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NAMS MENOPAUSE CERTIFICATION EXAM |
ACTUAL REAL EXAM TEST BANK WITH 2
CURRENTLY TESTING VERSIONS WITH 100
QUESTIONS EACH AND A STUDY GUIDE |
ACCURATE EXPERT VERIFIED FOR
GUARANTEED PASS | LATEST UPDATE
QUESTION 1: What is the climacteric phase?
ANSWER: The period of endocrinologic, somatic, and
transitory psychologic changes that occur around the time of menopause.
QUESTION 2: What is early menopause?
ANSWER: Last menstrual period (LMP) before age 45.
QUESTION 3: What is late menopause?
ANSWER: Last menstrual period (LMP) after age 54.
QUESTION 4: What is primary ovarian insufficiency?
ANSWER: Menopause that occurs before age 40.
QUESTION 5: What is the early menopause transition (stage -
2)?
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ANSWER: Persistent difference of 7 days or more in the length
of consecutive cycles.
QUESTION 6: What is the late menopause transition (stage -1)?
ANSWER: 60 or more consecutive days of amenorrhea.
QUESTION 7: What explains why some perimenopausal
women have elevated estrogen levels sometimes?
ANSWER: Luteal out of phase event (LOOP). 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.
QUESTION 8: How do obese women experience 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, explaining why they are at higher risk of endometrial cancer.
QUESTION 9: Which ethnic groups have lower estradiol levels
compared to White, Black, and Hispanic women?
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ANSWER: Chinese and Japanese women.
QUESTION 10: What is stage +2 in the menopause stages?
ANSWER: Late menopause stage, 5-8 years after final
menstrual period (FMP). Somatic aging predominates with increased genitourinary symptoms.
QUESTION 11: What are stages +1a, +1b, +1c in the
menopause stages?
ANSWER: Early postmenopause, 2 years after FMP. FSH rises,
estradiol decreases, and vasomotor symptoms (VMS) predominate.
QUESTION 12: What endocrine labs are observed after
menopause?
ANSWER: Elevated FSH and LH.
QUESTION 13: Which hormones work during reproductive
years to not deplete the follicle pool too quickly?
ANSWER: AMH and inhibin B.
QUESTION 14: What characterizes the menstrual cycle during
the menopause transition and its relation to PMS symptoms?
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ANSWER: Menstrual cycle variable with a persistent difference
of more than 7 days between consecutive cycles.
QUESTION 15: How should you respond if a patient requests
an FSH lab?
ANSWER: There are many pitfalls; results vary depending on
the day of the cycle the lab is drawn, and normal or low FSH is not helpful.
QUESTION 16: What is AMH considered in the context of
menopause?
ANSWER: The potentially superior marker of menopause, a lab.
QUESTION 17: What are adrenal androgens?
ANSWER: Precursor hormones produced by the adrenal gland
that are enzymatically converted to active androgens or estrogens in peripheral tissues, such as DHEA (dehydroepiandrosterone).