NAMS MENOPAUSE CERTIFICATION EXAM
Questions and Answers (Real Exam)
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>>>LMP before age 45
3. Late menopause CORRECT ANSWER>>>LMP after age 54
4. Primary ovarian insufficiency CORRECT ANSWER>>>Menopause that occurs before age 40
5. Early menopause transition (stage -2) CORRECT ANSWER>>>Persistent difference of 7 days or
more in the length of consecutive cycles.
6. Late menopause transition (stage -1) CORRECT ANSWER>>>60 or more consecutive days of
amenorrhea
7. Luteal out of phase event (LOOP) CORRECT 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.
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,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
2
, 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 ethnic groups have lower estradiol
levels then white, black and hispanic women.
10. stage +2 CORRECT ANSWER>>>late menopause stage: 5-8 years after FMP. Somatic aging
predominates. Increased genitourinary symptoms.
11. Stages +1a, +1b, +1c CORRECT ANSWER>>>early post menopause: 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 years to not
deplete follicle pool too quickly.
14. Phases during menopause transition and PMS symptoms CORRECT ANSWER>>>Menstrual
cycle shortenes, 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
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Questions and Answers (Real Exam)
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>>>LMP before age 45
3. Late menopause CORRECT ANSWER>>>LMP after age 54
4. Primary ovarian insufficiency CORRECT ANSWER>>>Menopause that occurs before age 40
5. Early menopause transition (stage -2) CORRECT ANSWER>>>Persistent difference of 7 days or
more in the length of consecutive cycles.
6. Late menopause transition (stage -1) CORRECT ANSWER>>>60 or more consecutive days of
amenorrhea
7. Luteal out of phase event (LOOP) CORRECT 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.
1
,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
2
, 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 ethnic groups have lower estradiol
levels then white, black and hispanic women.
10. stage +2 CORRECT ANSWER>>>late menopause stage: 5-8 years after FMP. Somatic aging
predominates. Increased genitourinary symptoms.
11. Stages +1a, +1b, +1c CORRECT ANSWER>>>early post menopause: 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 years to not
deplete follicle pool too quickly.
14. Phases during menopause transition and PMS symptoms CORRECT ANSWER>>>Menstrual
cycle shortenes, 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
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