NAMS
NAMS MENOPAUSE CERTIFICATION EXAM
200 QUESTION TEST BANK | WITH VERIFIED ANSWERS &
RATIONALES, 100% GUARANTEED PASS
WHAT’S INSIDE?
❖ NAMS MENOPAUSE CERTIFICATION EXAM
❖ 200 QUESTION TEST BANK
❖ WITH VERIFIED ANSWERS & RATIONALES
❖ 100% GUARANTEED PASS
❖ COMPLETE A GUIDE
❖ CONTENT DESIGNED TO MIRROR THE OFFICIAL
NAMS STUDY GUIDE
MBOFFIN
1/9
,1. Climacteric phase
VERIFIED ANS >> The period of endrocrinologic, somatic, and transitory psychologic changes that occur
around the time of menopause.
2. Early menopause
VERIFIED ANS >> LMP before age 45
3. Late menopause
VERIFIED ANS >> LMP after age 54
4. Primary ovarian insufficiency
VERIFIED ANS >> Menopause that occurs before age 40
5. Early menopause transition (stage -2)
VERIFIED ANS >> Persistent ditterence of 7 days or more in the length of consecutive cycles.
6. Late menopause transition (stage -1)
VERIFIED ANS >> 60 or more consecutive days of amenorrhea
7. Luteal out of phase event (LOOP)
VERIFIED ANS >> 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.
8. Obese women and estradiol levels during menopause
VERIFIED ANS >> 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)
9. Chinese and Japanese women
2/9
,VERIFIED ANS >> These ethnic groups have lower estradiol levels then white, black and hispanic women.
10. stage +2
VERIFIED ANS >> late menopause stage VERIFIED ANS >> 5-8 years after FMP. Somatic aging predominates.
Increased genitourinary symptoms.
11. Stages +1a, +1b, +1c
VERIFIED ANS >> early post menopause VERIFIED ANS >> 2 years after FMP. FSH rises, estradiol
decreases. VMS predominate.
12. Elevated FSH, LH
VERIFIED ANS >> Endocrine labs after menopause
13. AMH, inhibin B
VERIFIED ANS >> These hormones work during reproductive years to not deplete follicle pool too quickly.
14. Phases during menopause transition and PMS symptoms
VERIFIED ANS >> Menstrual cycle shortenes, follicular phase compresses, women spend more time in
luteal phase.. meaning more premenstrual symptoms and more frequent menstrual periods.
15. How to respond if a patient requests FSH lab?
VERIFIED ANS >> many pitfalls, variable depending on the day of the cycle you draw the lab, normal or
low FSH is not helpful.
16. The potentially superior marker of menopause, a lab.
VERIFIED ANS >> AMH
17. DHEA (dehydroepiandrosterone)
VERIFIED ANS >> Adrenal androgens VERIFIED ANS >> precursor hromones produced by the
adrenal gland that are enzymatically converted to active androgens or estrogens in peripheral tissues.
3/9
, 18. Location of estrogen receptors VERIFIED ANS >> Vagina, vulva, urethra, trigone of the bladder
19. Effects of estrogen on tissue VERIFIED ANS >> maintain blood flow, the collagen, and HA within the
epithelial surfaces. Supports microbiome and protects tissue from pathogens.
20. Vaginal changes with menopause VERIFIED ANS >> Thinning, loss of elasticity, loss or absence o
rugae.
21. Vagina and urethra in menopause VERIFIED ANS >> vagina narrows, urethra moves closer to t
introitus.
22. Stress urinary incontinence VERIFIED ANS >> Vaginal estrogen and urinary incontinence VERIFIED
ANS >> what type does it help with?
23. Treatment for FPHL VERIFIED ANS >> Minoxidil, spironolactone, finasteride, estrogen therapy
24. Late reporoductive years -3b and -3a. What happens with menstrual cycles,
FSH, AMH, AFC, inhibin? VERIFIED ANS >> -3b VERIFIED ANS >> menstrual cycles normal, FSH normal, AMH
low, AFC low, inhibin low.
-3a VERIFIED ANS >> subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low.
25. When it is appropriate to check an FSH during the cycle if you check it? and
why? VERIFIED ANS >> Cycle day #3. Elevated estradiol can suppress FSH giving a falsely normal FSH level.
26. AMH
produced by...
used to test...
Is it a screening tool for fertility?
When does it peak? VERIFIED ANS >> 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.
