Written by students who passed Immediately available after payment Read online or as PDF Wrong document? Swap it for free 4.6 TrustPilot
logo-home
Exam (elaborations)

NAMs Menopause Certification Exam Questions and Answers Latest Update 2024/2025 | VERIFIED.

Rating
-
Sold
-
Pages
32
Grade
A+
Uploaded on
27-05-2025
Written in
2024/2025

NAMs Menopause Certification Exam Questions and Answers Latest Update 2024/2025 | VERIFIED. Climacteric phase - ANSWER The period of endrocrinologic, somatic, and transitory psychologic changes that occur around the time of menopause. Early menopause - ANSWER LMP before age 45 Late menopause - ANSWER LMP after age 54 Primary ovarian insufficiency - ANSWER Menopause that occurs before age 40 Early menopause transition (stage -2) - ANSWER Persistent difference of 7 days or more in the length of consecutive cycles. Late menopause transition (stage -1) - ANSWER 60 or more consecutive days of amenorrhea Luteal out of phase event (LOOP) - ANSWER Explains why some perimenopausal women have elevated estrogen level sometimes...In the early menopause transition, elevated FSH levels are adequate to recruit a second follicle which results in a follicular phase-like rise in estradiol secretion superimposed on the mid-to-late luteal phase of the ongoing ovulatory cycle. Obese women and estradiol levels during menopause - ANSWER Obese women are more likely to have anovulatory cycles with high estradiol levels. They are also more likely to have lower premenopause yet higher postmenopause estradiol levels compared with women of normal weight. (why they are at higher risk of endometrial cancer) Chinese and Japanese women - ANSWER These ethnic groups have lower estradiol levels then white, black and hispanic women. NAMs Menopause Certification Exam Questions and Answers Latest Update 2024/2025 stage +2 - ANSWER late menopause stage: 5-8 years after FMP. Somatic aging predominates. Increased genitourinary symptoms. Stages +1a, +1b, +1c - ANSWER early post menopause: 2 years after FMP. FSH rises, estradiol decreases. VMS predominate. Elevated FSH, LH - ANSWER Endocrine labs after menopause AMH, inhibin B - ANSWER These hormones work during reproductive years to not deplete follicle pool too quickly. Phases during menopause transition and PMS symptoms - ANSWER 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? - ANSWER 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. - ANSWER AMH DHEA (dehydroepiandrosterone) - ANSWER 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 - ANSWER Vagina, vulva, urethra, trigone of the bladder Effects of estrogen on tissue - ANSWER maintain blood flow, the collagen, and HA within the epithelial surfaces. Supports microbiome and protects tissue from pathogens. Vaginal changes with menopause - ANSWER Thinning, loss of elasticity, loss or absence or rugae. Vagina and urethra in menopause - ANSWER vagina narrows, urethra moves closer to the introitus. Stress urinary incontinence - ANSWER Vaginal estrogen and urinary incontinence: what type does it help with? Treatment for FPHL - ANSWER Minoxidil, spironolactone, finasteride, estrogen therapy Late reporoductive years -3b and -3a. What happens with menstrual cycles, FSH, AMH, AFC, inhibin? - ANSWER -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? - ANSWER 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? - ANSWER produced by granulosa cells used to test damage to ovarian follicle reserve. If AMH is low, the woman has a low ovarian reserve. not recommended as a screening tool to predict fertility. Peaks at around 25 years old. So before age 25, this test is not helpful. It is influenced by exogenous hormones. Lower in hormonal contraception users, but increases after d/cing. AFC - ANSWER Antral follicle count Number of follicles that are detectable with ultrasound. They are sensitive to FSH and considered to represent the availability poo of follicles. Late menopause transition (-1) FSH level on random draw - ANSWER 25 or higher Black women have higher or lower FSH levels? - ANSWER Higher Chinese and Japanese women have higher or lower estradiol levels compared to white, black and hispanic women? - ANSWER lower Menopause transition-changes in SHBG and testosterone? ratio? - ANSWER SHBG decreases Testosterone/SHBG ratio increases by 80%. Testosterone/SHGB ratio is called what? - ANSWER The free androgen index What stage are VMS more likely? - ANSWER +1b (generally last 2 years) What hormone is generally higher in obese women? - ANSWER Estrone-via aromatization. The postmenopausal ovary continues to produce what two hormones? - ANSWER testosterone and androstenedione Surgical menopause causes women to have lower levels of what hormone? - 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? - ANSWER inhibin and AMH decrease therefore, follicle growth is not restrained, this allows for the growth of the remaining, diminished follicle pool. In the menopause transition, women spend more time in what phase? - ANSWER Luteal-more PMS symptoms, more frequent menstrual periods. HPO axis theory and the menopause transition - 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? - ANSWER progesterone What region of the adrenal gland secretes the androgens? - ANSWER zona reticularis what are considered the 'adrenal androgens'? - ANSWER DHEA, DHEAS, Androstenedione. Aldosterone secretion from the zona reticularis in the adrenal gland is regulated by 3 main factors. - ANSWER Angiotensin II, potassium concentration, adrenocorticotropic hormone secreted by the anterior pituitary. What part of the pituitary gland secretes adrenocorticotropic hormone? - ANSWER Anterior pituitary. The posterior only secretes vasopressin and oxytosin. Cortisol and HRT - ANSWER Most serum cortisol circulates bound to cortisol binding globulin. Oral estrogen increases the cortisol binding globulin, which increases total cortisol concentration. Oral tamoxifen acts similarly. Transdermal does not increase it, so it has a minimal effect on serum cortisol concentration. Do cortisol levels associate with VMS severity? - ANSWER No, cortisol levels have NOT been associated with more severe VMS. Local DHEA has been proven to help with what? - ANSWER vaginal pain and dyspareunia How to DX POI? - ANSWER Menstrual disturbance-oligomenorrhea or amenorrhea for at least 4 months. AND elevated FSH over 25 on two occasions at least 4 weeks apart. Anyone 40years old who misses 3+ consecutive cycles gets these labs - ANSWER prolactin FSH estradiol TSH pregnancy test treatment of POI - ANSWER 100 microgram estradiol patch 1.25 mg CEE 2mg oral estradiol If intact uterus-progesterone for 12 days of the month. Physiologic is better than continuous hormonal contractption, but if menorrhagia-IUD plus estrogen patch, or if really not wanting to risk pregnancy, continuous HRT can be used. Hair loss. Difference between FPHL and telogen effluvium? - ANSWER FPHL is gradual, telogen effluvium is sudden and usually precipitated by a life stressor, chronic illness, beta blockers or anticoagulants-usually more patchy hair loss. FPHL pattern - ANSWER thinning at the crown of the head and widening of the hair part Treating FPHL - ANSWER MINOXIDIL spironolactone finasteride What ethnicity has the least likely chance of having bad hot flashes? - ANSWER Japanese What ethnicity is the most likely to have bad hot flashes? - ANSWER black more frequent, longer duration. Median length of hot flashes - ANSWER 10 years, early menopause transition women have them the longest. Theories about etiology of hot flashes (6) - ANSWER lower ovarian estradiol thermoregulation zone is narrowed neurokinins-regulate GnRH secretion. KNDy new meds serotonin cortisol and HPI axis dysregulation endothelial dysfunction. VIN low grade-what to do high grade-what to do differentiated VIN-what to do - ANSWER low grade is not precancerous high grade is precancerous-GYN ONC differentiated-wide local excision-high risk of invasive carcinoma. most common type of vulvar cancer - ANSWER squamous cell carcinoma Vulvar disorder commonly misdiagnosed as eczema or dermatitis? - ANSWER paget's disease

