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NAMS MENOPAUSE
CERTIFICATION EXAM
QUESTIONS AND ANSWERS WIT H
COMPLETE SOLUTION
Question : secondary causes of osteoporosis
which 3 common drugs?
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 : 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?
menarche / early reproductive
Correct answer: -5
Question : which STRAW stage?
peak reproductive
Correct answer: -4
Question : which STRAW stage?
late reproductive
Correct answer: -3
Question : which STRAW stage?
perimenopause
Correct answer: -2 to -1 & +1a
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Question : which STRAW stage?
FMP & 12 months after final menstrual period
Correct answer: FMP = 0
12 months after = +1a
Question : which STRAW stage?
VMS most likely
Correct answer: +1a (most likely)
-1 (likely)
aka perimenopause/menopause transition
Question : which STRAW stage?
early post menopause
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Correct answer: +1a to +1c
Question : which STRAW stage?
late postmenopause
Correct answer: +2
Question : which STRAW stage?
amenorrhea >60 days
Correct answer: -1
aka late menopause transition
Question : which STRAW stage?
variable cycle lengths of >7 days differences