Fiser ABSITE Ch. 20 Pituitary

Question 1

What inhibits prolactin secretions?

Answer 1

dopamine

Question 2

What does the posterior pituitary produce?

Answer 2

ADH, Oxytocin

Question 3

What nuclei in the hypothalamus produces ADH? and Oxytocin?

Answer 3

supraoptic, paraventricular

Question 4

What does the anterior pituitary produce?

Answer 4

FSH, LH, ACTH, TSH, prolactin, GH

Question 5

Nonfunctional tumors of the pituitary are almost always what type? what is the tx?

Answer 5

macroadenomas, transsphenoid resection

Question 6

What rx might cause a response in TSH and FSH/LH secreting pituitary tumors?

Answer 6

bromocriptine (dopamine agonist)

Question 7

What is the most common pituitary adenoma?

Answer 7

prolactinoma (mostly microadenomas)

Question 8

Prolactinoma macroadenoma of the pituitary should be resected if hemorrhage, visual loss, CSF leak or if pt wants what?

Answer 8

pregnancy

Question 9

Prolactinoma microadenoma of the pituitary should be resected if ____ unsafe or ineffective (is OK in pregnancy)

Answer 9

bromocriptine

Question 10

Gigantism is a sx of acromegaly. Name 2 more.

Answer 10

HTN, DM

Question 11

Name the acromegaly preoperative rx that inhibits the release of GH.

Answer 11

octreotide

Question 12

How can acromegaly be life-threatening?

Answer 12

cardiac sx (valve dysfunction, cardiomyopathy)

Question 13

Postpartum trouble lactating is usually the 1st sign of what syndrome?

Answer 13

Sheehan’s syndrome

Question 14

Craniopharyngioma is a caclified cyst, remnants of what?

Answer 14

Rathke’s pouch