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Exam (elaborations)

Menopause Questions with Correct Answers.

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  • Course
  • NAMS Menopause Certification
  • Institution
  • NAMS Menopause Certification

Menopause Questions with Correct Answers.

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  • August 17, 2024
  • 20
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NAMS Menopause Certification
  • NAMS Menopause Certification
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Menopause Questions with Correct Answers
Patient Case Correct Ans ✓✓ A 51-year old woman has frequent and
distressing hot flashes that interfere with her work and sleep, and vaginal
dryness that makes sexual intercourse with her husband uncomfortable.
She is otherwise healthy.


How should her case be managed?


Menopause Defined Correct Ans ✓✓ Cessation of ovarian function
leading to a state of permanent (>1 year) amenorrhea


Age Correct Ans ✓✓ Median age: 51 years


Age range: 45 - 55 years


Cigarette smokers: 2 years earlier


Ovarian senescence is gradual (~4 yrs)


Natural menopause vs. surgical menopause Correct Ans ✓✓
Hysterectomy


-uterus and one or both ovaries

,Menopause figure Correct Ans ✓✓


Menopause Correct Ans ✓✓ Sex steroids important for healthy
functioning of bones, brain, skin, and reproductive and urogenital tracts


Pathophysiology Correct Ans ✓✓ Born with 2 million primordial
follicles in ovaries


Normal life span has < 500 ovulations


Follicular atresia


Menopause: loss of ovarian function


Number of primordial follicles decrease with increasing age


Postmenopausal ovary secretes primarily androstenedione and
testosterone


No longer primary site of estradiol and progesterone synthesis


Other Nomenclature Correct Ans ✓✓

, Signs and Symptoms Correct Ans ✓✓ ***Some women do not have
symptoms


Clinical Presentation:
Sign and Symptoms slide Correct Ans ✓✓


Vasomotor Symptoms Correct Ans ✓✓ Major complaint


Hot flashes/flushes
-Increase pulsatile release of GnRH acute estrogen withdrawal small
increase in body temp vasodilation, flushing, sweating


Lasts from seconds to hours


Occur more often in *first 2 post-menopausal yrs* (get away with using
hormonal therapy the first few years)


Surgical menopause -> tend to be more intense


Vaginal Atrophy and Dyspareunia (painful intercourse) Correct Ans ✓✓
OTC lubricants
Replens
Luvena
Astroglide* -> only only approved

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