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Author Question: A patient presents reporting visual disturbances. When CT reveals a pituitary tumor and lab tests ... (Read 21 times)

jparksx

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on: Jun 25, 2018
A patient presents reporting visual disturbances. When CT reveals a pituitary tumor and lab tests reveal elevated prolactin, the diagnosis of prolactinoma is made. Which intervention is the treat-ment of choice for this condition?
 
  a. Dopaminergic agonists
  b. Calcium
  c. Insulin
  d. Radiation

Question 2

A 25-year-old male presents to his primary care provider reporting changes in facial features. CT scan reveals a mass on the anterior pituitary, and lab tests reveal severely elevated growth hor-mone (GH).
 
  Which of the following would the nurse also expect to find?
  a. Decreased IGF-1
  b. Hypotension
  c. Muscular atrophy
  d. Height increases


IRincones

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Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: A
Dopaminergic agonists (bromocriptine and cabergoline) are the treatment of choice for prolacti-nomas. Calcium is used to treat parathyroid disease. Insulin is used to treat diabetes. Radiation is not used to treat prolactionomas.

Answer to Question 2

ANS: C
With elevated levels of GH, there is resulting bony and soft tissue overgrowth; nerve entrapment occurs, leading to peripheral nerve damage manifested by weakness, muscular atrophy, foot drop, and sensory changes in the hands. IGF-1 increases, and there is an overgrowth of bone but not an increase in height or hypotension.


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jparksx

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Reply #2 on: Jun 25, 2018
Correct answers!


IRincones

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Reply #3 on: Jun 25, 2018
Great! Please up vote :D


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