4/9
NAMS MENOPAUSE CERTIFICATION EXAM
200 QUESTION TEST BANK | WITH VERIFIED ANSWERS &
RATIONALES, 100% GUARANTEED PASS
WHAT’S INSIDE?
❖ NAMS MENOPAUSE CERTIFICATION EXAM
❖ 200 QUESTION TEST BANK
❖ WITH VERIFIED ANSWERS & RATIONALES
❖ 100% GUARANTEED PASS
❖ COMPLETE A GUIDE
❖ CONTENT DESIGNED TO MIRROR THE OFFICIAL
NAMS STUDY GUIDE
MBOFFIN
1/9
,1. Climacteric phase
VERIFIED ANS >> The period of endrocrinologic, somatic, and transitory psychologic changes that occur
around the time of menopause.
2. Early menopause
VERIFIED ANS >> LMP before age 45
3. Late menopause
VERIFIED ANS >> LMP after age 54
4. Primary ovarian insufficiency
VERIFIED ANS >> Menopause that occurs before age 40
5. Early menopause transition (stage -2)
VERIFIED ANS >> Persistent ditterence of 7 days or more in the length of consecutive cycles.
6. Late menopause transition (stage -1)
VERIFIED ANS >> 60 or more consecutive days of amenorrhea
7. Luteal out of phase event (LOOP)
VERIFIED ANS >> 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.
8. Obese women and estradiol levels during menopause
VERIFIED ANS >> 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)
9. Chinese and Japanese women
2/9
,VERIFIED ANS >> These ethnic groups have lower estradiol levels then white, black and hispanic women.
10. stage +2
VERIFIED ANS >> late menopause stage VERIFIED ANS >> 5-8 years after FMP. Somatic aging predominates.
Increased genitourinary symptoms.
11. Stages +1a, +1b, +1c
VERIFIED ANS >> early post menopause VERIFIED ANS >> 2 years after FMP. FSH rises, estradiol
decreases. VMS predominate.
12. Elevated FSH, LH
VERIFIED ANS >> Endocrine labs after menopause
13. AMH, inhibin B
VERIFIED ANS >> These hormones work during reproductive years to not deplete follicle pool too quickly.
14. Phases during menopause transition and PMS symptoms
VERIFIED ANS >> Menstrual cycle shortenes, follicular phase compresses, women spend more time in
luteal phase.. meaning more premenstrual symptoms and more frequent menstrual periods.
15. How to respond if a patient requests FSH lab?
VERIFIED ANS >> many pitfalls, variable depending on the day of the cycle you draw the lab, normal or
low FSH is not helpful.
16. The potentially superior marker of menopause, a lab.
VERIFIED ANS >> AMH
17. DHEA (dehydroepiandrosterone)
VERIFIED ANS >> Adrenal androgens VERIFIED ANS >> precursor hromones produced by the
adrenal gland that are enzymatically converted to active androgens or estrogens in peripheral tissues.
3/9
, 18. Location of estrogen receptors VERIFIED ANS >> Vagina, vulva, urethra, trigone of the bladder
19. Effects of estrogen on tissue VERIFIED ANS >> maintain blood flow, the collagen, and HA within the
epithelial surfaces. Supports microbiome and protects tissue from pathogens.
20. Vaginal changes with menopause VERIFIED ANS >> Thinning, loss of elasticity, loss or absence o
rugae.
21. Vagina and urethra in menopause VERIFIED ANS >> vagina narrows, urethra moves closer to t
introitus.
22. Stress urinary incontinence VERIFIED ANS >> Vaginal estrogen and urinary incontinence VERIFIED
ANS >> what type does it help with?
23. Treatment for FPHL VERIFIED ANS >> Minoxidil, spironolactone, finasteride, estrogen therapy
24. Late reporoductive years -3b and -3a. What happens with menstrual cycles,
FSH, AMH, AFC, inhibin? VERIFIED ANS >> -3b VERIFIED ANS >> menstrual cycles normal, FSH normal, AMH
low, AFC low, inhibin low.
-3a VERIFIED ANS >> subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low.
25. When it is appropriate to check an FSH during the cycle if you check it? and
why? VERIFIED ANS >> Cycle day #3. Elevated estradiol can suppress FSH giving a falsely normal FSH level.
26. AMH
produced by...
used to test...
Is it a screening tool for fertility?
When does it peak? VERIFIED ANS >> 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.
4/9
