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NAMS MENOPAUSE EXAM 2025 WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|BRAND NEW!! |LATEST UPDATE |GUARANTEED PASS $22.49
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NAMS MENOPAUSE EXAM 2025 WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|BRAND NEW!! |LATEST UPDATE |GUARANTEED PASS

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NAMS MENOPAUSE EXAM 2025 WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS |FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|BRAND NEW!! |LATEST UPDATE |GUARANTEED PASS

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  • March 11, 2025
  • 42
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • SANS 401
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NAMS MENOPAUSE EXAM 2025 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED DETAILED
ANSWERS |FREQUENTLY TESTED QUESTIONS
AND SOLUTIONS |ALREADY GRADED A+|BRAND
NEW!! |LATEST UPDATE |GUARANTEED PASS

when did they start screening blood for hep c?

1992, so women who have received blood products or organ transplants prior to 1992 may have
acquired heptatitis c

why do we screen for hep C?

most infections become chronic and most are asymptomatic until liver damage is detected years
later. Our treatments are improving so if we catch this earlier in people, outcomes will be better

all adults born from what year to what year should recieve one time hep c testing?

1945 to 1965

routine screening of all adults for hepatitis c. is it reocmmended?

routine screening for all adults is not recommended, however baby boomers are at the highest
risk. infection rates are 5x other birth cohorts.

what hpv is high risk?

16 and 18

by age 50 what percentage of US women will have acquired a genital HPV infection?

80%-HPV is very common, but it is the high risk ones to worry about

what is the most commonly sexually transmitted infection in the US?

HPV

What percentage of bone loss do women have from the menopause transition?

10-12% on average, about 1 t score

What t score defines osteopenia

1|Page

,-1.5 to -2.5

what t score defines osteoporosis

less than -2.5

what z score defines osteoporosis before menopause?

z score less than 2.0 and a history of a fragility fracture

Who is at highest risk of osteoporosis?

white and hispanic populations

What amount of women require long term care after hip fracture?
What amount of women have long term loss of mobility after hip fracture?

1 in 4 women (25%) require long term care
1 in 2 woemn (50%) have long term loss of mobility

Asians have ____BMD than white people?

lower

Black women have ____BMD than white people?

higher

Over 3 servings of alcohol daily and risk for fracture?

38% for osteoporotic fracture and 68% for hip fracture

What 4 ethnic specific versions of FRAX are there?

white, asiain, black, hispanic

Dairy free diet amount of calicum. How much do they need to supplement?

dairy free diet-300mg calcium daily.
Needs 800-1200mg

Tibolone and osteoporosis
where is it approved?
why wasn't it submitted for approval in the US and canada?

approved in mexico
decreased risk of vertebral and nonvertebral fracture
increased risk of stroke


2|Page

,Why was estrogen not approved for osteoporosis?

decreased risk of vertebral and hip fracture in low fracture risk population, but estrogen has not
been shown to decrease fracture risk in women with osteoporosis. More prevention than
treatment.

Black box warning for PTH receptor agonists?

osteosarcoma

caution using PTH receptor agonists in what condition?

hypercalcemia

when would you use PTH receptor agonists?

someone incredibly high risk for vertebral fracture

raloxifene helps with what kind of fractures?

vertebral fractures

raloxifene risk factors

increased risk of death from stroke in high risk patients, estrogen like risk of VTE, worsens hot
flashes

atypical femur risk in women on bisphosphonate?

1 in 1000 after 2-3 years.

Salmon calcitonin and osteoporosis?

small increase in spine BMD. daily SQ injections or nasal.

Climacteric phase

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

Early menopause

LMP before age 45

Late menopause

LMP after age 54

Primary ovarian insufficiency


3|Page

, Menopause that occurs before age 40

Early menopause transition (stage -2)

Persistent difference of 7 days or more in the length of consecutive cycles.

Late menopause transition (stage -1)

60 or more consecutive days of amenorrhea

Luteal out of phase event (LOOP)

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 superimposed on the mid-to-late
luteal phase of the ongoing ovulatory cycle.

Obese women and estradiol levels during menopause

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 endometrial cancer)

Chinese and Japanese women

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

stage +2

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

Stages +1a, +1b, +1c

early post menopause: 2 years after FMP. FSH rises, estradiol decreases. VMS predominate.

Elevated FSH, LH

Endocrine labs after menopause

AMH, inhibin B

These hormones work during reproductive years to not deplete follicle pool too quickly.

Phases during menopause transition and PMS symptoms

Menstrual cycle shortenes, follicular phase compresses, women spend more time in luteal
phase.. meaning more premenstrual symptoms and more frequent menstrual periods.


4|Page

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