Nams Menopause Certification Exam 2024 Actual Exam
Complete 350 Questions With Detailed Verified Answers
(100% Correct Answers) / Already Graded A+
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-Menstrual cycle
shortenes, follicular phase compresses, women spend more time in luteal phase.. meaning more
premenstrual symptoms and more frequent menstrual periods.
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?
Treatment for FPHL - CORRECT ANSWERS-Minoxidil, spironolactone, finasteride, estrogen
therapy
Late reporoductive years -3b and -3a. What happens with menstrual cycles, FSH, AMH, AFC, inhibin? -
CORRECT ANSWERS--3b: menstrual cycles normal, FSH normal, AMH low, AFC low, inhibin low.
-3a: subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low.
When it is appropriate to check an FSH during the cycle if you check it? and why? - CORRECT
ANSWERS-Cycle day #3. Elevated estradiol can suppress FSH giving a falsely normal FSH level.
AMH
produced by...
used to test...
Is it a screening tool for fertility?
When does it peak? - CORRECT ANSWERS-produced by granulosa cells
used to test damage to ovarian follicle reserve. If AMH is low, the woman has a low ovarian reserve.
Complete 350 Questions With Detailed Verified Answers
(100% Correct Answers) / Already Graded A+
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-Menstrual cycle
shortenes, follicular phase compresses, women spend more time in luteal phase.. meaning more
premenstrual symptoms and more frequent menstrual periods.
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?
Treatment for FPHL - CORRECT ANSWERS-Minoxidil, spironolactone, finasteride, estrogen
therapy
Late reporoductive years -3b and -3a. What happens with menstrual cycles, FSH, AMH, AFC, inhibin? -
CORRECT ANSWERS--3b: menstrual cycles normal, FSH normal, AMH low, AFC low, inhibin low.
-3a: subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low.
When it is appropriate to check an FSH during the cycle if you check it? and why? - CORRECT
ANSWERS-Cycle day #3. Elevated estradiol can suppress FSH giving a falsely normal FSH level.
AMH
produced by...
used to test...
Is it a screening tool for fertility?
When does it peak? - CORRECT ANSWERS-produced by granulosa cells
used to test damage to ovarian follicle reserve. If AMH is low, the woman has a low ovarian reserve.
