NAMS Exam Questions with Correct answers
By 2020, number of women over 50 Correct Ans ✓✓ 64 million
By 2060, number of women over 50 Correct Ans ✓✓ 90 million
What is the US female life expectancy Correct Ans ✓✓ 81.2 years
How many oocytes in the ovary at 20 weeks pregnancy Correct Ans ✓✓
6-7 Million
How many oocytes left at birth Correct Ans ✓✓ 1-2 million
How many oocytes left at puberty Correct Ans ✓✓ 300,000-500,000
What is the period of change at menopause Correct Ans ✓✓ Climacteric
or perimenopause
What is the term for menopause that occurs before age 45 Correct Ans
✓✓ Early menopause
What is the term for menopause that occurs after age 54 Correct Ans
✓✓ Late menopause
,What is the timeframe within the first 8 years after FMP (and what
numerical SWAN stages correspond?) Correct Ans ✓✓ Early post
menopause (+1a, +1b, +1c)
What is the timeframe called after 8 years from FMP (and what
numerical SWAN stage corresponds?) Correct Ans ✓✓ Late post
menopause (+2)
What is the time before FMP with cycle variability (and what numerical
SWAN stages correspond?) Correct Ans ✓✓ Menopause transition (-2,
-1)
What is the time of 7 or more days persistent difference in cycle length
(and what numerical SWAN stage corresponds?) Correct Ans ✓✓ Early
menopause transition (-2)
What is the time with 60 or more days of amenorrhea at least once (and
what numerical SWAN stage corresponds?) Correct Ans ✓✓ Late
menopause transition (-1)
What is a retrospective determination of 12 months of amenorrhea
Correct Ans ✓✓ Natural menopause
What is the timeframe from onset of menstrual cycle irregularity to 1
year after final menopause transition Correct Ans ✓✓ Perimenopause
,What is any time frame after FMP Correct Ans ✓✓ Post menopause
What is the preferred term for menopause before age 40 Correct Ans
✓✓ Primary ovarian insufficiency (POI)
Preferred since this may not be a permanent state
What term for menopause before age 40 should no longer be used
Correct Ans ✓✓ Premature ovarian failure
What percentage of US women experience POI Correct Ans ✓✓ 1%
How many total stages in STRAW Correct Ans ✓✓ 10 total
Reproductive has 4 (-5 to -3a)
Menopause Transition has 2 (-2 to -1)
Post Menopause has 4 (+1a to +2)
How many reproductive stages in STRAW Correct Ans ✓✓ 4 (-5 early
reproductive, -4 Peak reproductive, -3b and -3b late reproductive)
How many stages in menopause transition in STRAW Correct Ans ✓✓
2 (-2 early transition, -1 late transition)
How many stages in postmenopause in STRAW Correct Ans ✓✓ 4
(+1a, +1b and +1c early PM, +2 late PM)
, Which STRAW stage is menarche in Correct Ans ✓✓ -5 early
reproductive
In which STRAW stage are cycles every 21 to 35 days Correct Ans ✓✓
-4 Peak reproductive
What differentiates STRAW stage -3b from -3a Correct Ans ✓✓ -3b
cycles normal, FSH wnl, AMH, AFC, inhibit B low
-3a shorter cycles, variable FSH
What effect do inhibin B and AMH have on follicles Correct Ans ✓✓
They prevent too many follicles from growing at once, so the follicle
pool is not depleted too quickly
What happens to inhibin b and AMH levels during menopause transition
Correct Ans ✓✓ Decreased number of follicles leads to decreased levels
of both of these products.
This means more follicular atresia
What is a LOOP event Correct Ans ✓✓ Luteal Out of Phase event
Explains why some perimenopausal women have elevated estrogen
levels sometimes.
In early menopause, transition, elevated FSH is adequate to recruit a
second follicle.
By 2020, number of women over 50 Correct Ans ✓✓ 64 million
By 2060, number of women over 50 Correct Ans ✓✓ 90 million
What is the US female life expectancy Correct Ans ✓✓ 81.2 years
How many oocytes in the ovary at 20 weeks pregnancy Correct Ans ✓✓
6-7 Million
How many oocytes left at birth Correct Ans ✓✓ 1-2 million
How many oocytes left at puberty Correct Ans ✓✓ 300,000-500,000
What is the period of change at menopause Correct Ans ✓✓ Climacteric
or perimenopause
What is the term for menopause that occurs before age 45 Correct Ans
✓✓ Early menopause
What is the term for menopause that occurs after age 54 Correct Ans
✓✓ Late menopause
,What is the timeframe within the first 8 years after FMP (and what
numerical SWAN stages correspond?) Correct Ans ✓✓ Early post
menopause (+1a, +1b, +1c)
What is the timeframe called after 8 years from FMP (and what
numerical SWAN stage corresponds?) Correct Ans ✓✓ Late post
menopause (+2)
What is the time before FMP with cycle variability (and what numerical
SWAN stages correspond?) Correct Ans ✓✓ Menopause transition (-2,
-1)
What is the time of 7 or more days persistent difference in cycle length
(and what numerical SWAN stage corresponds?) Correct Ans ✓✓ Early
menopause transition (-2)
What is the time with 60 or more days of amenorrhea at least once (and
what numerical SWAN stage corresponds?) Correct Ans ✓✓ Late
menopause transition (-1)
What is a retrospective determination of 12 months of amenorrhea
Correct Ans ✓✓ Natural menopause
What is the timeframe from onset of menstrual cycle irregularity to 1
year after final menopause transition Correct Ans ✓✓ Perimenopause
,What is any time frame after FMP Correct Ans ✓✓ Post menopause
What is the preferred term for menopause before age 40 Correct Ans
✓✓ Primary ovarian insufficiency (POI)
Preferred since this may not be a permanent state
What term for menopause before age 40 should no longer be used
Correct Ans ✓✓ Premature ovarian failure
What percentage of US women experience POI Correct Ans ✓✓ 1%
How many total stages in STRAW Correct Ans ✓✓ 10 total
Reproductive has 4 (-5 to -3a)
Menopause Transition has 2 (-2 to -1)
Post Menopause has 4 (+1a to +2)
How many reproductive stages in STRAW Correct Ans ✓✓ 4 (-5 early
reproductive, -4 Peak reproductive, -3b and -3b late reproductive)
How many stages in menopause transition in STRAW Correct Ans ✓✓
2 (-2 early transition, -1 late transition)
How many stages in postmenopause in STRAW Correct Ans ✓✓ 4
(+1a, +1b and +1c early PM, +2 late PM)
, Which STRAW stage is menarche in Correct Ans ✓✓ -5 early
reproductive
In which STRAW stage are cycles every 21 to 35 days Correct Ans ✓✓
-4 Peak reproductive
What differentiates STRAW stage -3b from -3a Correct Ans ✓✓ -3b
cycles normal, FSH wnl, AMH, AFC, inhibit B low
-3a shorter cycles, variable FSH
What effect do inhibin B and AMH have on follicles Correct Ans ✓✓
They prevent too many follicles from growing at once, so the follicle
pool is not depleted too quickly
What happens to inhibin b and AMH levels during menopause transition
Correct Ans ✓✓ Decreased number of follicles leads to decreased levels
of both of these products.
This means more follicular atresia
What is a LOOP event Correct Ans ✓✓ Luteal Out of Phase event
Explains why some perimenopausal women have elevated estrogen
levels sometimes.
In early menopause, transition, elevated FSH is adequate to recruit a
second follicle.
