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Exam (elaborations)
NAMS Exam questions and answers graded A+ latest 
update 
What is the primary focus of menopause management for healthcare 
professionals? -To provide safe and effective management of menopause 
symptoms and mitigate health risks in postmenopausal years.
NAMS Exam questions and answers graded A+ latest 
update 
What is the primary focus of menopause management for healthcare 
professionals? -To provide safe and effective management of menopause 
symptoms and mitigate health risks in postmenopausal years. 
Which organizations published guidelines for menopause management? - 
Society of Obstetricians and Gynaecologists of Canada (SOGC), 
International Menopause Society (IMS), North American Menopause Society 
(NAMS), and Endocrine Society (ES).
Exam (elaborations)
NAMs Menopause Certification Exam questions and 
answers graded A+ latest update 
Climacteric phase -The period of endrocrinologic, somatic, and transitory 
psychologic changes that occur around the time of menopause. 
Early menopause -LMP before age 45 

NAMs Menopause Certification Exam questions and 
answers graded A+ latest update 
Climacteric phase -The period of endrocrinologic, somatic, and transitory 
psychologic changes that occur around the time of menopause. 
Early menopause -LMP before age 45 
Late menopause -LMP after age 54 
Primary ovarian insufficiency -Menopause that occurs before age 40 
Early menopause transition (stage -2) -Persistent difference of 7 days or 
more in the length of consecutive cycles.
Exam (elaborations)
NAMS Menopause Certification Study Guide Exam 
questions and answers graded A+ latest update 
Physiology of VMS -thermoregulatory center altered by increase in KNDy 
neurons; activation of NK3R causes hot flashes; blockade of NK3R 
reduces/eliminates hot
NAMS Menopause Certification Study Guide Exam 
questions and answers graded A+ latest update 
Physiology of VMS -thermoregulatory center altered by increase in KNDy 
neurons; activation of NK3R causes hot flashes; blockade of NK3R 
reduces/eliminates hot flashes; may also be affected by: serotonin, epinephrine, 
and norepinephrine; parasympathetic nerve activity. 
Off label rx for VMS -SSRIs, SNRIs, Gabapentinoids, Clonidine, Oxybutynin. 
Studies on Fractional Co2 Laser for GSM -not FDA approved...
Exam (elaborations)
NAMS MENOPAUSE CERTIFICATION FINAL Exam 
questions and answers graded A+ latest update 
Climacteric phase -The period of endocrinologic, somatic, and transitory 
psychologic changes that occur around the time of menopause. 
Early menopause -LMP before age
NAMS MENOPAUSE CERTIFICATION FINAL Exam 
questions and answers graded A+ latest update 
Climacteric phase -The period of endocrinologic, somatic, and transitory 
psychologic changes that occur around the time of menopause. 
Early menopause -LMP before age 45. 
Late menopause -LMP after age 54. 
Primary ovarian insufficiency -Menopause that occurs before age 40. 
Early menopause transition (stage -2) -Persistent difference of 7 days or 
more in the length of consecutive cycles.
Exam (elaborations)
NAMS Menopause Certification Exam questions and 
answers graded A+ latest update 
Median age of natural menopause -51 years 
Characteristic hormonal change in menopause transition -Declining 
estrogen 
Reproductive stage of a 49-year-old with irregular pe
NAMS Menopause Certification Exam questions and 
answers graded A+ latest update 
Median age of natural menopause -51 years 
Characteristic hormonal change in menopause transition -Declining 
estrogen 
Reproductive stage of a 49-year-old with irregular periods and vasomotor 
symptoms -Perimenopause 
Definition of postmenopause -12
Exam (elaborations)
NAMS Menopause Certification Exam questions and 
answers graded A+ latest update 
Climacteric phase 
The period of endrocrinologic, somatic, and transitory psychologic changes that 
occur around the time of menopause. 
Perimenopause Menopause Transition,
NAMS Menopause Certification Exam questions and 
answers graded A+ latest update 
Climacteric phase 
The period of endrocrinologic, somatic, and transitory psychologic changes that 
occur around the time of menopause. 
Perimenopause Menopause Transition, Early 
List the STRAW Stage 
What defines the phase? 
STRAW Stage: (Stage -2) 
Persistent difference of 7 days or more in the length of consecutive cycles. 
Perimenopause Menopause Transition, Late
Exam (elaborations)
NAMS Menopause Certification Exam questions and 
answers graded A+ latest update 
Early Menopause 
FMP before age 45 
Late Menopause 
FMP after age 54 
Bilateral oophorectomy prior to age 45 increases risks for: 
- All cause mortality 
- Coronary heart di
NAMS Menopause Certification Exam questions and 
answers graded A+ latest update 
Early Menopause 
FMP before age 45 
Late Menopause 
FMP after age 54 
Bilateral oophorectomy prior to age 45 increases risks for: 
- All cause mortality 
- Coronary heart disease 
- CVD 
- Menopause symptoms 
- Worsening mood symptoms 
- Higher incidence of Parkinson Disease
Exam (elaborations)
NAMS Menopause Certification Exam questions and 
answers graded A+ latest update 
secondary causes of osteoporosis 
which 3 common drugs? 
Hyperthyroidism, hyperparathyroidism, hypercalciuria, certain drugs (eg: 
tamoxifen, steroids, PPIs), calcium/vitami
NAMS Menopause Certification Exam questions and 
answers graded A+ latest update 
secondary causes of osteoporosis 
which 3 common drugs? 
Hyperthyroidism, hyperparathyroidism, hypercalciuria, certain drugs (eg: 
tamoxifen, steroids, PPIs), calcium/vitamin D deficiency, RA, celiac disease, 
malabsorptive diseases such as Crohn disease, and ulcerative colitis 
Median age of menopause in US women
Exam (elaborations)
NAMS Menopause Certification Exam questions and 
answers graded A+ latest update 
secondary causes of osteoporosis 
which 3 common drugs? 
Hyperthyroidism, hyperparathyroidism, hypercalciuria, certain drugs (eg: 
tamoxifen, steroids, PPIs), calcium/vitami
NAMS Menopause Certification Exam questions and 
answers graded A+ latest update 
secondary causes of osteoporosis 
which 3 common drugs? 
Hyperthyroidism, hyperparathyroidism, hypercalciuria, certain drugs (eg: 
tamoxifen, steroids, PPIs), calcium/vitamin D deficiency, RA, celiac disease, 
malabsorptive diseases such as Crohn disease, and ulcerative colitis 
Median age of menopause in US women
Exam (elaborations)
NAMS Menopause Certification Exam questions and 
answers graded A+ latest update 
Median age of natural menopause -51 years 
Characteristic hormonal change in menopause transition -Declining 
estrogen 
Reproductive stage of a 49-year-old with irregular pe
NAMS Menopause Certification Exam questions and 
answers graded A+ latest update 
Median age of natural menopause -51 years 
Characteristic hormonal change in menopause transition -Declining 
estrogen 
Reproductive stage of a 49-year-old with irregular periods and vasomotor 
symptoms -Perimenopause 
Definition of postmenopause -12 consecutive months without 
menstruation
Exam (elaborations)
NAMs Menopause Certification Exam questions and 
answers graded A+ latest update 
Median age of natural menopause -51 years 
Characteristic hormonal change in menopause transition -Declining 
estrogen 
Reproductive stage of a 49-year-old with irregular pe
NAMs Menopause Certification Exam questions and 
answers graded A+ latest update 
Median age of natural menopause -51 years 
Characteristic hormonal change in menopause transition -Declining 
estrogen 
Reproductive stage of a 49-year-old with irregular periods and vasomotor 
symptoms -Perimenopause 
Definition of postmenopause -12 consecutive months without 
menstruation
Exam (elaborations)
NAMs Menopause Certification Exam questions and 
answers graded A+ latest update 
Climacteric phase -The period of endrocrinologic, somatic, and transitory 
psychologic changes that occur around the time of menopause. 
Early menopause -LMP before age 45 

NAMs Menopause Certification Exam questions and 
answers graded A+ latest update 
Climacteric phase -The period of endrocrinologic, somatic, and transitory 
psychologic changes that occur around the time of menopause. 
Early menopause -LMP before age 45 
Late menopause -LMP after age 54 
Primary ovarian insufficiency -Menopause that occurs before age 40 
Early menopause transition (stage -2) -Persistent difference of 7 days or
Exam (elaborations)
NAMs Menopause Certification Exam questions and 
answers graded A+ latest update 
Climacteric phase 
The period of endrocrinologic, somatic, and transitory psychologic changes that 
occur around the time of menopause. 
Early menopause 
LMP before age 45 

NAMs Menopause Certification Exam questions and 
answers graded A+ latest update 
Climacteric phase 
The period of endrocrinologic, somatic, and transitory psychologic changes that 
occur around the time of menopause. 
Early menopause 
LMP before age 45 
Late menopause 
LMP after age 54 
Primary ovarian insufficiency 
Menopause that occurs before age 40 
Early menopause transition (stage -2) 
Persistent difference of 7 days or more in the length of consecutive cycles
Exam (elaborations)
NAMs Menopause Certification Exam questions and 
answers graded A+ latest update 
Climacteric phase -The period of endrocrinologic, somatic, and transitory 
psychologic changes that occur around the time of menopause. 
Early menopause -LMP before age 45 

