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1.

The number of major hormones produced by anterior pituitary


gland is ?
A. 4
B. 5
C. 6
D. 7

2. Pituitary apoplexy is associated with ?


A. Diabetes
B. Hypertension
C. Sickle cell anemia
D. All of the above
3. Sheehan’s syndrome refers to pituitary apoplexy during ?
A. Antenatal period
B. Intra-partum period
C. Postpartum period
D. All of the above

4. Indication for urgent surgical decompression after pituitary


apoplexy is ?
A. Hypotension
B. Visual loss
C. Seizure
D. All of the above

5. Which of the following is true about pituitary adenomas ?


A. Monoclonal in origin
B. Benign neoplasms
C. Hormone production does not correlate with tumor size
D. All of the above
6. Which of the following is a genetic syndrome associated with
pituitary tumors ?
A. Multiple endocrine neoplasia (MEN) 1
B. Carney syndrome
C. McCune-Albright syndrome
D. All of the above
7. Diabetes insipidus can be caused by ?
A. Septo-Optic Dysplasia
B. Bardet-Biedl Syndrome
C. Transsphenoidal Surgery
D. All of the above
8. Diabetes insipidus can be caused by ?
A. Pituitary metastases
B. Brain germ-cell tumors
C. Amyloidosis
D. All of the above

9. On MRI, “pituitary bright spot” is due to high content in the


posterior pituitary of ?
A. Tryptophan
B. Glucose
C. Phospholipid
D. Ascorbic acid
10. Features of sellar mass lesions involving optic chiasm include ?
A. Loss of red perception
B. Bitemporal hemianopia
C. Scotoma
D. All of the above

11. The most common pituitary hormone hypersecretion syndrome


in both males and females is ?
A. Acromegaly
B. Hyperprolactinemia
C. Secondary hyperthyroidism
D. Cushing’s syndrome
12. When PRL level is >200 μg/L, the most common cause is ?
A. Pituitary stalk compression
B. Prolactinoma
C. Antipsychotic and antidepressant drugs
D. Pregnancy and lactation
13. Which of the following in not a presenting feature of
hyperprolactinemia in women ?
A. Reduced vertebral bone density
B. Decreased libido
C. Weight loss
D. Hirsutism
14. If fertility is not desired, what should be the line of management
of microadenomas ?
A. Dopamine agonists
B. Surgery
C. Radiation
D. No treatment
15. Dopamine agonists act by ?
A. Suppressing prolactin secretion
B. Suppressing prolactin synthesis
C. Suppressing lactotrope cell proliferation
D. All of the above

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