NAMS MENOPAUSE CERTIFICATION EXAM 2024
ACTUAL EXAM COMPLETE 350 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) / ALREADY GRADED A+
What is menopause? - ANSWER: clinical absence of menses for 12 months. THe
result of normal aging an the result of loss of ovarian follicular function
-it is the end of the female reproductive age
What is the average age of menopause? - ANSWER: 48-55 years
average age is 51(notes) 52 (book)
T or F
Women overall see menopause as a positive change - ANSWER: True
What are classic an other s/s of menopause? - ANSWER: Classic symptoms:
• Change in menstrual cycle pattern (during perimenopause)
• Vasomotor symptoms (hot flashes & night sweats)
• Vulvovaginal symptoms, dyspareunia
• Sleep disturbances
Other symptoms sometimes associated with menopause:
• Cognitive concerns (memory, concentration)
• Psychological symptoms (depression, anxiety, moodiness)
What classifies premature menopause? - ANSWER: Premature menopause occurs
before age 40
occurs spontaneously
What is induced menopause? - ANSWER: cessation of menstruation
that follows bilateral oophorectomy (with or without
hysterectomy), chemotherapy, or pelvic radiation
therapy
What is POI - ANSWER: Primary ovarian insufficiency• A continuum of impaired
ovarian function (intermittent
to permanent) usually with extended periods of
amenorrhea in women younger than age 40
(previous known as POF-premature ovarian failure-is not permanent)
What is the length of perimenopause? - ANSWER: -usually last 2-8 years prior to last
period
-begins with variation in cycle length (>7 days) associated with rise in FSH
-variable s/s
-ends 1 year after final menstrual period
, Women report more symptoms during perimenopause or menopause? - ANSWER:
peri-menopause
How long is the postmenopausal period ? - ANSWER: 1/3 to 1/2 of lifespan of north
american women
What controls menses - ANSWER: The normal menstrual cycle is controlled via a
complex
interplay of the hypothalamic-pituitary-ovarian axis
What is the end result in the hypothalmic pituitary ovarian access that represents
menopause - ANSWER: Estrogen and progesterone remain low, an FSH an LH remain
high
What happen to serum hormone levels at menopause? - ANSWER: -decrease
Circulating estrogens
-decrease Ratio of estrogen to androgen
-decrease Sex hormone-binding globulin secretion
-increased Peripheral aromatization of DHEA to estrone
-Reversal of estradiol (E2) to estrone (E1) ratio
-No significant change in testosterone levels
How does aging affect weight gain - ANSWER: -women gain 5lbs due to aging an
lifestyle.
-decrease in activity
-decrease in muscle mass
-in midlife adipose tissues is redistributed to the middle
OBesity epidemic stats - ANSWER: • 70% of women ages 55-75 and 65% of women
ages
45-55 are overweight
• Approximately 40% are obese
What is the link between osteoporosis and dental decay in menopause - ANSWER: •
Tooth loss after menopause has been associated with
osteoporosis, although periodontal disease and tooth
decay are the leading causes
• For each 1% per year decrease in whole-body bone
mineral density (BMD), the risk for tooth loss more
than quadruples
How does menopause affect hearing? - ANSWER: • The menopause transition acts as
a trigger of a
relatively rapid age-related hearing decline in
healthy women
ACTUAL EXAM COMPLETE 350 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) / ALREADY GRADED A+
What is menopause? - ANSWER: clinical absence of menses for 12 months. THe
result of normal aging an the result of loss of ovarian follicular function
-it is the end of the female reproductive age
What is the average age of menopause? - ANSWER: 48-55 years
average age is 51(notes) 52 (book)
T or F
Women overall see menopause as a positive change - ANSWER: True
What are classic an other s/s of menopause? - ANSWER: Classic symptoms:
• Change in menstrual cycle pattern (during perimenopause)
• Vasomotor symptoms (hot flashes & night sweats)
• Vulvovaginal symptoms, dyspareunia
• Sleep disturbances
Other symptoms sometimes associated with menopause:
• Cognitive concerns (memory, concentration)
• Psychological symptoms (depression, anxiety, moodiness)
What classifies premature menopause? - ANSWER: Premature menopause occurs
before age 40
occurs spontaneously
What is induced menopause? - ANSWER: cessation of menstruation
that follows bilateral oophorectomy (with or without
hysterectomy), chemotherapy, or pelvic radiation
therapy
What is POI - ANSWER: Primary ovarian insufficiency• A continuum of impaired
ovarian function (intermittent
to permanent) usually with extended periods of
amenorrhea in women younger than age 40
(previous known as POF-premature ovarian failure-is not permanent)
What is the length of perimenopause? - ANSWER: -usually last 2-8 years prior to last
period
-begins with variation in cycle length (>7 days) associated with rise in FSH
-variable s/s
-ends 1 year after final menstrual period
, Women report more symptoms during perimenopause or menopause? - ANSWER:
peri-menopause
How long is the postmenopausal period ? - ANSWER: 1/3 to 1/2 of lifespan of north
american women
What controls menses - ANSWER: The normal menstrual cycle is controlled via a
complex
interplay of the hypothalamic-pituitary-ovarian axis
What is the end result in the hypothalmic pituitary ovarian access that represents
menopause - ANSWER: Estrogen and progesterone remain low, an FSH an LH remain
high
What happen to serum hormone levels at menopause? - ANSWER: -decrease
Circulating estrogens
-decrease Ratio of estrogen to androgen
-decrease Sex hormone-binding globulin secretion
-increased Peripheral aromatization of DHEA to estrone
-Reversal of estradiol (E2) to estrone (E1) ratio
-No significant change in testosterone levels
How does aging affect weight gain - ANSWER: -women gain 5lbs due to aging an
lifestyle.
-decrease in activity
-decrease in muscle mass
-in midlife adipose tissues is redistributed to the middle
OBesity epidemic stats - ANSWER: • 70% of women ages 55-75 and 65% of women
ages
45-55 are overweight
• Approximately 40% are obese
What is the link between osteoporosis and dental decay in menopause - ANSWER: •
Tooth loss after menopause has been associated with
osteoporosis, although periodontal disease and tooth
decay are the leading causes
• For each 1% per year decrease in whole-body bone
mineral density (BMD), the risk for tooth loss more
than quadruples
How does menopause affect hearing? - ANSWER: • The menopause transition acts as
a trigger of a
relatively rapid age-related hearing decline in
healthy women