Show more Read less
Institution
NAMs Menopause Certification
Course
NAMs Menopause Certification

Content preview

NAMs Menopause Certification Exam Questions and
Answers Latest Update 2024/2025 | VERIFIED.




1. Climacteric phase answer>>>> The period of endrocrinologic, somatic, and transitory
nn n n n nn nn nn nn nn nn



psychologic changes that
nn nn nn




occur around the time of menopause.
nn nn nn nn nn




2. Early menopause answer>>>>
nn n n a n LMP before age 45
nn nn nn




3. Late menopause
n n answer>>>> LMP after age 54 n nn nn nn




4. Primary ovarian nn
nn (LOOP)
insufficiency
nn




5. Early menopause
nn




transition (stage
nn nn
8. Obese women and estradiol levels during
nn nn nn nn nn




-2) answer>>>> menopause
n n n




6. Late menopause
nn
9. answer>>>> Chinese and Japanese women n nn nn nn




transition (stage
nn nn




-1)

7. Luteal out of nn nn




phase
nn




event
nn




nn

,Menopause that occurs before age
nn nn nn nn



40
nn
Explains why some perimenopausal women have elevated estrogen level some-
nn nn nn nn nn nn nn nn nn




times...In the early menopause transition, elevated FSH levels are adequate to
nn nn nn nn nn nn nn nn nn nn nn




recruit a second follicle which results in a follicular phase-like rise in
n n nn nn nn nn nn nn nn nn nn nn nn




Persistent ditterence of 7 days or
nn nn nn nn nn estradiol secretion superimposed on the mid-to-latelutealphase ofthe ongoing
nn nn n n n n n n n n n



more in the length of consecutive
nn nn nn nn nn nn
ovulatory cycle.
n nn



cycles.
nn




Obese women are more likely to have anovulatory cycles with high estradiol
nn nn nn nn nn nn nn nn nn nn nn




levels. They are also more likely to have lower premenopause yet higher post-
nn nn nn nn nn nn nn nn nn nn nn nn nn




menopause estradiol levels compared with women of normal weight. (why
nn nn nn nn nn nn nn nn nn nn



