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Retired NBME Step 2 CK Free 120 Answers

step2ck_free120/Block 2/Question#64 (reveal difficulty score)
A 25-year-old woman comes to the office ...
Cabergoline therapy ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: endo

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submitted by โˆ—bwdc(697)
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Prolactinomas (pituitary adenomas that secrete prolactin and as a result can cause amenorrhea/infertility/lactation) can be treated with dopamine agonists like cabergoline. This is because dopamine normally inhibits pituitary prolactin production. In many cases, tumors can completely involute with pharmacologic therapy alone.

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akjs16  It's not prolactinoma. A prolactinoma this size will be assoicated wth serum prolactin between 200-1000 ng/ml according to UTD. It must be a nonlactroph adenoma and should be treated with surgery. I don't what's wrong with this question. +
akjs16  It's not prolactinoma. A prolactinoma this size will be assoicated wth serum prolactin between 200-1000 ng/ml according to UTD. It must be a nonlactroph adenoma and should be treated with surgery. BTW, nonlactroph adenoma can compress pituitary stalk and cause hyperprolactinemia. I don't know what wrong with this question. +
cintia05  I think it is prolactinoma. Prolactin >200 is diagnostic, but it doesn't mean it cannot be less than that. The treatment for prolactinoma up to 3cm is cabergoline. So I believe that is the concept that they are trying to get from us. +2



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