2026 NAMS Exam
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+ [LATEST 2026-
2027] 100% GUARANTEED
PASS
ACTH from the anterior pituitary
Which layer of the adrenal gland produces mineralocorticoids - CORRECT ANSWER-Zona
glomerulosa in adrenal cortex
Which layer of the adrenal gland produces sex steroids/androgens - CORRECT ANSWER-Zona
reticularis of adrenal cortex
Which sex steroids/androgens are produced from the adrenal gland - CORRECT ANSWER-DHEA
DHEAS
Androstenedione
What 3 products regulate the secretion of mineralocorticoids (aldosterone) from the adrenal
gland - CORRECT ANSWER-Angiotensin II
Potassium concentration
ACTH from the pituitary
,What are the only 2 products that the posterior pituitary secretes - CORRECT ANSWER-
Vasopressin
Oxytocin
Are cortisol levels associated with vasomotor symptoms severity - CORRECT ANSWER-No
How to diagnose Primary Ovarian Insufficiency (2 criteria) - CORRECT ANSWER-Oligomenorrhea
or amenorrhea for at least 4 months
AND
Elevated FSH > 25 x2 at least 4 weeks apart
What are 6 categories of causes of POI - CORRECT ANSWER-Genetic (turners, fragile x)
Autoimmune oophoritis
Toxic (hiv, polycyclic hydrocarbons)
Infectious (mumps)
Metabolic (pcos)
Iatrogenic (surgical, chemo, xrt)
Which is more sudden-FPHL or TE - CORRECT ANSWER-FPGL is gradual
TE is more sudden, precipitated by life, stressor or chronic illness, and is more patchy
What is the pattern of FPHL - CORRECT ANSWER-Thinning at the crown
Widening of the hair part
What are some treatments for FPHL - CORRECT ANSWER-Minoxidil
Spironolactone
Finasteride
,Which autoimmune hair loss causes unpredictable patchy loss - CORRECT ANSWER-Alopecia
areata
Which ethnicity has the lowest chance of vasomotor symptoms - CORRECT ANSWER-Japanese
Which ethnicity has the highest risk of severe vasomotor symptoms - CORRECT ANSWER-Black
What are 5 theories about causes of VMS - CORRECT ANSWER-Estradiol lowering
Narrowing of thermoneutral zone
Serotonin
Norepi: sympathetic nerves, release, norepinephrine, which narrows thermoneutral zone
Cortisol: higher urine cortisol = worse vms
Endothelial dysfunction
Which topical vaginal estrogen has the highest dose - CORRECT ANSWER-Femring
What are the 4 Amsel criteria for BV - CORRECT ANSWER-Thin gray dc
pH >4.5
Fishy odor
>20% clue cells
What is the most common type of vaginitis? - CORRECT ANSWER-BV
What type of vaginitis is unresponsive to E2 - CORRECT ANSWER-Desquamative inflammatory
, How is desquamative inflammatory vaginitis treated - CORRECT ANSWER-Clinda cream 4-6 wks
Or
10% hydrocortisone cream for 4 to 6 weeks
AND
Vaginal estrogen
Which lichenoid condition is autoimmune and also affects mouth - CORRECT ANSWER-LP
Which lichenoid condition has pruritis that disturbes sleep - CORRECT ANSWER-LSC
Which lichenoid conditions have risk of SCC - CORRECT ANSWER-LS 5%
LP 3%
What vulvar dermatosis causes, pink, smooth, glossy areas in the intertriginous areas, but
avoids the vestibule and vagina - CORRECT ANSWER-Vulvar psoriasis
Is vulvar LGSIL pre-cancerous - CORRECT ANSWER-No
What HPV types cause vulvar LGSIL - CORRECT ANSWER-Types 6 & 11
What are risk factors for vulvar HGSIL - CORRECT ANSWER-HPV 16, 18, 31
Smokers
Immuno compromised
Pre-menopausal women
What is the recurrence rate for VIN after treatment? - CORRECT ANSWER-9-50% with all
treatment regimens
