1|Page
NAMS Menopause Certification Exam (2025/2026) |
Actual Real Exam Test Bank | 2 Currently Testing
Versions | 200 Questions|| LATEST EXAM!!!
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
,2|Page
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.
stage +2 - Answer-late menopause stage: 5-8 years after
FMP. Somatic aging predominates. Increased
genitourinary symptoms.
, 3|Page
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
NAMS Menopause Certification Exam (2025/2026) |
Actual Real Exam Test Bank | 2 Currently Testing
Versions | 200 Questions|| LATEST EXAM!!!
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
,2|Page
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.
stage +2 - Answer-late menopause stage: 5-8 years after
FMP. Somatic aging predominates. Increased
genitourinary symptoms.
, 3|Page
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
