Hypothalamo-Hypophyseal Axis

Hypothalamo-Hypophyseal Axis

By meriem gaddas

Multiple Select

1) GH adenomas:

• are the most frequent among hypophysis tumors.

• are frequently associated with PRL tumors

• have a different clinical translation depending on the age of onset

• have repercussions only on growth

• are serious and can be life threatening

Multiple Select

2) The most likely diagnosis in Maurice is:

• Gigantism

• Bone tumors

• Acromegaly

• .Pituitary somatotropic tumor (GH adenoma)

• Pituitary lactotropic  tumor (PRL adenoma)

Multiple Select

3) Acromegaly in Maurice, is responsible for a:

• excessive height growth

• Thickening of the soft tissue

• Ring sign, Maurice is forced to remove his wedding ring

• Shoe sign, his shoe size changes

• Development of the musculature

Multiple Select

4) Maurice's illness explains his professional reconversion as a:

• Wrestler (and boxer)

• Poet

• Lawyer

• Singer

• Weightlifter

Multiple Select

5) Because of his illness, Maurice was at risk of:

• Diabetes

• Atheromatous disease

• Hyperlipidemia

• Ketogenesis

• Metabolic acidosis

Open Ended

1) This is the appearance you are objectifying on clinical examination:

This is a:

Multiple Select

2) What question(s) should be asked first?

• Do you have an associated cessation of menstrual cycles?

• Are you breastfeeding?

• Is this discharge unilateral or bilateral?

• Do you have associated polyuria/polydipsia?

• Is it possible that you are pregnant?

Multiple Choice

3) if indeed, there is amenorrhea, the first diagnosis to be retained is :

• GH adenoma

• TSH adenoma

• PRL adenoma

• FSH adenoma

• Post-pituitary neuroma

Multiple Choice

4) What is the first exploration that it is imperative to ask for?

• A brain scan/MRI (pituitary)

• A breast ultrasound

• An associated GH dosage

• Pelvic ultrasound

• A hormonal assessment FSH, LH, E2

Multiple Select

1) You suspect :

• Diabetes mellitus

• Diabetes insipidus

• Potomania

Open Ended

2) What is the exploration to ask for?

Multiple Choice

3) If the urinary osm corrects itself after administration of ADH. Then, it is:

• Nephrogenic diabetes insipidus

• Potomania

• Central diabetes insipidus

Multiple Select

4) The interrogation’s elements that can support the diagnosis are:

• Personal history of renal failure

• Personal history of brain surgery for GH adenoma

• Post-surgical  radiotherapy

• Long-term use of corticosteroids

Poll

Evaluate this session Please: