NAMS MENOPAUSE CERTIFICATION
EXAM QUESTIONS AND ANSWERS 100%
ACCURATE!
, Climacteric phase - ANSWER The period of endrocrinologic, somatic, and transitory
psychologic changes that occur around the time of menopause.
Early menopause - ANSWER LMP before age 45
Late menopause - ANSWER LMP after age 54
Primary ovarian insufficiency - ANSWER Menopause that occurs before age 40
Early menopause transition (stage -2) - ANSWER Persistent difference of 7 days or
more in the length of consecutive cycles.
Late menopause transition (stage -1) - ANSWER 60 or more consecutive days of
amenorrhea
Luteal out of phase event (LOOP) - ANSWER 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 - ANSWER 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 - ANSWER These ethnic groups have lower estradiol
levels then white, black and hispanic women.
stage +2 - ANSWER late menopause stage: 5-8 years after FMP. Somatic aging
predominates. Increased genitourinary symptoms.
Stages +1a, +1b, +1c - ANSWER early post menopause: 2 years after FMP. FSH rises,
estradiol decreases. VMS predominate.
Elevated FSH, LH - ANSWER Endocrine labs after menopause
AMH, inhibin B - ANSWER These hormones work during reproductive years to not
deplete follicle pool too quickly.
EXAM QUESTIONS AND ANSWERS 100%
ACCURATE!
, Climacteric phase - ANSWER The period of endrocrinologic, somatic, and transitory
psychologic changes that occur around the time of menopause.
Early menopause - ANSWER LMP before age 45
Late menopause - ANSWER LMP after age 54
Primary ovarian insufficiency - ANSWER Menopause that occurs before age 40
Early menopause transition (stage -2) - ANSWER Persistent difference of 7 days or
more in the length of consecutive cycles.
Late menopause transition (stage -1) - ANSWER 60 or more consecutive days of
amenorrhea
Luteal out of phase event (LOOP) - ANSWER 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 - ANSWER 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 - ANSWER These ethnic groups have lower estradiol
levels then white, black and hispanic women.
stage +2 - ANSWER late menopause stage: 5-8 years after FMP. Somatic aging
predominates. Increased genitourinary symptoms.
Stages +1a, +1b, +1c - ANSWER early post menopause: 2 years after FMP. FSH rises,
estradiol decreases. VMS predominate.
Elevated FSH, LH - ANSWER Endocrine labs after menopause
AMH, inhibin B - ANSWER These hormones work during reproductive years to not
deplete follicle pool too quickly.
