NAMS MENOPAUSE CERTIFICATION ACTUAL EXAM 120+ QUESTIONS AND VERIFIED SOLUTIONS LATEST STUDY GUIDE GRADED A+ 2025/2026 .

1. Climacteric phase correct answer The period of endrocrinologic, somatic, and transitory psychologic changes that occur around the time of menopause. 2. Early menopause correct answer LMPbefore age45 3. Late menopause correct answer LMPafter age 54 4. Primary ovarian insufficiency correct answer Menopause that occurs before age 40 5. Early menopause transition (stage -2) correct answer Persistent ditterence of7 days ormore in the length of consecutive cycles. 6. Late menopause transition (stage -1) correct answer 60ormore consecutivedaysof amenorrhea 7. Luteal out of phase event (LOOP) correct answer Explainswhy some perimenopausal womenhave 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. 8. Obese women and estradiol levels during menopause correct 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) 9. Chinese and Japanese women correct answer These ethnicgroups have lower estradiollevelsthenwhite, black and hispanic women. 10. stage +2 correct answer late menopause stage correct answer 5-8 years after FMP. Somatic aging predominates. Increased genitourinary symptoms. 11. Stages +1a, +1b, +1c correct answer early post menopause correct answer 2 years after FMP. FSH rises, estradiol decreases. VMS predominate. 12. Elevated FSH, LH correct answer Endocrine labs after menopause 13. AMH, inhibin B correct answer These hormones work during reproductive yearsto not deplete follicle pool too quickly. 14. Phases during menopause transition and PMS symptoms correct answer Menstrualcycleshortenes, follicular phase compresses, women spend more time in luteal phase.. meaning more premenstrual symptoms and more frequent menstrual periods. 15. How to respond if a patient requests FSH lab? correct answer many pitfalls, variable depending on the day of the cycle you draw the lab, normal or low FSH is not helpful. 16. The potentially superior marker of menopause, a lab. correct answer AMH 17. DHEA (dehydroepiandrosterone) correct answer Adrenal androgens correct answer precursor hromones produced by the adrenal gland that are enzymatically converted to active androgens or estrogens in peripheral tissues. 3 / 13 18. Location of estrogen receptors correct answer Vagina, vulva, urethra, trigone ofthe bladder 19. Effects of estrogen on tissue correct answer maintain blood flow, the collagen, and HA within the epithelial surfaces. Supports microbiome and protects tissue from pathogens. 20. Vaginal changes with menopause correct answer Thinning, loss of elasticity, loss or absence orrugae. 21. Vagina and urethra in menopause correct answer vagina narrows, urethramoves closerto the introitus. 22. Stress urinary incontinence correct answer Vaginal estrogen and urinary incontinence correct answer what type doesit helpwith? 23. Treatment for FPHL correct answer Minoxidil, spironolactone, finasteride, estrogen therapy 24. Late reporoductive years -3b and -3a. What happens with menstrual cycles, FSH, AMH, AFC, inhibin? correct answer -3b correct answer menstrual cycles normal, FSH normal, AMH low, AFC low, inhibin low. -3a correct answer subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low. 25. When it is appropriate to check an FSH during the cycle if you check it? and why? correct answer Cycle day #3. Elevated estradiol can suppress FSH giving a falsely norm