NAMS MENOPAUSE
CERTIFICATION EXAM
QUESTIONS AND CORRECT
ANSWERS LATEST STUDY
GUIDE 2025/2026 GRADED A + .
,1. Climacteric phase ✓✓ CORRECT ANSWER The period of endrocrinologic, somatic, and transitory psychologic changes that occur around the time of
menopause.
2. Early menopause ✓✓ CORRECT ANSWER LMP before age 45
3. Late menopause ✓✓ CORRECT ANSWER LMP after age 54
4. Primary ovarian insufficiency ✓✓ CORRECT ANSWER Menopause that occurs before age 40
5. Early menopause transition (stage -2) ✓✓ CORRECT ANSWER Persistent ditterence of 7 days or more in the length of consecutive cycles.
6. Late menopause transition (stage -1) ✓✓ CORRECT ANSWER 60 or more consecutive days of amenorrhea
7. Luteal out of phase event (LOOP) ✓✓ CORRECT ANSWER 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.
8. Obese women and estradiol levels during menopause ✓✓ CORRECT ANSWER 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)
9. Chinese and Japanese women ✓✓ CORRECT ANSWER These ethnic groups have lower estradiol levels then white, black and hispanic women.
10. stage +2 ✓✓ CORRECT ANSWER late menopause stage ✓✓ CORRECT ANSWER 5-8 years after FMP. Somatic aging predominates. Increased
genitourinary symptoms.
11. Stages +1a, +1b, +1c ✓✓ CORRECT ANSWER early post menopause ✓✓ CORRECT ANSWER 2 years after FMP. FSH rises, estradiol
decreases. VMS predominate.
12. Elevated FSH, LH ✓✓ CORRECT ANSWER Endocrine labs after menopause
13. AMH, inhibin B ✓✓ CORRECT ANSWER These hormones work during reproductive years to not deplete follicle pool too quickly.
14. Phases during menopause transition and PMS symptoms ✓✓ CORRECT ANSWER Menstrual cycle shortenes, follicular
phase compresses, women spend more time in luteal phase.. meaning more premenstrual symptoms and more frequent menstrual periods.
, 15. How to respond if a patient requests FSH lab? ✓✓ CORRECT ANSWER many pitfalls, variable depending on the day of the cycle you
draw the lab, normal or low FSH is not helpful.
16. The potentially superior marker of menopause, a lab. ✓✓ CORRECT ANSWER AMH
17. DHEA (dehydroepiandrosterone) ✓✓ CORRECT ANSWER Adrenal androgens ✓✓ CORRECT ANSWER precursor
hromones produced by the adrenal gland that are enzymatically converted to active androgens or estrogens in peripheral tissues.
CERTIFICATION EXAM
QUESTIONS AND CORRECT
ANSWERS LATEST STUDY
GUIDE 2025/2026 GRADED A + .
,1. Climacteric phase ✓✓ CORRECT ANSWER The period of endrocrinologic, somatic, and transitory psychologic changes that occur around the time of
menopause.
2. Early menopause ✓✓ CORRECT ANSWER LMP before age 45
3. Late menopause ✓✓ CORRECT ANSWER LMP after age 54
4. Primary ovarian insufficiency ✓✓ CORRECT ANSWER Menopause that occurs before age 40
5. Early menopause transition (stage -2) ✓✓ CORRECT ANSWER Persistent ditterence of 7 days or more in the length of consecutive cycles.
6. Late menopause transition (stage -1) ✓✓ CORRECT ANSWER 60 or more consecutive days of amenorrhea
7. Luteal out of phase event (LOOP) ✓✓ CORRECT ANSWER 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.
8. Obese women and estradiol levels during menopause ✓✓ CORRECT ANSWER 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)
9. Chinese and Japanese women ✓✓ CORRECT ANSWER These ethnic groups have lower estradiol levels then white, black and hispanic women.
10. stage +2 ✓✓ CORRECT ANSWER late menopause stage ✓✓ CORRECT ANSWER 5-8 years after FMP. Somatic aging predominates. Increased
genitourinary symptoms.
11. Stages +1a, +1b, +1c ✓✓ CORRECT ANSWER early post menopause ✓✓ CORRECT ANSWER 2 years after FMP. FSH rises, estradiol
decreases. VMS predominate.
12. Elevated FSH, LH ✓✓ CORRECT ANSWER Endocrine labs after menopause
13. AMH, inhibin B ✓✓ CORRECT ANSWER These hormones work during reproductive years to not deplete follicle pool too quickly.
14. Phases during menopause transition and PMS symptoms ✓✓ CORRECT ANSWER Menstrual cycle shortenes, follicular
phase compresses, women spend more time in luteal phase.. meaning more premenstrual symptoms and more frequent menstrual periods.
, 15. How to respond if a patient requests FSH lab? ✓✓ CORRECT ANSWER many pitfalls, variable depending on the day of the cycle you
draw the lab, normal or low FSH is not helpful.
16. The potentially superior marker of menopause, a lab. ✓✓ CORRECT ANSWER AMH
17. DHEA (dehydroepiandrosterone) ✓✓ CORRECT ANSWER Adrenal androgens ✓✓ CORRECT ANSWER precursor
hromones produced by the adrenal gland that are enzymatically converted to active androgens or estrogens in peripheral tissues.
