Name: Tim Sinnett

Theme: Anterior Pituitary

OPTION LIST

A	GH	I	Combined Pituitary Function Test
B	Insulin	J	Thyroid function Tests
C	prolactinoma	K	TSH
D	Pituitary infarction	L	prolactin
E	Lipid profile	M	Short Synacthen Test
F	Benign nipple discharge	N	TRH
G	CT SCAN	O	LH
H	trauma	P	ACTH

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. A 32 year old librarian presents to your clinic complaining of blurring of her vision and amenorrhoea. She has a BMI of 22 and is generally well but has noticed some white secretions from her breast over the past 3 months. What would be a first line investigation for this lady?

2. A 56 year old gentlemen presents to his GP with a history of weight gain and lethargy despite trying to lose weight. He also notices that he has been using his electric heater much more recently despite the recent warm weather. Which hormone is likely to be deficient?

3. Mrs Smith is to have a CPFT. She has been starved overnight, IV access has been gained and she was weighed this morning. 100 mcg LHRH and 200 mcg TRH have been combined in a syringe. What other hormone should be added to the mixture before it is administered to the patient for the test to be complete?

4. A 53 year old man presents to his GP with headaches and poor eyesight. He has also noticed that his shoes are now too small for him. His GP tells him he thinks he should have a test done to detect the levels of a specific hormone in his blood. What is this hormone?

5. What is the MOST likely diagnosis for the lady in 1).?

ANSWERS

1. G

2. K

3. B

4. A

5. C