2024 - NAMS MENOPAUSE CERTIFICATION
EXAM STUDY SET
1. 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
2. Median age of menopause in US women: 52.54 y
3. POI: Intermittent ovarian function & insuflcient estrogen levels occurring at
age <40 y
4. which STRAW stage?
menarche / early reproductive: -5
5. which STRAW stage?
peak reproductive: -4
6. which STRAW stage?
late reproductive: -3
7. which STRAW stage?
,2024 - NAMS MENOPAUSE CERTIFICATION
EXAM STUDY SET
perimenopause: -2 to -1 & +1a
8. which STRAW stage?
FMP &
12 months after final menstrual
period: FMP = 0 12 months after = +1a
9. which STRAW stage?
VMS most likely: +1a (most likely)
-1 (likely)
aka perimenopause/menopause transition
10. which STRAW stage?
early post menopause: +1a to +1c
,2024 - NAMS MENOPAUSE CERTIFICATION
EXAM STUDY SET
11. which STRAW stage?
late postmenopause: +2
12. which
STRAW stage?
amenorrhea >60
days: -1
aka late menopause transition
13. which STRAW stage?
variable cycle lengths of >7 days
differences: -2 aka early menopause
transition
14. difference between menopause transition vs
perimenopause per STRAW criteria?: menopause transition: -2
and -1, prior to FMP
perimenopause: -2 to +1a, includes 12 mo of amenorrhea following FMP
15. which STRAW stage?
initial drop in AMH/AFC/inhibin, cycles still regular, FSH
, 2024 - NAMS MENOPAUSE CERTIFICATION
EXAM STUDY SET
normal: -3b
aka late reproductive
16. which STRAW stage?
cycles shorter, first increase in FSH: -3a
aka late reproductive
17. levels spike with ovulation, marker of ovarian
reserve: inhibin B
18. Produced by granulosa cells of activated
follicles, most reflective of true ovarian reserve;
provides the best single prediction of time to
menopause: AMH
19. what day of cycle to draw FSH to predict ovarian
response/reserve?: day 3
EXAM STUDY SET
1. 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
2. Median age of menopause in US women: 52.54 y
3. POI: Intermittent ovarian function & insuflcient estrogen levels occurring at
age <40 y
4. which STRAW stage?
menarche / early reproductive: -5
5. which STRAW stage?
peak reproductive: -4
6. which STRAW stage?
late reproductive: -3
7. which STRAW stage?
,2024 - NAMS MENOPAUSE CERTIFICATION
EXAM STUDY SET
perimenopause: -2 to -1 & +1a
8. which STRAW stage?
FMP &
12 months after final menstrual
period: FMP = 0 12 months after = +1a
9. which STRAW stage?
VMS most likely: +1a (most likely)
-1 (likely)
aka perimenopause/menopause transition
10. which STRAW stage?
early post menopause: +1a to +1c
,2024 - NAMS MENOPAUSE CERTIFICATION
EXAM STUDY SET
11. which STRAW stage?
late postmenopause: +2
12. which
STRAW stage?
amenorrhea >60
days: -1
aka late menopause transition
13. which STRAW stage?
variable cycle lengths of >7 days
differences: -2 aka early menopause
transition
14. difference between menopause transition vs
perimenopause per STRAW criteria?: menopause transition: -2
and -1, prior to FMP
perimenopause: -2 to +1a, includes 12 mo of amenorrhea following FMP
15. which STRAW stage?
initial drop in AMH/AFC/inhibin, cycles still regular, FSH
, 2024 - NAMS MENOPAUSE CERTIFICATION
EXAM STUDY SET
normal: -3b
aka late reproductive
16. which STRAW stage?
cycles shorter, first increase in FSH: -3a
aka late reproductive
17. levels spike with ovulation, marker of ovarian
reserve: inhibin B
18. Produced by granulosa cells of activated
follicles, most reflective of true ovarian reserve;
provides the best single prediction of time to
menopause: AMH
19. what day of cycle to draw FSH to predict ovarian
response/reserve?: day 3
