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