« previous next »

Author Question: A patient presents reporting visual disturbances. When CT reveals a pituitary tumor and lab tests ... (Read 60 times)

jparksx

  • Hero Member
  • *****
  • Posts: 570
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

  • Sr. Member
  • ****
  • Posts: 321
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.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

jparksx

  • Hero Member
  • *****
  • Posts: 570
Reply #2 on: Jun 25, 2018
Correct answers!


IRincones

  • Sr. Member
  • ****
  • Posts: 321
Reply #3 on: Jun 25, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

Blastomycosis is often misdiagnosed, resulting in tragic outcomes. It is caused by a fungus living in moist soil, in wooded areas of the United States and Canada. If inhaled, the fungus can cause mild breathing problems that may worsen and cause serious illness and even death.

Did you know?

Warfarin was developed as a consequence of the study of a strange bleeding disorder that suddenly occurred in cattle on the northern prairies of the United States in the early 1900s.

Did you know?

Asthma occurs in one in 11 children and in one in 12 adults. African Americans and Latinos have a higher risk for developing asthma than other groups.

Did you know?

The immune system needs 9.5 hours of sleep in total darkness to recharge completely.

Did you know?

Vital signs (blood pressure, temperature, pulse rate, respiration rate) should be taken before any drug administration. Patients should be informed not to use tobacco or caffeine at least 30 minutes before their appointment.

Patient teaching: neck assessment Patient teaching: neck assessment
The Human Visual Cortex The Human Visual Cortex
Sample new patient registration form. Sample new patient registration form.
Patient Education Follow-up Plan Patient Education Follow-up Plan
Algorithm for assessing a patient at risk for suicide. Algorithm for assessing a patient at risk for suicide.
Hypothalamus and Pituitary Gland Hypothalamus and Pituitary Gland
Video: Functional zones in a mitochondrion

For a complete list of videos, visit our video library