NAMs Menopause Certification Exam With Complete Solutions

NAMs Menopause Certification Exam With Complete
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Solutions Latest updates
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1. Climacteric phase YY




..ANSWER>>>The period of endrocrinologic, somatic, and transitory psy- chologic changes that occur around the
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YY time of menopause.
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2. Early menopause YY




..ANSWER>>> LMP before age 45 YY YY YY YY




3. Late menopause
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..ANSWER>>> LMP after age 54 YY YY YY YY




4. Primary ovarian insufficiencyYY YY




..ANSWER>>> Menopause that occurs before age 40
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5. Early menopause transition (stage -2)
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YY ..ANSWER>>>Persistent difference of 7 days or more in the length of consecutive cycles.
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6. Late menopause transition (stage -1)
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YY ..ANSWER>>>60 or more consecutive days of amen- orrhea
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7. Luteal out of phase event (LOOP)
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YY ..ANSWER>>> Explains why some perimenopausal women have elevated estrogen level sometimes...In the early
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menopause transition, elevat- ed FSH levels are adequate to recruit a second follicle which results in a follicular
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YY phase-like rise in estradiol secretion superimposed on the mid-to-late luteal phase of the ongoing ovulatory cycle.
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8. Obese women YY YY and estradiol levels during menopause
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..ANSWER>>>Obese women are more likely to have anovulatory cycles with high estradiol levels. They are also
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YY more likely to have lower premenopause yet higher postmenopause estradiol levels compared with women of normal
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, YY weight. (why they are at higher risk of endometrial cancer)
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9. Chinese and Japanese women YY YY YY




..ANSWER>>> These ethnic groups have lower estradiol levels then white, black and hispanic women.
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10. stage +2 YY




..ANSWER>>> late menopause stage: 5-8 years after FMP. Somatic aging predomi- nates. Increased genitourinary
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YY symptoms.


11. Stages +1a, +1b, +1c YY YY YY




..ANSWER>>> early post menopause: 2 years after FMP. FSH rises, estradiol decreases. VMS predominate.
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12. Elevated FSH, LH YY YY




..ANSWER>>>Endocrine labs after menopause
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13. AMH, inhibin B Y
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..ANSWER>>> These hormones work during reproductive years to not deplete follicle pool too quickly.
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14. Phases during menopause transition and PMS symptoms
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..ANSWER>>>Menstrual cycle shortenes, follicular phase compresses, women spend more time in luteal phase..
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YY meaning more premenstrual symptoms and more frequent menstrual periods.
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15. How YY to respond if a patient requests FSH lab?
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YY ..ANSWER>>> many pitfalls, variable de- pending on the day of the cycle you draw the lab, normal or low FSH is
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YY not helpful.
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16. The potentially superior marker of
YY YY YY YY YY menopause, a lab YY YY




..ANSWER>>> AMH YY




17. DHEA (dehydroepiandrosterone) YY




YY ..ANSWER>>> Adrenal androgens: precursor hromones produced by the adrenal gland that are enzymatically
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YY converted to active androgens or estrogens in peripheral tissues.
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18. Location of estrogen receptors YY YY YY




YYYY ..ANSWER>>> Vagina, vulva, urethra, trigone of the bladder YY YY YY YY YY YY YY




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