Page 1 of 31
NAMS CERTIFICATION EXAM NEWEST 2026 ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALL ANSWERED
{115 Q & A} ALREADY GRADED A+ | BRAND NEW! |
100% GUARANTEED PASS
BRCA 1/2 Surgical Considerations
Bilateral-risk reducing breast surgery and BSO can decrease
risks of cancer
Secondary Amenorrhea differential with low FSH
- Pregnancy
- Hypothalamic amenorrhea (e.g., Diabetes, celiac disease,
excessive exercise/caloric restriction, stress, lesions of
hypothalamus/pituitary)
- Hyperprolactinemia
- Thyroid disease
- PCOS
VIN Low-grade squamous intraepithelial lesion (LSIL)
,Page 2 of 31
Not precancerous
HPV 6 & 11
Adrenal Insufficiency
- Hypofunction of adrenal gland and pituitary gland
- Diagnosed by low cortisol at baseline
- Treatment includes glucocorticoid replacement
Female Pattern Hair Loss (FPHL)
- Gradual hair thinning on crown of scalp
- Occurs due to altered estrogen-to-androgen ratio
- Sometimes seen with discontinuation of HT
Telogen Effluvium (TE)
- Sudden hair shedding
,Page 3 of 31
- Patchy hair loss
- Occurs after a major life stressor, chronic illness, or
medication (beta blocker, anticoagulant)
Hair Loss Treatment
Goal: Prevent progression of hair loss
- Minoxidil is FDA approved
- Commonly used with Finasteride or Spironolactone
Window of Vulnerability
Idea that women are exposed to hormone-related mood
symptoms (e.g., PMS, PPD)
HT and Mood
- Consider if VMS and mood changes
- Only consider if in perimenopause or early postmenopausal
, Page 4 of 31
Early Postmenopause (+1a/+1b)
- Duration is 2 years
- VMS likely
Early Postmenopause (+1c)
- Duration 3-6 years
- FSH stabilizes
Late Postmenopause (+2)
- Remaining lifespan
- Increasing symptoms of urogenital atrophy
Menopause and weight
- Increased fat in abdominal region
- Decreased lean body mass
NAMS CERTIFICATION EXAM NEWEST 2026 ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALL ANSWERED
{115 Q & A} ALREADY GRADED A+ | BRAND NEW! |
100% GUARANTEED PASS
BRCA 1/2 Surgical Considerations
Bilateral-risk reducing breast surgery and BSO can decrease
risks of cancer
Secondary Amenorrhea differential with low FSH
- Pregnancy
- Hypothalamic amenorrhea (e.g., Diabetes, celiac disease,
excessive exercise/caloric restriction, stress, lesions of
hypothalamus/pituitary)
- Hyperprolactinemia
- Thyroid disease
- PCOS
VIN Low-grade squamous intraepithelial lesion (LSIL)
,Page 2 of 31
Not precancerous
HPV 6 & 11
Adrenal Insufficiency
- Hypofunction of adrenal gland and pituitary gland
- Diagnosed by low cortisol at baseline
- Treatment includes glucocorticoid replacement
Female Pattern Hair Loss (FPHL)
- Gradual hair thinning on crown of scalp
- Occurs due to altered estrogen-to-androgen ratio
- Sometimes seen with discontinuation of HT
Telogen Effluvium (TE)
- Sudden hair shedding
,Page 3 of 31
- Patchy hair loss
- Occurs after a major life stressor, chronic illness, or
medication (beta blocker, anticoagulant)
Hair Loss Treatment
Goal: Prevent progression of hair loss
- Minoxidil is FDA approved
- Commonly used with Finasteride or Spironolactone
Window of Vulnerability
Idea that women are exposed to hormone-related mood
symptoms (e.g., PMS, PPD)
HT and Mood
- Consider if VMS and mood changes
- Only consider if in perimenopause or early postmenopausal
, Page 4 of 31
Early Postmenopause (+1a/+1b)
- Duration is 2 years
- VMS likely
Early Postmenopause (+1c)
- Duration 3-6 years
- FSH stabilizes
Late Postmenopause (+2)
- Remaining lifespan
- Increasing symptoms of urogenital atrophy
Menopause and weight
- Increased fat in abdominal region
- Decreased lean body mass