NAMs Menopause Certification Exam questions and 
answers graded A+ latest update 
Climacteric phase -The period of endrocrinologic, somatic, and transitory 
psychologic changes that occur around the time of menopause. 
Early menopause -LMP before age 45 
Late menopause -LMP after age 54 
Primary ovarian insufficiency -Menopause that occurs before age 40 
Early menopause transition (stage -2) -Persistent difference of 7 days or 
more in the length of consecutive cycles.
Exam (elaborations)
NAMs Menopause Certification Exam questions and 
answers graded A+ latest update 
Climacteric phase -The period of endocrinologic, somatic, and transitory 
psychologic changes that occur around the time of menopause. 
Early menopause -LMP before age 45. 

NAMs Menopause Certification Exam questions and 
answers graded A+ latest update 
Climacteric phase -The period of endocrinologic, somatic, and transitory 
psychologic changes that occur around the time of menopause. 
Early menopause -LMP before age 45. 
Late menopause -LMP after age 54. 
Primary ovarian insufficiency -Menopause that occurs before age 40. 
Early menopause transition (stage -2) -Persistent difference of 7 days or 
more in the length of consecutive cycles.
Exam (elaborations)
NAMS Menopause Certification Exam questions and 
answers graded A+ latest update 
The period of endrocrinologic, somatic, and transitory psychologic changes that 
occur around the time of menopause. -Climacteric phase 
LMP before age 45 -Early menopause 

NAMS Menopause Certification Exam questions and 
answers graded A+ latest update 
The period of endrocrinologic, somatic, and transitory psychologic changes that 
occur around the time of menopause. -Climacteric phase 
LMP before age 45 -Early menopause 
LMP after age 54 - Late menopause 
Menopause that occurs before age 40 - Primary ovarian insufficiency 
Persistent difference of 7 days or more in the length of consecutive cycles.
Exam (elaborations)
NAMS Menopause Certification Exam questions and 
answers graded A+ latest update 
secondary causes of osteoporosis 
which 3 common drugs? 
Hyperthyroidism, hyperparathyroidism, hypercalciuria, certain drugs (eg: 
tamoxifen, steroids, PPIs), calcium/vitami
NAMS Menopause Certification Exam questions and 
answers graded A+ latest update 
secondary causes of osteoporosis 
which 3 common drugs? 
Hyperthyroidism, hyperparathyroidism, hypercalciuria, certain drugs (eg: 
tamoxifen, steroids, PPIs), calcium/vitamin D deficiency, RA, celiac disease, 
malabsorptive diseases such as Crohn disease, and ulcerative colitis 
Median age of menopause in US women 
52.54 y 
POI 
Intermittent ovarian function & in
Exam (elaborations)
NAMS Menopause Certification Exam questions and 
answers graded A+ latest update 
Climacteric phase 
The period of endrocrinologic, somatic, and transitory psychologic changes that 
occur around the time of menopause. 
Perimenopause Menopause Transition,
NAMS Menopause Certification Exam questions and 
answers graded A+ latest update 
Climacteric phase 
The period of endrocrinologic, somatic, and transitory psychologic changes that 
occur around the time of menopause. 
Perimenopause Menopause Transition, Early 
List the STRAW Stage 
What defines the phase? 
STRAW Stage: (Stage -2) 
Persistent difference of 7 days
Exam (elaborations)
NAMs Menopause Certification Exam questions and 
answers graded A+ latest update 
Climacteric phase -The period of endrocrinologic, somatic, and transitory 
psychologic changes that occur around the time of menopause. 
Early menopause -LMP before age 45 

NAMs Menopause Certification Exam questions and 
answers graded A+ latest update 
Climacteric phase -The period of endrocrinologic, somatic, and transitory 
psychologic changes that occur around the time of menopause. 
Early menopause -LMP before age 45 
Late menopause -LMP after age 54 
Primary ovarian insufficiency -Menopause that occurs before age 40 
Early menopause transition (stage -2) -Persistent difference of 7 days or
Exam (elaborations)
NAMs Menopause Certification Exam questions and 
answers graded A+ latest update 
Climacteric phase -The period of endrocrinologic, somatic, and transitory 
psychologic changes that occur around the time of menopause. 
Early menopause -LMP before age 45 

NAMs Menopause Certification Exam questions and 
answers graded A+ latest update 
Climacteric phase -The period of endrocrinologic, somatic, and transitory 
psychologic changes that occur around the time of menopause. 
Early menopause -LMP before age 45 
Late menopause -LMP after age 54 
Primary ovarian insufficiency -Menopause that occurs before age 40 
Early menopause transition (stage -2) -