2024 NAMS MENOPAUSE CERTIFICATION EXAM QUESTIONS WITH VERIFIED ANSWERS
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2024 NAMS MENOPAUSE CERTIFICATION
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2024 NAMS MENOPAUSE CERTIFICATION
2024 NAMS MENOPAUSE CERTIFICATION EXAM
QUESTIONS WITH VERIFIED ANSWERS
Chinese and Japanese women - ANSWER These ethnic groupshave
lowerestradiol levels then white,blackandhispanic women.
stage +2- ANSWER late menopause stage: 5-8 years after FMP.Somatic
agingpredominates. Increasedgenitour...
2024 NAMS MENOPAUSE CERTIFICATION EXAM
QUESTIONS WITH VERIFIED ANSWERS
Chinese and Japanese women - ANSWER These ethnic groups have
lower estradiol levels then white, black and hispanic women.
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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.
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,
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urethra moves closer to the introitus.
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Stress urinary incontinence - ANSWER Vaginal estrogen and
urinary incontinence: what type does it help with?
Treatment for FPHL - ANSWER Minoxidil, spironolactone,
finasteride, estrogen therapy
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 superimposed on
the mid -to-late luteal phase of the ongoing ovulatory cycle.
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)
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. Powered by TCPDF (www.tcpdf.org)
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