NAMS MENOPAUSE CERTICATION
EXAM GUIDE 100% COMPLETE
FOR A GUARANTEED PASS
How long can it take for arthralgia from vitamin d deficiency or
hypothyroidism to fully resolve?
it can take several months.
what is th emost common form of arthritis?
osteoarthritis
what areas of th ebrain have th emost estrogen receptors?
hippocampus and prefrontal cortex
what is the most common thyroid disorder in women?
hashimoto thyroiditis
if a patient on levothyroxine is started on estrogen, when do you recheck and
what can you anticipate happening?
recheck 6-8 weeks later.
anticipate that the dose of levothyroxine may need to be increased.
,oral estrogens increase thyroid binding globulin which in turn reduces the
levels of free T4.
when is treatment of subclinical hypothyroidism recommended?
when the TSH level is higher than 10.
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.
, Late menopause transition (stage -1)
60 or more consecutive days of amenorrhea
Luteal out of phase event (LOOP)
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
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
These ethnic groups have lower estradiol levels then white, black and
hispanic women.
stage +2
late menopause stage: 5-8 years after FMP. Somatic aging predominates.
Increased genitourinary symptoms.
EXAM GUIDE 100% COMPLETE
FOR A GUARANTEED PASS
How long can it take for arthralgia from vitamin d deficiency or
hypothyroidism to fully resolve?
it can take several months.
what is th emost common form of arthritis?
osteoarthritis
what areas of th ebrain have th emost estrogen receptors?
hippocampus and prefrontal cortex
what is the most common thyroid disorder in women?
hashimoto thyroiditis
if a patient on levothyroxine is started on estrogen, when do you recheck and
what can you anticipate happening?
recheck 6-8 weeks later.
anticipate that the dose of levothyroxine may need to be increased.
,oral estrogens increase thyroid binding globulin which in turn reduces the
levels of free T4.
when is treatment of subclinical hypothyroidism recommended?
when the TSH level is higher than 10.
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.
, Late menopause transition (stage -1)
60 or more consecutive days of amenorrhea
Luteal out of phase event (LOOP)
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
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
These ethnic groups have lower estradiol levels then white, black and
hispanic women.
stage +2
late menopause stage: 5-8 years after FMP. Somatic aging predominates.
Increased genitourinary symptoms.