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+ [LATEST 2026-
2027] 100% GUARANTEED
PASS
ACTH from the anterior pituitary
Which layer of the adrenal gland produces mineralocorticoids - CORRECT ANSWER-Zona
glomerulosa in adrenal cortex
Which layer of the adrenal gland produces sex steroids/androgens - CORRECT ANSWER-Zona
reticularis of adrenal cortex
Which sex steroids/androgens are produced from the adrenal gland - CORRECT ANSWER-DHEA
DHEAS
Androstenedione
What 3 products regulate the secretion of mineralocorticoids (aldosterone) from the adrenal
gland - CORRECT ANSWER-Angiotensin II
Potassium concentration
ACTH from the pituitary
,What are the only 2 products that the posterior pituitary secretes - CORRECT ANSWER-
Vasopressin
Oxytocin
Are cortisol levels associated with vasomotor symptoms severity - CORRECT ANSWER-No
How to diagnose Primary Ovarian Insufficiency (2 criteria) - CORRECT ANSWER-Oligomenorrhea
or amenorrhea for at least 4 months
AND
Elevated FSH > 25 x2 at least 4 weeks apart
What are 6 categories of causes of POI - CORRECT ANSWER-Genetic (turners, fragile x)
Autoimmune oophoritis
Toxic (hiv, polycyclic hydrocarbons)
Infectious (mumps)
Metabolic (pcos)
Iatrogenic (surgical, chemo, xrt)
Which is more sudden-FPHL or TE - CORRECT ANSWER-FPGL is gradual
TE is more sudden, precipitated by life, stressor or chronic illness, and is more patchy
What is the pattern of FPHL - CORRECT ANSWER-Thinning at the crown
Widening of the hair part
What are some treatments for FPHL - CORRECT ANSWER-Minoxidil
Spironolactone
Finasteride
,Which autoimmune hair loss causes unpredictable patchy loss - CORRECT ANSWER-Alopecia
areata
Which ethnicity has the lowest chance of vasomotor symptoms - CORRECT ANSWER-Japanese
Which ethnicity has the highest risk of severe vasomotor symptoms - CORRECT ANSWER-Black
What are 5 theories about causes of VMS - CORRECT ANSWER-Estradiol lowering
Narrowing of thermoneutral zone
Serotonin
Norepi: sympathetic nerves, release, norepinephrine, which narrows thermoneutral zone
Cortisol: higher urine cortisol = worse vms
Endothelial dysfunction
Which topical vaginal estrogen has the highest dose - CORRECT ANSWER-Femring
What are the 4 Amsel criteria for BV - CORRECT ANSWER-Thin gray dc
pH >4.5
Fishy odor
>20% clue cells
What is the most common type of vaginitis? - CORRECT ANSWER-BV
What type of vaginitis is unresponsive to E2 - CORRECT ANSWER-Desquamative inflammatory
, How is desquamative inflammatory vaginitis treated - CORRECT ANSWER-Clinda cream 4-6 wks
Or
10% hydrocortisone cream for 4 to 6 weeks
AND
Vaginal estrogen
Which lichenoid condition is autoimmune and also affects mouth - CORRECT ANSWER-LP
Which lichenoid condition has pruritis that disturbes sleep - CORRECT ANSWER-LSC
Which lichenoid conditions have risk of SCC - CORRECT ANSWER-LS 5%
LP 3%
What vulvar dermatosis causes, pink, smooth, glossy areas in the intertriginous areas, but
avoids the vestibule and vagina - CORRECT ANSWER-Vulvar psoriasis
Is vulvar LGSIL pre-cancerous - CORRECT ANSWER-No
What HPV types cause vulvar LGSIL - CORRECT ANSWER-Types 6 & 11
What are risk factors for vulvar HGSIL - CORRECT ANSWER-HPV 16, 18, 31
Smokers
Immuno compromised
Pre-menopausal women
What is the recurrence rate for VIN after treatment? - CORRECT ANSWER-9-50% with all
treatment regimens
