NACE EXAM — Health Care exam material
HEAL100 · Other
HEAL100 Health Care — exam and revision material · Other
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Health Care exam material, 20 pages. Originally published on StudyMerit.
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NAMS CERTIFICATION EXAM: MENOPAUSE SOCIETY CERTIFIED PRACTITIONER (MSCP), 2025/2026 WITH CORRECT/ACCURATE ANSWERS NORTH AMERICAN MENOPAUSE SOCIETY Early Menopause FMP before age 45 >>> when a woman's menstrual periods stop before the age of 45. Menopause before age 40 is considered premature menopause (or primary ovarian insufficiency) and is a distinct condition, though both involve a premature end to the reproductive years. <<>> Causes of early menopause Genetic and chromosomal abnormalities: Autoimmune diseases: Cancer treatments: Surgery: Lifestyle factors: Family history: Late Menopause FMP after age 54 >>> when a woman's final menstrual period occurs after the age of 55. While the average age for menopause is around 51, the timing can vary widely among individuals due to a combination of genetic, lifestyle, and hormonal factors <<>> causes late menopause? Genetics: Higher body mass index (BMI): Reproductive history:
Hormone levels: Thyroid disorders: Bilateral oophorectomy prior to age 45 increases risks for: - All cause mortality - Coronary heart disease - CVD - Menopause symptoms - Worsening mood symptoms - Higher incidence of Parkinson Disease - Associated with cognitive impairment Early Menopause Transition (-2) 7 or more days persistent difference in cycle length from previous normal cycle - Results of increased follicular aging and depletion - Inhibin B decreases - FSH increases (Variable) LOOP Cycles Explains elevation of Estradiol in perimenopause - Rising FSH levels recruit 2nd follicle during luteal phase which leads to overproduction of Estradiol - This causes menstrual changes in future cycles Decreased AMH in Early Menopause Transition More frequent anovulatory cycles
Decreased Inhibin B in Early Menopause Transition - Skipped menstrual cycles - Mastalgia - Migraine - Menorrhagia (with LOOP cycles) - Endometrial Hyperplasia Late Menopause Transition (-1) 60 or more days of amenorrhea for women aged 45 years or older - Women 40-44 years with recurrent episodes of amenorrhea of 60 day for longer within a year improves prediction of entry into late menopause transition Late Menopause Transition (-1) Duration 1-3 years Late Menopause Transition (-1) Symptoms VMS likely STRAW Stage where FSH > 25 Late Menopause Transition (-1) Elevated FSH symptoms in Late Menopause Transition - VMS
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HEAL100 · Other
HEAL100 · Other
HEAL100 · Other
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