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NAMS MNOPAUSE CERTIFICATION
FINAL EXAM 2025/2026 ACTUAL REAL
EXAM TEST BANK WITH QUESTIONS
AND WELL VERIFIED -ANSWER--S
REAL EXAM 100!!
The period of endrocrinologic, somatic, and transitory psychologic
changes that occur around the time of menopause.
......-ANSWER--.....Climacteric phase
LMP before age 45 ......-ANSWER--.....Early menopause
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LMP after age 54 ......-ANSWER--.....Late menopause
Menopause that occurs before age 40 ......-ANSWER--.....Primary
ovarian insufficiency
Persistent difference of 7 days or more in the length of consecutive
cycles. ......-ANSWER--.....Early menopause transition (stage -2)
60 or more consecutive days of amenorrhea ......-ANSWER--
.....Late 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
,3|Page
follicular phase-like rise in estradiol secretion superimposed on the
mid-to-late luteal phase of the ongoing ovulatory cycle.
......-ANSWER--.....Luteal 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) ......-ANSWER--.....Obese women and
estradiol levels during menopause
These ethnic groups have lower estradiol levels then white, black
and hispanic women. ......-ANSWER--.....Chinese and Japanese
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women late menopause stage: 5-8 years after FMP. Somatic aging
predominates. Increased genitourinary symptoms.
......-ANSWER--.....stage +2
early post menopause: 2 years after FMP. FSH rises, estradiol
decreases. VMS predominate. ......-ANSWER--.....Stages +1a, +1b,
+1c
Endocrine labs after menopause ......-ANSWER--.....Elevated FSH,
LH
These hormones work during reproductive years to not deplete
follicle pool too quickly. ......-ANSWER--.....AMH, inhibin B
NAMS MNOPAUSE CERTIFICATION
FINAL EXAM 2025/2026 ACTUAL REAL
EXAM TEST BANK WITH QUESTIONS
AND WELL VERIFIED -ANSWER--S
REAL EXAM 100!!
The period of endrocrinologic, somatic, and transitory psychologic
changes that occur around the time of menopause.
......-ANSWER--.....Climacteric phase
LMP before age 45 ......-ANSWER--.....Early menopause
,2|Page
LMP after age 54 ......-ANSWER--.....Late menopause
Menopause that occurs before age 40 ......-ANSWER--.....Primary
ovarian insufficiency
Persistent difference of 7 days or more in the length of consecutive
cycles. ......-ANSWER--.....Early menopause transition (stage -2)
60 or more consecutive days of amenorrhea ......-ANSWER--
.....Late 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
,3|Page
follicular phase-like rise in estradiol secretion superimposed on the
mid-to-late luteal phase of the ongoing ovulatory cycle.
......-ANSWER--.....Luteal 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) ......-ANSWER--.....Obese women and
estradiol levels during menopause
These ethnic groups have lower estradiol levels then white, black
and hispanic women. ......-ANSWER--.....Chinese and Japanese
, 4|Page
women late menopause stage: 5-8 years after FMP. Somatic aging
predominates. Increased genitourinary symptoms.
......-ANSWER--.....stage +2
early post menopause: 2 years after FMP. FSH rises, estradiol
decreases. VMS predominate. ......-ANSWER--.....Stages +1a, +1b,
+1c
Endocrine labs after menopause ......-ANSWER--.....Elevated FSH,
LH
These hormones work during reproductive years to not deplete
follicle pool too quickly. ......-ANSWER--.....AMH, inhibin B
