NAMs Menopause Certification Exam
g g g
Questions and Answers 100% Solved
g g g g
Climactericgphaseg--*correctganswer*--
g Thegperiodgofgendrocrinologic,gsomatic,gandgtransitorygpsychologicgchanges
thatgoccurgaroundgthegtimegofgmenopause.
g
Earlygmenopauseg--*correctganswer*--
LMPgbeforegageg45gLategmenopauseg--*correctganswer*--
g
g LMPgaftergageg54
Primarygovarianginsufficiencyg--*correctganswer*--
Menopausegthatgoccursgbeforegageg40
g
Earlygmenopausegtransitiong(stageg-2)g--*correctganswer*--
Persistentgdifferencegofg7gdaysgorgmoregingtheglengthgofgconsecutivegcycles.
g
Lategmenopausegtransitiong(stageg-1)g--*correctganswer*--
60gorgmoregconsecutivegdaysgofgamenorrhea
g
Lutealgoutgofgphasegeventg(LOOP)g--*correctganswer*--
Explainsgwhygsomegperimenopausalgwomenghavegelevatedgestrogenglevelgso
g
metimes...Ingthegearlygmenopausegtransition,gelevatedgFSHglevelsgaregadequ
ategtogrecruitgagsecondgfolliclegwhichgresultsgingagfolliculargphase-
likegrisegingestradiolgsecretiongsuperimposedgongthegmid-to-
lateglutealgphasegofgthegongoinggovulatorygcycle.
Obesegwomengandgestradiolglevelsgduringgmenopauseg--*correctganswer*--
g Obesegwomengaregmoreglikelygtoghaveganovulatorygcyclesgwithghighgestradi
olglevels.gTheygaregalsogmoreglikelygtoghaveglowergpremenopausegyetghigherg
postmenopausegestradiolglevelsgcomparedgwithgwomengofgnormalgweight.g(
whygtheygaregatghighergriskgofgendometrialgcancer)
ChinesegandgJapanesegwomeng--*correctganswer*--
Thesegethnicggroupsghaveglowergestradiolglevelsgthengwhite,gblackgandghisp
g
anicgwomen.
,stageg+2g--*correctganswer*--glategmenopausegstage:g5-
8gyearsgaftergFMP.gSomaticgaginggpredominates.gIncreasedggenitourinarygsy
mptoms.
Stagesg+1a,g+1b,g+1cg--*correctganswer*--
earlygpostgmenopause:g2gyearsgaftergFMP.gFSHgrises,gestradiolgdecreases.g
g
VMSgpredominate.
ElevatedgFSH,gLHg--*correctganswer*--
EndocrineglabsgaftergmenopausegAMH,ginhibingBg--*correctganswer*--
g
g Theseghormonesgworkgduringgreproductivegyearsgtognotgdepletegfolliclegp
oolgtoogquickly.
PhasesgduringgmenopausegtransitiongandgPMSgsymptomsg--*correctganswer*-
-
g Menstrualgcyclegshortenes,gfolliculargphasegcompresses,gwomengspendgmor
egtimeginglutealgphase..gmeaninggmoregpremenstrualgsymptomsgandgmoregfre
quentgmenstrualgperiods.
HowgtogrespondgifgagpatientgrequestsgFSHglab?g--*correctganswer*--
g manygpitfalls,gvariablegdependinggongthegdaygofgthegcyclegyougdrawgtheglab,g
normalgorglowgFSHgisgnotghelpful.
Thegpotentiallygsuperiorgmarkergofgmenopause,gaglab.g--*correctganswer*--
AMH
DHEAg(dehydroepiandrosterone)g--*correctganswer*--
g Adrenalgandrogens:gprecursorghromonesgproducedgbygthegadrenalgglandgt
hatgaregenzymaticallygconvertedgtogactivegandrogensgorgestrogensgingperi
pheralgtissues.
Locationgofgestrogengreceptorsg--*correctganswer*--
Vagina,gvulva,gurethra,gtrigonegofgthegbladder
g
Effectsgofgestrogengongtissueg--*correctganswer*--
maintaingbloodgflow,gthegcollagen,gandgHAgwithingthegepithelialgsurfaces.
g
Supportsgmicrobiomegandgprotectsgtissuegfromgpathogens.
g
Vaginalgchangesgwithgmenopauseg--*correctganswer*--
Thinning,glossgofgelasticity,glossgorgabsencegorgrugae.
g
, Vaginagandgurethragingmenopauseg--*correctganswer*--
vaginagnarrows,gurethragmovesgclosergtogthegintroitus.
