BDS-2-MDS

ENDO – ANTERIOR PITUITARY

Dr. Jasmine Lall

1. All of the following can cause pituitary apoplexy except: (NEET 2015)

A. Hyperthyroidism

B. Diabetes mellitus

C. Sickle cell anemia

D. Hypertension

2. Which drug should be given first in case of Sheehan's syndrome:

A. Estrogen

B. Cortisone

C. Thyroxin

D. Growth hormone

3. A 30-year-old male complains of loss of erection; he has low testœterone and high prolactin level
in blood; What is the likely diagnosis: (AIIMS Nov 2015).

A. Pituitary adenoma

B. Testicular failure

C. Craniopharyngioma

D. Cushing's syndrome

4. Which is true about octreotide? (NEET 2017)

A. Stimulates growth hormone secretion

B. Used in secretory diarrhea

C. Used orally

D. Contraindicated in acromegaly

5. Octreotide Is not useful for?

A. Insulinoma

B. Glucagonoma
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ENDO – ANTERIOR PITUITARY
C. Carcinoid tumor

D. úliorna

6. A 6 year old boy has been complaining of headache, ignoring to see the objects on the sides for
four months. On examination, he is not mentally retarded, bis grades at school are good, and visual
acuity is diminished in both the eyes. Visual charting showed significant field defect. CT scan of the
head showed suprasellar mass with calcification. Which of the following is the most probable
diagnosis? (NEET 2018)

A. Astrocytoma

B. Craniopharyngioma

C. Pituitary adenoma

D. Meningioma

7. All the following are true of Craniopharyngioma except (NEET 2017)

A. Derived from Rathke's pouch

B. Contains epithelial cells

C. Present in sellar or infra-sellar location

D. Causes visual disturbances

8. Which of the following brain tumers spreads via CSF? (AIIMS May 2015)

A. Germ cell tumors

B. Medulloblastoma

C. CNS Łymphoma

D. Craniopharyngioma

9. Which of the following statements about Galactorrhea is true? (NEET 2017)

A. May be Bilateral

B. Associated with lactation

C. Associated with Prolactinomas

D. All statements are true

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10. All are causes of hyperprolactinemia, except (NEET 2015)

A. Bromocriptine

B. Phenothiazine

C. Methyldopa

D. Metoclopramide

11. Investigation of choice of hypes-prolactinoma:

A. TRH estlmation

B. LH estimation

C. Prola.ctin estimation

D. Estradiol estimation

12. Which of the following is the most common type of pituitary adenoma? (AIIMS Nov 2014)

A. Thyrotropinoma

B. Gonadotropinoma

C. Prolactinoma

D. Corticotropinoma

13. A 30-year-old woman presented with secondary amenorrhea for 3 years along with galactorrhea.
The most likely cause of her sympioms would be: (AIIMS May 2014)

A. Craniopharyngioma

B. Prolactinoma

C. Meningioma

D. Sub-arachnoid hemorrhage

14. Somatomedin are produce when'they are stimulated by which hormone? (AIIMS Nov 2014)

A. Thyroid hormone

B. Growth hormone

C. PTH

D. Prolactin

15. Heal pad thickness is increase in which condition?

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A. Acromegaly

B. Prolactinoma

C. Cushing's syndrome

D. Hyperparathyroid

16. Commonest cause of increase heal pad thickness

A. Acromegaly

B. Trauma

C. prolactinoma

D. Cushing syndrome

17. Confirmatory investigation for Acromegaly is: (NEET 2016)

A. Insulin induced GH suppression

B. Glucose induced GH suppression

C. Random GH assay

D. IGF - I level

18. A young women with secondary amenorrhea and galactorrhea. MRI shows a tumour of < 10mm
diameter in the pituitary fossa. Treatment is: (PGI May 2010)

A. Hormonal therapy for withdrawal bleeding

B. Radiotherapy

C. Chemotherapy

D. Bromocriptine

19. Which is NOT a side effect of GH administration?

A. Gynecomastia

B. Hypoglycemia

C. Slipped capital femoral epiphysis

D. Pseudotumor cerebri

20. Most common tumour of pituitary is:

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A. Prolactinoma

B. GH secreting adenoma

C. ACTH secreting adenoma

D. TSH secreting adenoma

21. Investigation to be done for hyperprolactinaemia?

A. Estradiol estimation

B. LH estimation

C. status

D. Thyroid status

22. Which is the first hormone to fall in the blood in Sheehan syndrome?

A. GH

B. ACTH

C. Proactin

D. TSH

23. Prolactinoma presents with: (A ïTMS Nov 2014)

A. inferior quadrantopia

B. Superior quadrantopia

C. Priapism

D. Failure of lactation

24. All are true regarding cranio-pharyngioma except:

A. Derived from Rathke‘s pouch

B. Contains epithelial cells

C. Present in temporal or parieta) lobes

D. Cause visual disturbances

25. Acromegaly is characterized by all except:

A. Diabetes
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B. Muscular hypertrophy

C. Enlarged nasal minuses

D. Increased heel pad thickness

26. All of the following are featured of acromegaly

A. Glucose intolerance

B. Non-suppression of growth hormone by glucose ingestion

C. Raised level of plasma somatomedin C

D. Low serum phosphate

27. Hyperprolactinoma is diagnostic when serum prolactin is more than ? (AIIMS Nov 2014)

A. 50 microgram per ml

B. 100 microgram per ml

C. 150 microgram per ml

D. 200 microgram per ml

28. young women comes , with secondary amenorrhoea and galactorrhea. MRI shows a tumor
of <10 mm diameter in the pituitary fossa. Treatment Is:

A. Hormonal therapy for withdrawal bleeding

B. Chemotherapy

C. Bromocriptine

D. Surgery

29. Investigation of choice of hyper-prolactinemia:

A. TRH estimation

B. LH estimation

C. Proacting estimation

D. Estradiol estimation

30. A patient has amenorrhea with hypothalamic lesion. The diagnosis is most likely to be?

A. Kallmann’s syndrome
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B. Asherman’ s syndrome

C. Stein Leventhal syndrome

D. Sheehan's syndrome

31. In prolactinoma most common symptom other than galactorrhea is

A. Bitemporal hemianopia

B. Amennorrhea

C. Thyroid dysfunction

D. Headache

32. Levodopa test is used to detect: (NEET 2017)

A. LH

B. ACTH

C. FSH

D. GH reserve