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Nams Menopause Certification Exam Actual Exam 250 Questions and Correct Answers with Rationales

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 26 pages. Originally published on StudyMerit.

Pages
26
Academic year
2025/2026
Language
English

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NAMs Menopause Certification Exam Questions and Answers 100% Solved Climacteric phase -- *correct answer* -- The period of endrocrinologic, somatic, and transitory psychologic changes that occur around the time of menopause. Early menopause -- *correct answer* -- LMP before age 45 Late menopause -- *correct answer* -- LMP after age 54 Primary ovarian insufficiency -- *correct answer* -- Menopause that occurs before age 40 Early menopause transition (stage - 2) -- *correct answer* -- Persistent difference of 7 days or more in the length of consecutive cycles. Late menopause tr ansition (stage - 1) -- *correct answer* -- 60 or more consecutive days of amenorrhea Luteal out of phase event (LOOP) -- *correct answer* -- Explains why some perimenopausal women have elevated estrogen level sometimes...In the early menopause transition, elevated FSH levels are adequate t o 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 -- *correct answer* -- Obese women are more likel y 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 Ja panese women -- *correct answer* -- These ethnic groups have lower estradiol levels then white, black and hispanic women.

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stage +2 -- *correct answer* -- late menopause stage: 5 - 8 years after FMP. Somatic aging predominates. Increased genitourinary symptoms. Stages +1a, +1b, +1c -- *correct answer* -- earl y post menopause: 2 years after FMP. FSH rises, estradiol decreases. VMS predominate. Elevated FSH, LH -- *correct answer* -- Endocrine labs after menopause AMH, inhibin B -- *correct answ er* -- These hormones work during reproductive years to not deplete follicle pool too quickly. Phases during menopause transition and PMS symptoms -- *correct 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? -- *correct 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. -- *correct answer* -- AMH DHEA (dehydroepiandrosterone) -- *correct answer* -- Adrenal androgens: precursor hro mones produced by the adrenal gland that are enzymatically converted to active androgens or estrogens in peripheral tissues. Location of estrogen receptors -- *correct answer* -- Vagina, vulva, urethra, trigone of the bladder Effects of estrogen on tissue -- *correct answer* -- maintain bl ood flow, the collagen, and HA within the epithelial surfaces. Supports microbiome and protects tissue from pathogens. Vaginal changes with menopause -- *correct answer* -- Thinning, loss of elasticity, loss or absence or rugae. Vagina and urethra in menopause -- *correct answer* -- vagina narrows, urethra moves closer to the introitus.

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Stress urinary incontinence -- *correct answer* -- Vaginal estrogen and urinary incontinence: what type does it help with? Treatment for FPHL -- *correct answer* -- Minoxidil, spironolactone, finasteride, estrogen therapy Late reporoductive years - 3b and - 3a. What happens with menstrual cycles, FSH, AMH, AFC, inhibin? -- *correct answer* -- - 3b: menstrual cycles normal, FSH normal, AMH low, AFC low, inhibin low. - 3a: subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low. When it is appropriate to check an FSH during the cycle if you check it? and why? -- *correct answer* -- Cycle day #3. Elevated estradiol can suppress FSH giving a falsely normal FSH level. AMH produced by... used to test... Is it a screening tool for fertility? When does it peak? -- *correct answer* -- 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. Peaks at around 25 years old. So before age 25, t his test is not helpful. It is influenced by exogenous hormones. Lower in hormonal contraception users, but increases after d/cing. AFC -- *correct answer* -- Antral follicle count

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