NAMS MENOPAUSE CERTIFICATION EXAM
ACTUAL EXAM WITH COMPETE
QUESTIONS AND CORRECT ANSWERS
GRADED A+
What is induced menopause? Correct Answer Cessation of
menses that comes after either bilateral oophorectomy or
iatrogenic ablation of ovarian function
What is the most common cause of induced menopause? Correct
Answer Bilateral oophorectomy
How is menopause transition defined? Correct Answer The time
before FMP where cycles become variable OR have menopause-
related symptoms
What cycle variability defines early menopause transition? Correct
Answer 7 or more days persistent difference in cycle length from
previous normal cycles
What cycle variability defines late menopause transition? Correct
Answer 60 or more days of amenorrhea observed at least one
time
What is the definition of natural menopause? Correct Answer
Permanent cessation of menses due to loss of ovarian follicular
activity. 12 consecutive months of amenorrhea.
How is perimenopause defined? Correct Answer Onset of
intermenstrual cycle irregularities (7+ days) or menopause related
symptoms and extends beyond FMP to include the 12 months
after menopause.
,What menopause stage is highly symptomatic? Correct Answer
Perimenopause
What is primary ovarian insufficiency? Correct Answer All
menopause that occurs before the age of 40.
When can endocrine markers be evaluated after pelvic surgery?
Correct Answer At least 3 months after surgery
When does entry to stage -5 occur? Correct Answer At menarche
What cycle changes is considered landmark for stages -4 and -
3b? Correct Answer Regular menstrual cycles occurring every 21
to 35 days for a number of years
What is the late reproductive stage? Correct Answer -3, this is the
time where fecundability declines and menstrual cycle changes
may occur.
Endocrine markers levels with phage -3b? Correct Answer
menstrual cycles are normal, early follicular phase FSH normal.
AMH, AFC, and inhibin B are low
Endocrine marker levels with phase -3a? Correct Answer subtle
menstural-cycle changes in flow and length with increasing
frequency of shorter cycles, variable FSH and all other markers
are low
What day FSH is most commonly used to evaluate ovarian
reserve? Correct Answer Cycle day 3
Estradiol levels should be evaluated with FSH because elevated
estradiol levels can give false normal FSH
Where is antimullerian hormone produced? Correct Answer
Granulosa cells and preantral and small antral follicles
, level is evaluated with ultrasound
Early menopause transition stage -2 Correct Answer persistent
difference of 7 days or more in length of consecutive cycles,
persistent is defined as recurrence within 10 cycles
Elevated but variable early follicular-phase FSH and LOW AMH
and AFC
Late menopause transition stage -1 Correct Answer 60 or more
consecutive days of amenorrhea. One episode is sufficient with
women aged 45 or older
Cycles are increased in cycle length variability, extreme
fluctuations in hormone levels, and persistent anovulation
Single FSH draw of 25 or higher of a random blood draw
On average lasts 1-3 years
In a LOOP event, when does a short cycle occur? Correct Answer
When an LH surge and ovulation occurs within the first 5 days of
the cycle
Causes an unusually short cycle <21 days
In a LOOP event, when does a long cycle occur? Correct Answer
When ovulation doesn't occur and estradiol level drops
Early postmenopause endocrine marker levels during first 2 years
after FMP Correct Answer FSH continues to rise and estradiol
decreases
What time defines STRAW stage +1a Correct Answer 12 months
after FMP
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller wachiraMaureen. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $22.99. You're not tied to anything after your purchase.
