NAMs Menopause Certification Exam With complete solution Verified
Question : Climacteric phase
Correct answer: The period of endrocrinologic, somatic, and
transitory psychologic changes that occur around the time of menopause.
Question : Early menopause
Correct answer: LMP before age 45
Question : Late menopause
Correct answer: LMP after age 54
Question : Primary ovarian insufficiency
Correct answer: Menopause that occurs before age 40
Question : Early menopause transition (stage -2)
Correct answer: Persistent difference of 7 days or more in the
length of consecutive cycles.
Question : Late menopause transition (stage -1)
Correct answer: 60 or more consecutive days of amenorrhea
Question : Luteal out of phase event (LOOP)
Correct answer: 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.
Question : Obese women and estradiol levels during
menopause
Correct 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. (why they are at higher risk of endometrial cancer)
Question : Chinese and Japanese women
Correct answer: These ethnic groups have lower estradiol
levels then white, black and hispanic women.
Question : stage +2
Correct answer: late menopause stage: 5-8 years after FMP.Somatic aging predominates. Increased genitourinary symptoms.
Question : Stages +1a, +1b, +1c
Correct answer: early post menopause: 2 years after FMP.FSH rises, estradiol decreases. VMS predominate.
Question : Elevated FSH, LH
Correct answer: Endocrine labs after menopause
Question : AMH, inhibin B
Correct answer: These hormones work during reproductive
years to not deplete follicle pool too quickly.
Question : Phases during menopause transition and PMS
symptoms
Correct answer: Menstrual cycle shortenes, follicular phase
compresses, women spend more time in luteal phase..meaning more premenstrual symptoms and more frequent menstrual periods.
Question : How to respond if a patient requests FSH lab?
Correct answer: many pitfalls, variable depending on the day
of the cycle you draw the lab, normal or low FSH is not helpful.
Question : The potentially superior marker of menopause, a
lab.
Correct answer: AMH
Question : DHEA (dehydroepiandrosterone)
Correct answer: Adrenal androgens: precursor hromones produced by the adrenal gland that are enzymatically converted to active androids or estrogens in peripheral tissues.
