NAMS MENOPAUSE CERTIFICATION EXAM/ All Versions & Subjects Included,Grade A+.
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NAMS MENO
NAMS MENOPAUSE CERTIFICATION EXAM/ All Versions &
Subjects Included,Grade A+.
DHEA (dehydroepiandrosterone) - CORRECT ANSWERS -Adrenal androgens:
precursor hromones produced by the adrenal gland that are enzymatically converted to
active androgens or estrogens in peripheral tissues.
Location o...
NAMS MENOPAUSE CERTIFICATION EXAM/ All Versions &
Subjects Included,Grade A+.
DHEA (dehydroepiandrosterone) - CORRECT ANSWERS -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 ANSWERS -Vagina, vulva, urethra, trigone
of the bladder
Effects of estrogen on tissue - CORRECT ANSWERS -maintain blood flow, the
collagen, and HA within the epithelial surfaces. Supports microbiome and protects
tissue from pathogens.
Vaginal changes with menopause - CORRECT ANSWERS -Thinning, loss of elasticity,
loss or absence or rugae.
Vagina and urethra in menopause - CORRECT ANSWERS -vagina narrows, urethra
moves closer to the introitus.
Stress urinary incontinence - CORRECT ANSWERS -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 ANSWERS --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 ANSWERS -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 ANSWERS -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 ANSWERS -Antral follicle count
Number of follicles that are detectable with ultrasound.
They are sensitive to FSH and considered to represent the availability poo of follicles.
Late menopause transition (-1) FSH level on random draw - CORRECT ANSWERS -25
or higher
Black women have higher or lower FSH levels? - CORRECT ANSWERS -Higher
Climacteric phase - CORRECT ANSWERS -The period of endrocrinologic, somatic, and
transitory psychologic changes that occur around the time of menopause.
Early menopause - CORRECT ANSWERS -LMP before age 45
Late menopause - CORRECT ANSWERS -LMP after age 54
Primary ovarian insufficiency - CORRECT ANSWERS -Menopause that occurs before
age 40
Early menopause transition (stage -2) - CORRECT ANSWERS -Persistent difference of
7 days or more in the length of consecutive cycles.
Late menopause transition (stage -1) - CORRECT ANSWERS -60 or more consecutive
days of amenorrhea
Luteal out of phase event (LOOP) - CORRECT ANSWERS -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 ANSWERS -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)
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