NAMS MNOPAUSE CERTIFICATION
FINAL EXAM 2025/2026 ACTUAL REAL
EXAM TEST BANK WITH 2
CURRENTLY TESTING VERSIONS
WITH 500 QUESTIONS AND A STUDY
GUIDE / ACCURATE EXPERT
VERIFIED FOR GUARANTEED PASS
The period of endrocrinologic, somatic, and
transitory psychologic changes that occur
around the time of menopause. -
ANSWERClimacteric phase
LMP before age 45 - ANSWEREarly
menopause
LMP after age 54 - ANSWERLate menopause
Menopause that occurs before age 40 -
ANSWERPrimary ovarian insufficiency
,Persistent difference of 7 days or more in the
length of consecutive cycles. - ANSWEREarly
menopause transition (stage -2)
60 or more consecutive days of amenorrhea -
ANSWERLate menopause transition (stage -
1)
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. - ANSWERLuteal out of phase event
(LOOP)
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) - ANSWERObese women
and estradiol levels during menopause
These ethnic groups have lower estradiol
levels then white, black and hispanic women. -
ANSWERChinese and Japanese women
late menopause stage: 5-8 years after FMP.
Somatic aging predominates. Increased
genitourinary symptoms. - ANSWERstage +2
early post menopause: 2 years after FMP. FSH
rises, estradiol decreases. VMS predominate. -
ANSWERStages +1a, +1b, +1c
Endocrine labs after menopause -
ANSWERElevated FSH, LH
These hormones work during reproductive
years to not deplete follicle pool too quickly. -
ANSWERAMH, inhibin B
Menstrual cycle variable, persistent >7 day
difference between difference in length of
, consecutive cycles. - ANSWERPhases during
menopause transition and PMS symptoms
many pitfalls, variable depending on the day
of the cycle you draw the lab, normal or low
FSH is not helpful. - ANSWERHow to
respond if a patient requests FSH lab?
AMH - ANSWERThe potentially superior
marker of menopause, a lab.
Adrenal androgens: precursor hromones
produced by the adrenal gland that are
enzymatically converted to active androgens
or estrogens in peripheral tissues. -
ANSWERDHEA (dehydroepiandrosterone)
Vagina, vulva, urethra, trigone of the bladder -
ANSWERLocation of estrogen receptors
maintain blood flow, the collagen, and HA
within the epithelial surfaces. Supports
microbiome which supports acidity of vagina
and protects tissue from pathogens. -
ANSWEREffects of estrogen on tissue
FINAL EXAM 2025/2026 ACTUAL REAL
EXAM TEST BANK WITH 2
CURRENTLY TESTING VERSIONS
WITH 500 QUESTIONS AND A STUDY
GUIDE / ACCURATE EXPERT
VERIFIED FOR GUARANTEED PASS
The period of endrocrinologic, somatic, and
transitory psychologic changes that occur
around the time of menopause. -
ANSWERClimacteric phase
LMP before age 45 - ANSWEREarly
menopause
LMP after age 54 - ANSWERLate menopause
Menopause that occurs before age 40 -
ANSWERPrimary ovarian insufficiency
,Persistent difference of 7 days or more in the
length of consecutive cycles. - ANSWEREarly
menopause transition (stage -2)
60 or more consecutive days of amenorrhea -
ANSWERLate menopause transition (stage -
1)
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. - ANSWERLuteal out of phase event
(LOOP)
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) - ANSWERObese women
and estradiol levels during menopause
These ethnic groups have lower estradiol
levels then white, black and hispanic women. -
ANSWERChinese and Japanese women
late menopause stage: 5-8 years after FMP.
Somatic aging predominates. Increased
genitourinary symptoms. - ANSWERstage +2
early post menopause: 2 years after FMP. FSH
rises, estradiol decreases. VMS predominate. -
ANSWERStages +1a, +1b, +1c
Endocrine labs after menopause -
ANSWERElevated FSH, LH
These hormones work during reproductive
years to not deplete follicle pool too quickly. -
ANSWERAMH, inhibin B
Menstrual cycle variable, persistent >7 day
difference between difference in length of
, consecutive cycles. - ANSWERPhases during
menopause transition and PMS symptoms
many pitfalls, variable depending on the day
of the cycle you draw the lab, normal or low
FSH is not helpful. - ANSWERHow to
respond if a patient requests FSH lab?
AMH - ANSWERThe potentially superior
marker of menopause, a lab.
Adrenal androgens: precursor hromones
produced by the adrenal gland that are
enzymatically converted to active androgens
or estrogens in peripheral tissues. -
ANSWERDHEA (dehydroepiandrosterone)
Vagina, vulva, urethra, trigone of the bladder -
ANSWERLocation of estrogen receptors
maintain blood flow, the collagen, and HA
within the epithelial surfaces. Supports
microbiome which supports acidity of vagina
and protects tissue from pathogens. -
ANSWEREffects of estrogen on tissue
