Adrenal & Pituitary

1.A 35-year-old patient presents with history of fatigue and lassitude for 3 months. On examination, he was pale with mild icterus. Knuckle hyper-pigmentation was noted. Answer the following.

• a) What is the most probable diagnosis.
• b) List the causes for this condition.
• c) How would you investigate this patient.
• d) Discuss the treatment

1.Cushing’s syndrome

2.Clinical features of pheochromocytoma

1.Cushing’s reflex

2.Addison’s disease

3.Iatrogenic Cushing’s syndrome

4.Dexamathasone suppression test

5.Hirsutism

6.Adrenal crises

7.Pituitary apoplexy

8.Complication of prolonged steroid therapy

9.Drugs causing gynecomastia

10.Radiological features of pituitary tumor

1.what is the treatment of choice

• a) Levothyroxine
• b) Carbimazole
• c) Corticosteroids
• d) ACTH

2.Which of the following medication can cause hyperprolactinemia

• a) Propranolol
• b) Glucocorticoids
• c) Metoclopramide
• d) Levothyroxine