NAMs Menopause Certification UPDATED Actual Exam Questions and CORRECT Answers
9 views 0 purchase
Course
NAMS Menopause Certification
Institution
NAMS Menopause Certification
NAMs Menopause Certification UPDATED
Actual Exam Questions and CORRECT
Answers
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 me...
NAMs Menopause Certification UPDATED
Actual Exam Questions and CORRECT
Answers
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 transition (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 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 - CORRECT 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 endometrial cancer)
Chinese and Japanese women - CORRECT ANSWER✔✔- These ethnic groups have lower
estradiol levels then white, black and hispanic women.
,stage +2 - CORRECT ANSWER✔✔- late menopause stage: 5-8 years after FMP. Somatic
aging predominates. Increased genitourinary symptoms.
Stages +1a, +1b, +1c - CORRECT ANSWER✔✔- early 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 ANSWER✔✔- These hormones work during reproductive
years to not deplete follicle pool too quickly.
Phases during menopause transition and PMS symptoms - CORRECT ANSWER✔✔-
Menstrual cycle variable, persistent >7 day difference between difference in length of
consecutive cycles.
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
hromones 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 blood flow, the collagen,
and HA within the epithelial surfaces. Supports microbiome which supports acidity of vagina
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.
Stress urinary incontinence - CORRECT ANSWER✔✔- Vaginal estrogen and urinary
incontinence: what type does it help with?
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.
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, this 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
Number of follicles that are detectable with ultrasound.
They are sensitive to FSH and considered to represent the availability pool of follicles.
Late menopause transition (-1) FSH level on random draw - CORRECT ANSWER✔✔- 25
or higher
Black women have higher or lower FSH levels? - CORRECT ANSWER✔✔- Higher
Chinese and Japanese women have higher or lower estradiol levels compared to white, black
and hispanic women? - CORRECT ANSWER✔✔- lower
Menopause transition-changes in SHBG and testosterone? ratio? - CORRECT ANSWER✔✔-
SHBG decreases
Testosterone/SHBG ratio increases by 80%.
Testosterone/SHGB ratio is called what? - CORRECT ANSWER✔✔- The free androgen
index
What stage are VMS more likely? - CORRECT ANSWER✔✔- +1b (generally last 2 years)
What hormone is generally higher in obese women? - CORRECT ANSWER✔✔- Estrone-
via aromatization.
The postmenopausal ovary continues to produce what two hormones? - CORRECT
ANSWER✔✔- testosterone and androstenedione
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller MGRADES. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
