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NAMS Menopause Certification Actual Exam Newest 2025/2026 With Complete 250 Questions And Correct Answers |Already Graded A+||Brand New Version!
What to consider when evaluating women with arthralgia - ANSWER- 2/2 to menopause 2/2 to arthritis 2/2 to other rheumatologic condition
Causes of myalgia - ANSWER- drug induced (statines, fibrates)
endocrine (vit D deficiency, thyroid, cushings) Menopause plymyalgia rheumatica
Causes of bone pain - ANSWER- metagolic (pagets disease) neoplasia (multiple myeloma, metastatic infections fracture
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Perimenopause STRAW staging - ANSWER- -2 to +1a;
POI - ANSWER- Loss of ovarian follicular activity prior to the age of 40
Prevalence of POI in US - ANSWER- 3%
T/F Premature menopause is a risk factor for CAD - ANSWER- True
- higher risk for abdominal adiposity, dm, dyslipidemia
Etiology of premature menopause - ANSWER- 1) Iatrogenic/Indused (surgery, chemotherapy, cystectomy, hysterectomy, radiation)
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2) spontaneous (genetic disorders, x-chromosome disorder
(monosomy, trisomy); specific mutations: POF1, POF2, FMR genes
3) autoimmune causes: polyendocrine syndromes, other
endocrinopathies, non-endocrine auto-immune conditions 4) idiopathic
Diagnosis of POI - ANSWER- H&P Labs:
- TSH
- Prolactin
- Pregnancy test
- Elevated FSH (>25 IU/L on 2 checks/4-6 weeks apart)
- AMH
- E2 can fluctuate greatly
- Low AFC
Assessment of etiology of POI - ANSWER- Genetic testing Autoimmune workup
- TSH, thyroperoxidase antibody, 21-OH antibodies, fasting glucose,
HbA1C 3 / 4
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- Ovarian antibodies lack sensitivity and specificity
Estrogen therapy in premature menopause - ANSWER- Transdermal 17 (100 mcg/d patch or gel)
Oral 17B estradiol 2mg/day vaginal ring: 17B .1mg/day Oral CEE: .9-`1.25mcg/day
Should you check estradiol levels for prematures - ANSWER- Can consider, adjust therapy to achieve goal range of 80-120 pg/ml
Use of progestogen in premature menopause - ANSWER- No studied General principle, use higher doses; micronized 200-400 mg/d (cont/cyclically) or IUD
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