NAMs Menopause Certification Exam|
COMPLETE STUDY GUIDE WITH HIGH YIELD
QUESTIONS AND 100% RIGHT/AUTHENTIC
ANSWERS|ALREADY GRADED A,GET A PASS
ON YOUR FIRT TRIAL.|LATEST VERSION 2025
Climacteric phase - CORRECT ANSWERS.✔️✔️The period of endrocrinologic,
somatic, and transitory psychologic changes that occur around the time of
menopause.
Early menopause - CORRECT ANSWERS.✔️✔️LMP before age 45
Late menopause - CORRECT ANSWERS.✔️✔️LMP after age 54
Primary ovarian insufficiency - CORRECT ANSWERS.✔️✔M
️ enopause that occurs
before age 40
Early menopause transition (stage -2) - CORRECT ANSWERS.✔️✔️Persistent
difference of 7 days or more in the length of consecutive cycles.
Late menopause transition (stage -1) - CORRECT ANSWERS.✔️✔️60 or more
consecutive days of amenorrhea
Luteal out of phase event (LOOP) - CORRECT ANSWERS.✔️✔️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.
SUCCESS
,STUDYSAGE
Obese women and estradiol levels during menopause - CORRECT
ANSWERS.✔️✔O ️ bese 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 - CORRECT ANSWERS.✔️✔️These ethnic groups
have lower estradiol levels then white, black and hispanic women.
stage +2 - CORRECT ANSWERS.✔️✔️late menopause stage: 5-8 years after FMP.
Somatic aging predominates. Increased genitourinary symptoms.
Stages +1a, +1b, +1c - CORRECT ANSWERS.✔️✔️early post menopause: 2 years
after FMP. FSH rises, estradiol decreases. VMS predominate.
Elevated FSH, LH - CORRECT ANSWERS.✔️✔️Endocrine labs after menopause
AMH, inhibin B - CORRECT ANSWERS.✔️✔️These hormones work during
reproductive years to not deplete follicle pool too quickly.
Phases during menopause transition and PMS symptoms - CORRECT
ANSWERS.✔️✔M ️ enstrual cycle shortenes, follicular phase compresses, women
spend more time in luteal phase.. meaning more premenstrual symptoms and
more frequent menstrual periods.
SUCCESS
, STUDYSAGE
How to respond if a patient requests FSH lab? - CORRECT ANSWERS.✔️✔️many
pitfalls, variable depending on the day of the cycle you draw the lab, normal or
low FSH is not helpful.
The potentially superior marker of menopause, a lab. - CORRECT
ANSWERS.✔️✔️AMH
DHEA (dehydroepiandrosterone) - CORRECT ANSWERS.✔️✔️Adrenal androgens:
precursor hromones produced by the adrenal gland that are enzymatically
converted to active androgens or estrogens in peripheral tissues.
Location of estrogen receptors - CORRECT ANSWERS.✔️✔️Vagina, vulva, urethra,
trigone of the bladder
Effects of estrogen on tissue - CORRECT ANSWERS.✔️✔️maintain blood flow, the
collagen, and HA within the epithelial surfaces. Supports microbiome and protects
tissue from pathogens.
Vaginal changes with menopause - CORRECT ANSWERS.✔️✔️Thinning, loss of
elasticity, loss or absence or rugae.
Vagina and urethra in menopause - CORRECT ANSWERS.✔️✔️vagina narrows,
urethra moves closer to the introitus.
Stress urinary incontinence - CORRECT ANSWERS.✔️✔️Vaginal estrogen and
urinary incontinence: what type does it help with?
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