Here are a few scenario-based multiple-choice questions related to Pituitary Tumor
Question 1:
A 35-year-old woman presents with complaints of menstrual irregularities and visual disturbances. She mentions a recent increase in hat size as well. On examination, you notice bitemporal hemianopia. What is the most likely diagnosis?
B) Cushing's syndrome
C) Acromegaly
D) Prolactinoma
Question 2:
A 40-year-old man complains of fatigue, weight gain, and sensitivity to cold. His blood tests show low levels of thyroid hormones (T3 and T4) but elevated TSH (thyroid-stimulating hormone). MRI reveals a pituitary mass. What is the probable cause of his symptoms?
A) Prolactinoma
B) Adrenocorticotropic hormone (ACTH)-secreting tumor
C) Growth hormone-secreting tumor
D) Non-functioning pituitary adenoma
Question 3:
A 25-year-old woman presents with galactorrhea and amenorrhea. She denies being pregnant. Her hormone levels show high prolactin levels. An MRI confirms the presence of a pituitary adenoma. What is the likely diagnosis?
A) Cushing's disease
B) Prolactinoma
C) Craniopharyngioma
D) Non-functioning pituitary adenoma
Question 4:
A 50-year-old man presents with headaches and visual field deficits. He mentions that his peripheral vision has been progressively worsening. MRI shows a large pituitary tumor. Which type of pituitary tumor is most likely causing these symptoms?
A) Prolactinoma
B) Gonadotropin-secreting tumor
C) Non-functioning pituitary adenoma
D) Growth hormone-secreting tumor
Question 5:
A 30-year-old woman presents with features of Cushing's syndrome such as central obesity, moon face, and easy bruising. Her 24-hour urinary free cortisol is elevated. An MRI shows a pituitary adenoma. Which hormone-secreting pituitary tumor is responsible for her condition?
A) Prolactinoma
B) Adrenocorticotropic hormone (ACTH)-secreting tumor
C) Thyroid-stimulating hormone (TSH)-secreting tumor
D) Growth hormone-secreting tumor
Answers:
1. C) Acromegaly
2. D) Non-functioning pituitary adenoma
3. B) Prolactinoma
4. D) Growth hormone-secreting tumor
5. B) Adrenocorticotropic hormone (ACTH)-secreting tumor
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