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NAMs Menopause Certification Exam/NAMs Menopause Certification Exam 2024 Questions and Answers with complete solution

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NAMs Menopause Certification Exam/NAMs Menopause Certification Exam 2024 Questions and Answers with complete solution

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  • October 17, 2024
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  • 2024/2025
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By: jamaal73 • 2 months ago

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CodedNurse
10/17/24, 8:29 AM NAMs Menopause Certification Exam/NAMs Menopause Certification Exam 2024 Questions and Answers with complete solu…




NAMs Menopause Certification Exam/NAMs
Menopause Certification Exam 2024 Questions
and Answers with complete solution


Terms in this set (247)


The period of endrocrinologic, somatic, and
Climacteric phase transitory psychologic changes that occur around
the time of menopause.

Early menopause LMP before age 45

Late menopause LMP after age 54

Primary ovarian Menopause that occurs before age 40
insufficiency

Early menopause Persistent difference of 7 days or more in the length
transition (stage -2) of consecutive cycles.

Late menopause 60 or more consecutive days of amenorrhea
transition (stage -1)

Explains why some perimenopausal women have
elevated estrogen level sometimes...In the early
menopause transition, elevated FSH levels are
Luteal out of phase event
adequate to recruit a second follicle which results in
(LOOP)
a follicular phase-like rise in estradiol secretion
superimposed on the mid-to-late luteal phase of the
ongoing ovulatory cycle.

Obese women are more likely to have anovulatory
cycles with high estradiol levels. They are also more
Obese women and
likely to have lower premenopause yet higher
estradiol levels during
postmenopause estradiol levels compared with
menopause
women of normal weight. (why they are at higher
risk of endometrial cancer)



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, 10/17/24, 8:29 AM NAMs Menopause Certification Exam/NAMs Menopause Certification Exam 2024 Questions and Answers with complete solu…

Chinese and Japanese These ethnic groups have lower estradiol levels then
women white, black and hispanic women.

late menopause stage: 5-8 years after FMP. Somatic
stage +2 aging predominates. Increased genitourinary
symptoms.

early post menopause: 2 years after FMP. FSH rises,
Stages +1a, +1b, +1c
estradiol decreases. VMS predominate.

Elevated FSH, LH Endocrine labs after menopause

These hormones work during reproductive years to
AMH, inhibin B
not deplete follicle pool too quickly.

Phases during Menstrual cycle variable, persistent >7 day
menopause transition difference between difference in length of
and PMS symptoms consecutive cycles.

many pitfalls, variable depending on the day of the
How to respond if a
cycle you draw the lab, normal or low FSH is not
patient requests FSH lab?
helpful.

The potentially superior AMH
marker of menopause, a
lab.

Adrenal androgens: precursor hromones produced
DHEA
by the adrenal gland that are enzymatically
(dehydroepiandrosterone
converted to active androgens or estrogens in
)
peripheral tissues.

Location of estrogen Vagina, vulva, urethra, trigone of the bladder
receptors

maintain blood flow, the collagen, and HA within the
Effects of estrogen on epithelial surfaces. Supports microbiome which
tissue supports acidity of vagina and protects tissue from
pathogens.

Vaginal changes with Thinning, loss of elasticity, loss or absence or rugae.
menopause

Vagina and urethra in vagina narrows, urethra moves closer to the
menopause introitus.



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