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Anatomy · Head and neck: pituitary
Sample itemA pituitary macroadenoma produces bitemporal hemianopia by compressing which structure?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Optic chiasm
The optic chiasm lies superior to the pituitary gland. Compression disrupts crossing nasal retinal fibres, which carry temporal visual-field information.
Option by option
A. Lateral geniculate body
Lateral geniculate lesions cause homonymous visual deficits, not bitemporal loss.
B. Optic chiasm (correct)
Correct. Chiasmal compression causes loss of temporal fields in both eyes.
C. Occipital cortex
Occipital lesions cause homonymous field defects.
D. Optic tract
Optic-tract lesions produce contralateral homonymous hemianopia.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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