2024 NAMS MENOPAUSE
CERTIFICATION EXAM QUESTIONS
WITH ANSWERS
Climacteric phase
The period of endrocrinologic, somatic, and transitory psychologic changes that occur around
the time of menopause.
Early menopause
LMP before age 45
Late menopause
LMP after age 54
Primary ovarian insufficiency
Menopause that occurs before age 40
Early menopause transition (stage -2)
Persistent difference of 7 days or more in the length of consecutive cycles.
Late menopause transition (stage -1)
60 or more consecutive days of amenorrhea
Luteal out of phase event (LOOP)
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.
Obese women and estradiol levels during menopause
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
These ethnic groups have lower estradiol levels then white, black and hispanic women.
stage +2
late menopause stage: 5-8 years after FMP. Somatic aging predominates. Increased
genitourinary symptoms.
Stages +1a, +1b, +1c
early post menopause: 2 years after FMP. FSH rises, estradiol decreases. VMS predominate.
Elevated FSH, LH
Endocrine labs after menopause
AMH, inhibin B
These hormones work during reproductive years to not deplete follicle pool too quickly.
Phases during menopause transition and PMS symptoms
Menstrual cycle variable, persistent >7 day difference between difference in length of
consecutive cycles.
How to respond if a patient requests FSH lab?
many pitfalls, variable depending on the day of the cycle you draw the lab, normal or low FSH is
not helpful.
The potentially superior marker of menopause, a lab.
AMH
DHEA (dehydroepiandrosterone)
Adrenal androgens: precursor hromones produced by the adrenal gland that are enzymatically
converted to active androgens or estrogens in peripheral tissues.
Location of estrogen receptors
Vagina, vulva, urethra, trigone of the bladder
Effects of estrogen on tissue
maintain blood flow, the collagen, and HA within the epithelial surfaces. Supports microbiome
which supports acidity of vagina and protec
I have simple, articulate well-researched education material for you. Expertise in Nursing, Biomedical sciences, Psychology, Biology, Chemistry etc,. My Work contains the latest, updated Exam Solutions, Study Guides, Notes 100% verified Guarantee Top Grades.
advanced pathophysiology aha pals aorn periop 101 ati capstone fundamentals ati comprehensive exit ati comprehensive predictor ati fundamentals proctored ati pharmacology ati pharmacology proctored ati rn leadership proctored ati rn med surg proctored emt health care healthcare hesi hesi exit hesi health assessment hesi mental health hesi pn exit hesi rn exit ihuman case study med surg nclex rn nclex;readiness nursing
Knoowy is een zeer goed platform voor samenvattingen en ik zou het aanraden.
Gebruik het! Knoowy heeft een uitgebreid en divers aanbod en het scheelt je veel tijd met leren.
Samenvattingen zijn eenvoudig te bestellen en te downloaden via de website. Aan te raden.
Ik vind Knoowy erg handig om samenvattingen van mijn opleiding te kopen.
Knoowy is the place to be! Steeds de moeite om eens na te gaan naar verslagen over uw opleiding.
Het is een fijne en uitgebreide website met helpende documenten en samenvattingen!
Een echte aanrader! Je vindt er heel wat nuttige samenvattingen!
Een goede site voor samenvattingen en leren. Ik kan iedereen aanraden om deze site te gebruiken.