NAMS Menopause Certification Exam – Questions and Answers (Graded A+) | 2026/2027

NAMs Menopause Certification Exam Questions and Answers 100% Solved
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 answer*-- Menopause 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 answer*-- 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 --*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.
Elevated FSH, LH --*correct answer*-- Endocrine labs after menopause
AMH, inhibin B --*correct answer*-- These hormones work during
reproductive years to not deplete follicle pool too quickly.
Phases during menopause transition and PMS symptoms --*correct answer*-
- Menstrual cycle shortenes, follicular phase compresses, women spend
more time in luteal phase.. meaning more premenstrual symptoms and more
frequent menstrual periods.
How to respond if a patient requests FSH lab? --*correct answer*-- 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. --*correct answer*--
AMH
DHEA (dehydroepiandrosterone) --*correct answer*-- 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 --*correct answer*-- Vagina, vulva, urethra,
trigone of the bladder
Effects of estrogen on tissue --*correct answer*-- maintain blood flow, the
collagen, and HA within the epithelial surfaces. Supports microbiome and
protects tissue from pathogens.
Vaginal changes with menopause --*correct answer*-- Thinning, loss of
elasticity, loss or absence or rugae.
Vagina and urethra in menopause --*correct answer*-- vagina narrows,
urethra moves closer to the introitus.

NAMS Menopause Certification Exam,NAMS Menopause Certification Test,NAMS Menopause Certification Flashcard,NAMS Menopause Certification quiz,NAMS Menopause Certification Practice,NAMS Menopause Certification Practice test,NAMS Menopause Certification Practice flashcard,NAMS Menopause Certification Practice exam,NAMS Menopause Certification Study guide,NAMS Menopause Certification Practice questions,NAMS Menopause Certification Questions,NAMS Menopause Certification Practice questions and answers,NAMS Menopause Certification Questions and answers,NAMS Menopause Certification pdf,NAMS Menopause Certification quizlet,NAMS Menopause Certification reddit,NAMS Menopause Certification Answer sheet,NAMS Menopause Certification Answer key,NAMS Menopause Certification Pdf free,NAMS Menopause Certification Exam help,NAMS Menopause Certification Cheat sheet,NAMS Menopause Certification quiz bank,NAMS Menopause Certification Questions bank,NAMS Menopause Certification Practice Guide,NAMS Menopause Certification Guide,NAMS Menopause Certification Testbank,NAMS Menopause Certification Practice Answers,NAMS Menopause Certification Answers,NAMS Menopause Certification Exam prep,NAMS Menopause Certification Prep,NAMS Menopause Certification Pdf download,NAMS Menopause Certification Flashcards,NAMS Menopause Certification Real questions,NAMS Menopause Certification Actual questions,NAMS Menopause Certification Real Questions and answers,NAMS Menopause Certification Actual Questions and answers,NAMS Menopause Certification Exam review,NAMS Menopause Certification Review,NAMS Menopause Certification Exam questions,NAMS Menopause Certification Exam questions and answers,NAMS Menopause Certification Practice test pdf,NAMS Menopause Certification Practice test quizlet,NAMS Menopause Certification Practice test Reddit,NAMS Menopause Certification Practice test quizlet multiple choice,NAMS Menopause Certification Exam study guide,NAMS Menopause Certification Practice test free,NAMS Menopause Certification Test questions,NAMS Menopause Certification Exam study guide,NAMS Menopause Certification Practice exam free,NAMS Menopause Certification Practice tests free,NAMS Menopause Certification Exam practice test,NAMS Menopause Certification Exam test questions,NAMS Menopause Certification Exam questions and answers,NAMS Menopause Certification Exam practice test