1
NAMS MENOPAUSE CERTIFICATION
EXAM|| ACTUAL QUESTIONS WITH
ANSWERS
Menopause transition-changes in SHBG and testosterone? ratio? - correct-answer
-SHBG decreases
Testosterone/SHBG ratio increases by 80%.
Testosterone/SHGB ratio is called what? - correct-answer -The free androgen
index
What stage are VMS more likely? - correct-answer -+1b (generally last 2 years)
,2
What hormone is generally higher in obese women? - correct-answer -Estrone-via
aromatization.
The postmenopausal ovary continues to produce what two hormones? - correct-
answer -testosterone and androstenedione
Surgical menopause causes women to have lower levels of what hormone? -
correct-answer -testosterone. 40-50% lower than in women w/ intact ovaries.
Driving piece of menopause is ovarian follicles depleting. What does this do to the
inhibin B and AMH? - correct-answer -inhibin and AMH decrease
therefore, follicle growth is not restrained, this allows for the growth of the
remaining, diminished follicle pool.
,3
In the menopause transition, women spend more time in what phase? - correct-
answer -Luteal-more PMS symptoms, more frequent menstrual periods.
HPO axis theory and the menopause transition - correct-answer -It is felt that the
HPO axis may become less sensitive to estrogen, so even with good follicle growth
and estradiol secretion, LH surges can fail which can lead to more cycle
irregularity.
In the first year after the FMP, there is no production of what hormone? - correct-
answer -progesterone
What region of the adrenal gland secretes the androgens? - correct-answer -zona
reticularis
, 4
what are considered the 'adrenal androgens'? - correct-answer -DHEA, DHEAS,
Androstenedione.
Aldosterone secretion from the zona reticularis in the adrenal gland is regulated
by 3 main factors. - correct-answer -Angiotensin II, potassium concentration,
adrenocorticotropic hormone secreted by the anterior pituitary.
What part of the pituitary gland secretes adrenocorticotropic hormone? - correct-
answer -Anterior pituitary. The posterior only secretes vasopressin and oxytosin.
Cortisol and HRT - correct-answer -Most serum cortisol circulates bound to
cortisol binding globulin.
Oral estrogen increases the cortisol binding globulin, which increases total cortisol
concentration.
NAMS MENOPAUSE CERTIFICATION
EXAM|| ACTUAL QUESTIONS WITH
ANSWERS
Menopause transition-changes in SHBG and testosterone? ratio? - correct-answer
-SHBG decreases
Testosterone/SHBG ratio increases by 80%.
Testosterone/SHGB ratio is called what? - correct-answer -The free androgen
index
What stage are VMS more likely? - correct-answer -+1b (generally last 2 years)
,2
What hormone is generally higher in obese women? - correct-answer -Estrone-via
aromatization.
The postmenopausal ovary continues to produce what two hormones? - correct-
answer -testosterone and androstenedione
Surgical menopause causes women to have lower levels of what hormone? -
correct-answer -testosterone. 40-50% lower than in women w/ intact ovaries.
Driving piece of menopause is ovarian follicles depleting. What does this do to the
inhibin B and AMH? - correct-answer -inhibin and AMH decrease
therefore, follicle growth is not restrained, this allows for the growth of the
remaining, diminished follicle pool.
,3
In the menopause transition, women spend more time in what phase? - correct-
answer -Luteal-more PMS symptoms, more frequent menstrual periods.
HPO axis theory and the menopause transition - correct-answer -It is felt that the
HPO axis may become less sensitive to estrogen, so even with good follicle growth
and estradiol secretion, LH surges can fail which can lead to more cycle
irregularity.
In the first year after the FMP, there is no production of what hormone? - correct-
answer -progesterone
What region of the adrenal gland secretes the androgens? - correct-answer -zona
reticularis
, 4
what are considered the 'adrenal androgens'? - correct-answer -DHEA, DHEAS,
Androstenedione.
Aldosterone secretion from the zona reticularis in the adrenal gland is regulated
by 3 main factors. - correct-answer -Angiotensin II, potassium concentration,
adrenocorticotropic hormone secreted by the anterior pituitary.
What part of the pituitary gland secretes adrenocorticotropic hormone? - correct-
answer -Anterior pituitary. The posterior only secretes vasopressin and oxytosin.
Cortisol and HRT - correct-answer -Most serum cortisol circulates bound to
cortisol binding globulin.
Oral estrogen increases the cortisol binding globulin, which increases total cortisol
concentration.
