Exam (elaborations)
2023/2024 NAMS Exam study guide with questions and answers
- Course
- Institution
2023/2024 NAMS Exam study guide with questions and answers
[Show more]
Content preview
2023/2024 NAMS Exam study guide withquestions and answers
By 2020, number of women over 50 - ANS 64 million
By 2060, number of women over 50 - ANS 90 million
What is the US female life expectancy - ANS 81.2 years
How many oocytes in the ovary at 20 weeks pregnancy - ANS 6-7 Million
How many oocytes left at birth - ANS 1-2 million
How many oocytes left at puberty - ANS 300,000-500,000
What is the period of change at menopause - ANS Climacteric or perimenopause
What is the term for menopause that occurs before age 45 - ANS Early menopause
What is the term for menopause that occurs after age 54 - ANS Late menopause
What is the timeframe within the first 8 years after FMP (and what numerical SWAN stages
correspond?) - ANS Early post menopause (+1a, +1b, +1c)
What is the timeframe called after 8 years from FMP (and what numerical SWAN stage
corresponds?) - ANS Late post menopause (+2)
What is the time before FMP with cycle variability (and what numerical SWAN stages
correspond?) - ANS Menopause transition (-2, -1)
What is the time of 7 or more days persistent difference in cycle length (and what numerical
SWAN stage corresponds?) - ANS Early menopause transition (-2)
What is the time with 60 or more days of amenorrhea at least once (and what numerical SWAN
stage corresponds?) - ANS Late menopause transition (-1)
What is a retrospective determination of 12 months of amenorrhea - ANS Natural
menopause
What is the timeframe from onset of menstrual cycle irregularity to 1 year after final menopause
transition - ANS Perimenopause
,What is any time frame after FMP - ANS Post menopause
What is the preferred term for menopause before age 40 - ANS Primary ovarian
insufficiency (POI)
Preferred since this may not be a permanent state
What term for menopause before age 40 should no longer be used - ANS Premature
ovarian failure
What percentage of US women experience POI - ANS 1%
How many total stages in STRAW - ANS 10 total
Reproductive has 4 (-5 to -3a)
Menopause Transition has 2 (-2 to -1)
Post Menopause has 4 (+1a to +2)
How many reproductive stages in STRAW - ANS 4 (-5 early reproductive, -4 Peak
reproductive, -3b and -3b late reproductive)
How many stages in menopause transition in STRAW - ANS 2 (-2 early transition, -1 late
transition)
How many stages in postmenopause in STRAW - ANS 4 (+1a, +1b and +1c early PM, +2
late PM)
Which STRAW stage is menarche in - ANS -5 early reproductive
In which STRAW stage are cycles every 21 to 35 days - ANS -4 Peak reproductive
What differentiates STRAW stage -3b from -3a - ANS -3b cycles normal, FSH wnl, AMH,
AFC, inhibit B low
-3a shorter cycles, variable FSH
What effect do inhibin B and AMH have on follicles - ANS They prevent too many follicles
from growing at once, so the follicle pool is not depleted too quickly
What happens to inhibin b and AMH levels during menopause transition - ANS Decreased
number of follicles leads to decreased levels of both of these products.
This means more follicular atresia
What is a LOOP event - ANS Luteal Out of Phase event
Explains why some perimenopausal women have elevated estrogen levels sometimes.
In early menopause, transition, elevated FSH is adequate to recruit a second follicle.
, This results in a follicular phase-like rise in estradiol during the luteal phase
Compared to normal weight women, how do the pre-menopause and post menopause estradiol
levels of obese women compare - ANS Lower pre-menopause estradiol
Higher post menopause estradiol
Which ethnic groups have lower estradiol levels, compared to white/black/Hispanic women -
ANS Chinese and Japanese women
Where is AMH produced - ANS Granulosa cells of antral and preantral follicles
When does AMH peak - ANS Around 25 yo
(so before age 25, test is not helpful)
How does birth control affect AMH - ANS Lowers it
What is AFC - ANS Antral follicle count
Number of follicles 2-10 mm detected with ultrasound
Do African-American women have higher or lower FSH levels - ANS Higher
Do Chinese and Japanese women have higher or lower estradiol levels compared to white
women - ANS Lower
What happens to SHBG at menopause - ANS Decreases
(T:SHBG ratio increases by 80%)
What is the Free Androgen Index - ANS T:SHBG ratio
What hormone is generally higher in obese women and why - ANS Estrone
Due to aromatization of estradiol to estrone by excess adipose tissue
What 2 hormones does the postmenopausal ovary continue to produce - ANS Testosterone
Androstenedione
Surgical menopause reduces what hormone as compared to natural menopause - ANS
Testosterone
(40 to 50% lower)
In menopause transition, women spend more time in what menstrual phase - ANS Luteal
What is the HPO axis theory of menopause transition - ANS HPO access becomes less
sensitive to estrogen.
Even with good follicle, growth and estradiol, LH surges fail, leading to cycle irregularity.
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 excellentrevision964. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now