g
g g g
Questions and Answers 100% Solved
g g g g
Climactericgphaseg--*correctganswer*--
g Thegperiodgofgendrocrinologic,gsomatic,gandgtransitorygpsychologicgchanges
thatgoccurgaroundgthegtimegofgmenopause.
g
Earlygmenopauseg--*correctganswer*--
LMPgbeforegageg45gLategmenopauseg--*correctganswer*--
g
g LMPgaftergageg54
Primarygovarianginsufficiencyg--*correctganswer*--
Menopausegthatgoccursgbeforegageg40
g
Earlygmenopausegtransitiong(stageg-2)g--*correctganswer*--
Persistentgdifferencegofg7gdaysgorgmoregingtheglengthgofgconsecutivegcycles.
g
Lategmenopausegtransitiong(stageg-1)g--*correctganswer*--
60gorgmoregconsecutivegdaysgofgamenorrhea
g
Lutealgoutgofgphasegeventg(LOOP)g--*correctganswer*--
Explainsgwhygsomegperimenopausalgwomenghavegelevatedgestrogenglevelgso
g
metimes...Ingthegearlygmenopausegtransition,gelevatedgFSHglevelsgaregadequ
ategtogrecruitgagsecondgfolliclegwhichgresultsgingagfolliculargphase-
likegrisegingestradiolgsecretiongsuperimposedgongthegmid-to-
lateglutealgphasegofgthegongoinggovulatorygcycle.
Obesegwomengandgestradiolglevelsgduringgmenopauseg--*correctganswer*--
g Obesegwomengaregmoreglikelygtoghaveganovulatorygcyclesgwithghighgestradi
olglevels.gTheygaregalsogmoreglikelygtoghaveglowergpremenopausegyetghigherg
postmenopausegestradiolglevelsgcomparedgwithgwomengofgnormalgweight.g(
whygtheygaregatghighergriskgofgendometrialgcancer)
ChinesegandgJapanesegwomeng--*correctganswer*--
Thesegethnicggroupsghaveglowergestradiolglevelsgthengwhite,gblackgandghisp
g
anicgwomen.
,stageg+2g--*correctganswer*--glategmenopausegstage:g5-
8gyearsgaftergFMP.gSomaticgaginggpredominates.gIncreasedggenitourinarygsy
mptoms.
Stagesg+1a,g+1b,g+1cg--*correctganswer*--
earlygpostgmenopause:g2gyearsgaftergFMP.gFSHgrises,gestradiolgdecreases.g
g
VMSgpredominate.
ElevatedgFSH,gLHg--*correctganswer*--
EndocrineglabsgaftergmenopausegAMH,ginhibingBg--*correctganswer*--
g
g Theseghormonesgworkgduringgreproductivegyearsgtognotgdepletegfolliclegp
oolgtoogquickly.
PhasesgduringgmenopausegtransitiongandgPMSgsymptomsg--*correctganswer*-
-
g Menstrualgcyclegshortenes,gfolliculargphasegcompresses,gwomengspendgmor
egtimeginglutealgphase..gmeaninggmoregpremenstrualgsymptomsgandgmoregfre
quentgmenstrualgperiods.
HowgtogrespondgifgagpatientgrequestsgFSHglab?g--*correctganswer*--
g manygpitfalls,gvariablegdependinggongthegdaygofgthegcyclegyougdrawgtheglab,g
normalgorglowgFSHgisgnotghelpful.
Thegpotentiallygsuperiorgmarkergofgmenopause,gaglab.g--*correctganswer*--
AMH
DHEAg(dehydroepiandrosterone)g--*correctganswer*--
g Adrenalgandrogens:gprecursorghromonesgproducedgbygthegadrenalgglandgt
hatgaregenzymaticallygconvertedgtogactivegandrogensgorgestrogensgingperi
pheralgtissues.
Locationgofgestrogengreceptorsg--*correctganswer*--
Vagina,gvulva,gurethra,gtrigonegofgthegbladder
g
Effectsgofgestrogengongtissueg--*correctganswer*--
maintaingbloodgflow,gthegcollagen,gandgHAgwithingthegepithelialgsurfaces.
g
Supportsgmicrobiomegandgprotectsgtissuegfromgpathogens.
g
Vaginalgchangesgwithgmenopauseg--*correctganswer*--
Thinning,glossgofgelasticity,glossgorgabsencegorgrugae.
g
, Vaginagandgurethragingmenopauseg--*correctganswer*--
vaginagnarrows,gurethragmovesgclosergtogthegintroitus.
g