60 or more consecutive days of
nn nn nn nn nn
they are at higher risk of endometrial cancer)
nn nn nn nn nn nn nn nn


amenorrhea
nn




These ethnic groups have lower estradiol levels then white, black and hispanic
nn nn nn nn nn nn nn nn nn nn nn




women.
nn




10. stage +2 n n late menopause stage: 5-8 years after FMP. Somatic aging predominates. In-
nn nn nn nn nn nn nn nn nn nn




creased genitourinary symptoms.
nn nn




nn

,11. Stages +1a, +1b, nn nn early post menopause: 2 years after FMP. FSH rises, estradiol decreases.
nn nn nn nn nn nn nn nn nn nn




+1c VMS predominate.
nn nn




12. Elevated FSH, LH Endocrine labs after menopause
nn nn nn nn nn




13. AMH, inhibin B n n n n These hormones work during reproductive years to not deplete follicle pool too
nn nn nn nn nn nn nn nn nn nn nn




quickly.

14. Phases during Menstrual cycle shortenes, follicular phase compresses, women spend more
nn nn nn nn nn nn nn nn nn




menopause tran- time in luteal phase.. meaning more premenstrual symptoms and more frequent
nn nn nn nn nn nn nn nn nn nn nn nn nn




sition and PMS menstrual periods.
nn nn nn nn nn




symptoms
nn




15. How to respond many pitfalls, variable depending on the day of the cycle you draw the lab, normal
n n n n nn nn nn nn nn nn nn nn nn nn nn nn nn nn



if
n n




a patient requests or low FSH is not helpful.
nn nn nn nn nn nn nn nn




FSH lab? nn




16. The potentially nn AMH
superior marker
nn nn




of menopause,
nn nn




a lab.
nn nn




17. DHEA Adrenal androgens: precursor hromones produced by the adrenal gland that are
nn nn nn nn nn nn nn nn nn nn




(dehy- enzymatically converted to active androgens or estrogens in peripheral tissues.
nn nn nn nn nn nn nn nn nn nn




droepiandros
nn




- terone)
nn




18. Location of estro- Vagina, vulva, urethra, trigone of the bladder
nn nn nn nn nn nn nn nn




gen receptors
nn nn




19. Effects of estro- nn nn maintain blood flow, the collagen, and HA within the epithelial surfaces. Supports
nn nn nn nn nn nn nn nn nn nn nn




gen on tissue
nn nn nn microbiome and protects tissue from pathogens.
nn nn nn nn nn nn




nn

, 20. Vaginal changes nn
Is it a screening tool for fertility?
nn nn nn nn nn nn




with
nn




menopause
nn




21. Vagina and nn




urethra in
nn nn




menopaus
nn




e

22. Stress urinary in- nn nn




continence
nn




23. Treatment for nn




FPHL
nn




24. Late reporoduc-
nn




tive years -3b
nn nn nn




and
nn




-3a. What hap-
nn nn




pens with men-
nn nn nn




strual cycles, FSH,
nn nn nn




AMH, AFC,
nn nn




inhib- in?
nn nn




25. When it is nn nn




appro- priate to
nn nn nn




check an FSH
nn nn nn




during the cy- cle
nn nn nn nn




if you check it?
nn nn nn nn




and why?
nn nn




26. AMH
produced by... nn




used to test...
nn nn nn


nn

Written for

Institution
NAMs Menopause Certification
Course
NAMs Menopause Certification

Document information

Uploaded on
May 27, 2025
Number of pages
32
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

$15.99
Get access to the full document:

Wrong document? Swap it for free Within 14 days of purchase and before downloading, you can choose a different document. You can simply spend the amount again.
Written by students who passed
Immediately available after payment
Read online or as PDF

Get to know the seller

Seller avatar
Reputation scores are based on the amount of documents a seller has sold for a fee and the reviews they have received for those documents. There are three levels: Bronze, Silver and Gold. The better the reputation, the more your can rely on the quality of the sellers work.
NursePrepHub Lock Haven University Of Pennsylvania
Follow You need to be logged in order to follow users or courses
Sold
89
Member since
1 year
Number of followers
6
Documents
965
Last sold
1 week ago
ANYTHING NURSING SHOP

Here at Mr pro nurse we provide exemplary academic opportunities with excellent facilities, which fosters learners pride, aspiration and persistence to achieve high learning level. ALWAYS REMEMBER TO LEAVE A REVIEW AFTER PURCHASING , THUS MAKING OTHER BUYERS FEEL EASE AFTER PURCHASING........!!!

3.9

36 reviews

5
23
4
3
3
2
2
0
1
8

Recently viewed by you

Why students choose Stuvia

Created by fellow students, verified by reviews

Quality you can trust: written by students who passed their tests and reviewed by others who've used these notes.

Didn't get what you expected? Choose another document

No worries! You can instantly pick a different document that better fits what you're looking for.

Pay as you like, start learning right away

No subscription, no commitments. Pay the way you're used to via credit card and download your PDF document instantly.

Student with book image

“Bought, downloaded, and aced it. It really can be that simple.”

Alisha Student

Working on your references?

Create accurate citations in APA, MLA and Harvard with our free citation generator.

Working on your references?

Frequently asked questions