Anterior Pituitary Disorders

Question 1

What can you use to check visual field?

Answer 1

Humphreys machine

Question 2

What can you use to treat prolactin?

Answer 2

Dopamine

Question 3

Why test for IGF1?

Answer 3

Acromegaly

Question 4

After transphenoidal hypophsectomy what do you give patient?

Answer 4

Hydrocortisone replacement

Check sodium at 1 week- due to diabetes

Question 5

When to do the GRHR arginine test?

Answer 5

When Q of L is over 7

Question 6

Overgrowth of mandible is due to?

Answer 6

Prognathism

Question 7

What do people with acromegaly have increased risk of?

Answer 7

Colon cancer, due to skin tags

Question 8

What tests to identify acromegaly?

Answer 8

Glucose tolerance test and growth hormones (because glucose inhibits GH release)

IGF1

Question 9

First line treatment for acromegaly?

Answer 9

Transsphenoidal hypophysectomy

Question 10

Medications to make IGF1 normal?

Answer 10

Dopamine agonist (cabergoline)
Long acting somatostatin analogue
GH receptor antagonist (pegvisomant)