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1|Page NAMS MENOPAUSE CERTIFICATION EXAM|| ACCURATE AND FREQUENTLY TESTED QUESTIONS AND 100% CORRECT ANSWERS WITH RATIONALES|| LATEST AND COMPLETE UPDATE WITH EXPERT VERIFIED SOLUTIONS|| SURE PASS!! Angiotensin II, potassium concentration, adrenocorticotropic hormone secreted by the anterior pituitary. - ANSWER: Aldosterone secretion from the zona reticularis in the adrenal gland is regulated by 3 main factors. Anterior pituitary. The posterior only secretes vasopressin and oxytosin. ANSWER: What part of the pituitary gland secretes adrenocorticotropic hormone? Most serum cortisol circulates bound to cortisol binding globulin. Oral estrogen increases the cortisol binding globulin, which increases total cortisol concentration. Oral tamoxifen acts similarly. Transdermal does not increase it, so it has a minimal effect on serum cortisol concentration. - ANSWER: Cortisol and HRT No, cortisol levels have NOT been associated with more severe VMS. ANSWER: Do cortisol levels associate with VMS severity? vaginal pain and dyspareunia - ANSWER: Local DHEA has been proven to help with what?