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NAMS Menopause Exam Q-Bank | Practice Questions and Answers | Study Guide | Latest Update

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 18 pages. Originally published on StudyMerit.

Pages
18
Academic year
2025/2026
Language
English

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Nams Menopause Certification Exam 202 6 Questions With Elaborated Answers., Exams of Nursing 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 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 superimpos ed on the mid - to - late luteal phase of the ongoing ovulatory cycle.

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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 endometr ial 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. 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.

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The potentially superior marker of menopause, a lab. - ANSWER AMH DHEA (dehydroepiandrosterone) - ANSWER Adrenal androgens: precursor hromones produced by the adrenal gland that are enzymatically converted to active androgens or estrogens in peripheral tissues. Location of estrogen receptors - ANSWER Vagina, vulva, urethra, trigone of the bladder Effects of estrogen on tissue - ANSWER maintain blood flow, the collagen, and HA within the epithelial surfaces. Supports microbiome and protects tissue from pathogens. Vaginal changes with menopause - ANSWER Thinning, loss of elasticity, loss or absence or rugae. Vagina and urethra in menopause - ANSWER vagina narrows, urethra moves closer to the introitus. Stress urinary incontinence - ANSWER Vaginal estrogen and urinary incontinence: what type does it help with? Treatment for FPHL - ANSWER Minoxidil, spironolactone, finasteride, estrogen therapy Late reporoductive years - 3b and - 3a. What happens with menstrual cycles, FSH, AMH, AFC, inhibin? - ANSWER - 3b: menstrual cycles normal, FSH normal, AMH low, AFC low, inhibin low.

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