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NAMS MENOPAUSE
CERTIFICATION EXAM
QUESTIONS AND ANSWER S
ALREADY GRADED A+
Question : secondary causes of osteoporosis
Correct answer: Hyperthyroidism, hyperparathyroidism,
hypercalciuria, certain drugs (eg: tamoxifen, steroids,
PPIs), calcium/vitamin D deficiency, RA, celiac disease, malabsorptive diseases such as Crohn disease, and ulcerative colitis
Question : which 3 common drugs?
Correct answer: tamoxifen, steroids, PPIs
Question : Median age of menopause in US women
Correct answer: 52.54 y
Question : POI
Correct answer: Intermittent ovarian function &
insufficient estrogen levels occurring at age <40 y
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Question : which STRAW stage?
Correct answer: menarche / early reproductive
-5
Question : which STRAW stage?
Correct answer: peak reproductive
-4
Question : which STRAW stage?
Correct answer: late reproductive
-3
Question : which STRAW stage?
Correct answer: perimenopause
-2 to -1 & +1a
Question : which STRAW stage?
Correct answer: FMP &
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12 months after final menstrual period
FMP = 0
12 months after = +1a
Question : which STRAW stage?
Correct answer: VMS most likely
+1a (most likely) -1 (likely)
aka perimenopause/menopause transition
Question : which STRAW stage?
Correct answer: early post menopause
+1a to +1c
Question : which STRAW stage?
Correct answer: late postmenopause
+2
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Question : which STRAW stage?
Correct answer: amenorrhea >60 days
-1
aka late menopause transition
Question : which STRAW stage?
Correct answer: variable cycle lengths of >7 days
differences -2
aka early menopause transition
Question : which STRAW stage?
Correct answer: initial drop in AMH/AFC/inhibin, cycles
still regular, FSH normal -3b
aka late reproductive