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NAMS MEN0PAUSE CERTIFICATI0N EXAM
2025 UPDATED ACTUAL EXAM WITH
C0RRECT S0LUTI0NS.
The peri0d 0f endr0crin0l0gic, s0matic, and transit0ry psych0l0gic
changes that 0ccur ar0und the time 0f men0pause.
c0rrect -- Climacteric phase
answer
c0rrect
LMP bef0re age 45 -- Early men0pause
answer
LMP after age 54 c0rrect -- Late men0pause
answer
c0rrect
Men0pause that 0ccurs bef0re age
answer
40 -- Primary
0varian insufficiency
Persistent difference 0f 7 days 0r m0re in the length 0f c0nsecutive
cycles. c0rrect -- Early men0pause transiti0n (stage -2)
answer
c0rrect
60 0r m0re c0nsecutive days 0f
answer
amen0rrhea -- Late
men0pause transiti0n (stage -1)
NAMS
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Explains why s0me perimen0pausal w0men have elevated estr0gen
level s0metimes...In the early men0pause transiti0n, elevated FSH levels
are adequate t0 recruit a sec0nd f0llicle which results in a f0llicular
phase-like rise in estradi0l secreti0n superimp0sed 0n the mid-t0-late
luteal phase 0f the 0ng0ing 0vulat0ry cycle. - c0- Luteal
rrect answer
0ut 0f phase event (L00P)
0bese w0men are m0re likely t0 have an0vulat0ry cycles with high
estradi0l levels. They are als0 m0re likely t0 have l0wer
premen0pause yet higher p0stmen0pause estradi0l levels c0mpared
with w0men 0f n0rmal weight. (why they are at higher risk 0f
end0metrial cancer) - 0rrect c- 0bese w0men and estradi0l
levels during answer men0pause
These ethnic gr0ups have l0wer estradi0l levels then white, black and
hispanic w0men. - 0rrect c- Chinese and Japanese w0men
answer
late men0pause stage: 5-8 years after FMP.
S0matic aging pred0minates. Increased0rrect
genit0urinary sympt0ms. - canswerstage +2
early p0st men0pause: 2 years after FMP. FSH rises, estradi0l
decreases. VMS pred0minate.c0rrect answer-- Stages +1a,
+1b, +1c
End0crine labs after men0pausec0rrect answer-- Elevated FSH,
LH
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These h0rm0nes w0rk during repr0ductive years t0 n0t deplete
f0llicle p00l t00 quickly. --c0rrect answerAMH, inhibin B
Menstrual cycle variable, persistent >7 day difference
between difference in length 0f c0nsecutivec0rrect answer
cycles. -Phases during men0pause
transiti0n and PMS sympt0ms
many pitfalls, variable depending 0n the day 0f the cycle
y0u draw the lab, n0rmal 0r l0w FSH is n0tc0rrect
helpful. answer- H0w t0 resp0nd if a patient
requests FSH lab?
AMH c0rrect answer-- The p0tentially superi0r marker 0 f
men0p ause, a lab.
Adrenal andr0gens: precurs0r hr0m0nes pr0duced by the adrenal
gland that are enzymatically c0nverted t0 active andr0gens 0r
estr0gens in peripheral tissues.c0rrect answer-- DHEA
(dehydr0epiandr0ster0ne)
Vagina, vulva, urethra, trig0ne 0f the bladderc0rrect --
answer
NAMS
, 4|Page
L0cati0n 0f estr0gen recept0rs
maintain bl00d fl0w, the c0llagen, and HA within the epithelial
surfaces. Supp0rts micr0bi0me which supp0rts acidity 0f vagina
and pr0tects tissue fr0m path0gens.c0rrect answer-- Effects 0f
estr0gen 0n tissue
Thinning, l0ss 0f elasticity, l0ss 0r absence 0r rugae.c0rrect
answer- Vaginal changes with men0pause
vagina narr0ws, urethra m0ves cl0ser t0 the intr0itus.c0rrect
answer- Vagina and urethra in men0pause
Vaginal estr0gen and urinary inc0ntinence: what type d0es it help
with? c0rrect answer-- Stress urinary inc0ntinence
Min0xid il, spir0n0lact0ne, finasteride,c0rrect
estr0gen therapy answer- Treatment f0r FPHL
NAMS MEN0PAUSE CERTIFICATI0N EXAM
2025 UPDATED ACTUAL EXAM WITH
C0RRECT S0LUTI0NS.
