endo

Question 1

Which hormones are produced by the anterior

Answer 1

GH

Question 2

TRH stimulates

Answer 2

TSH and prolactin production

Question 3

What do you look for in a pituitary macroadenoma?

Answer 3

Bitemporal hemianopia

Question 4

What other symptoms can you get with prolactinoma?

Answer 4

Amenorrhoea
Galactorrhea

Question 5

Pituitary function testing

Answer 5

ACTH

Administer LHRH and TRH and hypoglycemic stress via insulin them out

Question 6

Hypoglycemia contradicated in

Answer 6

Epilepsy

Question 7

Neuroglycopenia

Answer 7

1.5mmol

Question 8

Rescule patient with

Answer 8

50ml 20%

Answer 9

Fast patient overnight
Ensure IV access
Measure the patient’s weight - insulin 0.15 units/kg

TRH 200mcg
LHRH 100mcg

Within 20 mins they’ll have a hypo

Question 10

Why does GH normally rise?

Answer 10

In response to metabolic stress

Question 11

What drug does a patient need urgently?

Answer 11

Hydrocortisone is needed immediately

They don’t need fludro as they have aldosterone working ok

Answer 12

Hydrocortisone, thyroxine, oestrone, GH replacement

Question 13

What is a non-functioning adenoma?

Answer 13

A big tumour squeezes and blocks dopamine reaching the lactotrophs, so they create secondary hyperprolactinemia