NAMs Menopause
Certification
Exam Questions
and Answers 2024
Climacteric phase - CORRECT ANSWER-The period of
endrocrinologic, somatic, and transitory psychologic
changes that occur around the time of menopause.
Early menopause - CORRECT ANSWER-LMP before age 45
Late menopause - CORRECT ANSWER-LMP after age 54
Primary ovarian insufficiency - CORRECT ANSWERMenopause that occurs before age 40
Early menopause transition (stage -2) - CORRECT
ANSWER-Persistent difference of 7 days or more in the
length of consecutive cycles.
Late menopause transition (stage -1) - CORRECT
ANSWER-60 or more consecutive days of amenorrhea
Luteal out of phase event (LOOP) - CORRECT ANSWERExplains 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.
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)
Chinese and Japanese women - CORRECT ANSWER-These
ethnic groups have lower estradiol levels then white,
black and hispanic women.
stage +2 - CORRECT ANSWER-late menopause stage: 5-8
years after FMP. Somatic aging predominates. Increased
genitourinary symptoms.
Stages +1a, +1b, +1c - CORRECT ANSWER-early post
menopause: 2 years after FMP. FSH rises, estradiol
decreases. VMS predominate.
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