Your Name: Zakiya-Luna Siddique

Theme: PITUITARY DISEASE

OPTION LIST

A	Hyperthyroidism	I	LH, ACTH, TSH
B	Saline	J	Cushing’s syndrome
C	LHRH, TRH, ACTH	K	Estrogen therapy
D	Graves’ disease	L	Addison’s disease
E	Hypothyroidism	M	VP, LH, TSH
F	Anorexia Nervosa	N	Thyroxine replacement
G	Cortisol replacement	O	Hypothyroidism
H	Sheehan’s syndrome	P	Prolactinoma

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. GH, PRL, FSH. Which three anterior pituitary hormones are missing?

2. A 41-yrs-old bank manager consulted his GP to request Viagra. He was also embarrassed

as he had developed gynaecomastia. Serum PRL came back as 16000 mU/L.

3. Mrs. Jones is 30 yrs-old and has been trying to get pregnant for the past 2 yrs – without

success. On a hot summer’s day she visits her GP, complaining that she is depressed as

she has put on 3 stones despite trying ‘every diet under the sun’. The GP notices she was

wearing a woolly coat and gloves.

4. A CPFT confirms a diagnosis of hypopituitarism in Mr. Smith. What is the immediate

treatment he should be given?

5. A 15-yrs-old school girl with a BMI of 17 complains of amenorrhoea. Blood test results

reveal low estrogen, LH and FSH. GH concentration was 24 mU/L.

ANSWERS

1. I

2. P

3. E

4. G

5. F