NAMS Certification Exam 2023 Review with Correct Answers (Graded A)

NAMS Certification Exam 2023 Review with Correct Answers (Graded A) 1 / 13 1. Early Menopause FMP before age 45 2. Late Menopause FMP after age 54 3. Bilateral oophorectomy prior to age 45 increases risks for: 4. Early Menopause Transition (-2) - All cause mortality - Coronary heart disease - CVD - Menopause symptoms - Worsening mood symptoms - Higher incidence of Parkinson Disease - Associated with cognitive impairment 7 or more days persistent difference in cycle length from previous normal cycle - Results of increased follicular aging and depletion - Inhibin B decreases - FSH increases (Variable) 5. LOOP Cycles Explains elevation of Estradiol in perimenopause - Rising FSH levels recruit 2nd follicle during luteal phase which leads to overproduction of Estradiol - This causes menstrual changes in future cycles 6. Decreased AMH in Early MenopauseTransition 7. Decreased Inhibin B in Early MenopauseTransition 8. Late Menopause Transition (-1) More frequent anovulatory cycles - Skipped menstrual cycles - Mastalgia - Migraine - Menorrhagia (with LOOP cycles) - Endometrial Hyperplasia 60 or more days of amenorrhea for women aged 45 years or older - Women 40-44 years with recurrent episodes of amenorrhea of 60 day for longer within a year improves prediction of entry into late menopause transition