressin and oxytosin.
Cortisol and HRT-correct-answer-Most serum cortisol circulates bound to cortisol
binding globulin.
Oral estrogen increases the cortisol binding globulin, which increases total cortisol
concentration.
Oral tamoxifen acts similarly.
Transdermal does not increase it, so it has a minimal effect on serum cortisol
concentration.
, 3|Page
Do cortisol levels associate with VMS severity?-correct-answer-No, cortisol levels
have NOT been associated with more severe VMS.
Local DHEA has been proven to help with what?-correct-answer-vaginal pain and
dyspareunia
How to DX POI?-correct-answer-Menstrual disturbance-oligomenorrhea or
amenorrhea for at least 4 months.
AND
elevated FSH over 25 on two occasions at least 4 weeks apart.
Anyone <40years old who misses 3+ consecutive cycles gets these labs-correct-
answer-prolactin
FSH
estradiol
TSH
pregnancy test