The peri0d 0f endr0crin0l0gic, s0matic, and transit0ry psych0l0gic
changes that 0ccur ar0und the time 0f men0pause.
c0rrect -- Climacteric phase
answer
c0rrect
LMP bef0re age 45 -- Early men0pause
answer
LMP after age 54 c0rrect -- Late men0pause
answer
c0rrect
Men0pause that 0ccurs bef0re age
answer
40 -- Primary
0varian insufficiency
Persistent difference 0f 7 days 0r m0re in the length 0f c0nsecutive
cycles. c0rrect -- Early men0pause transiti0n (stage -2)
answer
c0rrect
60 0r m0re c0nsecutive days 0f
answer
amen0rrhea -- Late
men0pause transiti0n (stage -1)
NAMS
,2|Page
Explains why s0me perimen0pausal w0men have elevated estr0gen
level s0metimes...In the early men0pause transiti0n, elevated FSH levels
are adequate t0 recruit a sec0nd f0llicle which results in a f0llicular
phase-like rise in estradi0l secreti0n superimp0sed 0n the mid-t0-late
luteal phase 0f the 0ng0ing 0vulat0ry cycle. - c0- Luteal
rrect answer
0ut 0f phase event (L00P)
0bese w0men are m0re likely t0 have an0vulat0ry cycles with high
estradi0l levels. They are als0 m0re likely t0 have l0wer
premen0pause yet higher p0stmen0pause estradi0l levels c0mpared
with w0men 0f n0rmal weight. (why they are at higher risk 0f
end0metrial cancer) - 0rrect c- 0bese w0men and estradi0l
levels during answer men0pause
These ethnic gr0ups have l0wer estradi0l levels then white, black and
hispanic w0men. - 0rrect c- Chinese and Japanese w0men
answer
late men0pause stage: 5-8 years after FMP.
S0matic aging pred0minates. Increased0rrect
genit0urinary sympt0ms. - canswerstage +2
early p0st men0pause: 2 years after FMP. FSH rises, estradi0l
decreases. VMS pred0minate.c0rrect answer-- Stages +1a,
+1b, +1c
End0crine labs after men0pausec0rrect answer-- Elevated FSH,
LH
,3|Page
These h0rm0nes w0rk during repr0ductive years t0 n0t deplete
f0llicle p00l t00 quickly. --c0rrect answerAMH, inhibin B
Menstrual cycle variable, persistent >7 day difference
between difference in length 0f c0nsecutivec0rrect answer
cycles. -Phases during men0pause
transiti0n and PMS sympt0ms
many pitfalls, variable depending 0n the day 0f the cycle
y0u draw the lab, n0rmal 0r l0w FSH is n0tc0rrect
helpful. answer- H0w t0 resp0nd if a patient
requests FSH lab?
AMH c0rrect answer-- The p0tentially superi0r marker 0 f
men0p ause, a lab.
Adrenal andr0gens: precurs0r hr0m0nes pr0duced by the adrenal
gland that are enzymatically c0nverted t0 active andr0gens 0r
estr0gens in peripheral tissues.c0rrect answer-- DHEA
(dehydr0epiandr0ster0ne)
Vagina, vulva, urethra, trig0ne 0f the bladderc0rrect --
answer
NAMS
, 4|Page
L0cati0n 0f estr0gen recept0rs
maintain bl00d fl0w, the c0llagen, and HA within the epithelial
surfaces. Supp0rts micr0bi0me which supp0rts acidity 0f vagina
and pr0tects tissue fr0m path0gens.c0rrect answer-- Effects 0f
estr0gen 0n tissue
Thinning, l0ss 0f elasticity, l0ss 0r absence 0r rugae.c0rrect
answer- Vaginal changes with men0pause
vagina narr0ws, urethra m0ves cl0ser t0 the intr0itus.c0rrect
answer- Vagina and urethra in men0pause
Vaginal estr0gen and urinary inc0ntinence: what type d0es it help
with? c0rrect answer-- Stress urinary inc0ntinence
Min0xid il, spir0n0lact0ne, finasteride,c0rrect
estr0gen therapy answer- Treatment f0r FPHL
