Endocrinology: acromegaly: practice question

A General Medicine question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Medicine · Endocrinology: acromegaly

Sample item

A patient has enlarged hands, coarse facial features, headaches, glucose intolerance, and bitemporal visual-field loss. What diagnosis is most likely?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Acromegaly from pituitary adenoma

Acromegaly results from excess growth hormone after epiphyseal closure, usually due to a pituitary adenoma. A macroadenoma can compress the optic chiasm and cause bitemporal hemianopia.

Option by option

  • A. Addison disease

    Addison disease causes cortisol deficiency and hyperpigmentation.

  • B. Primary hypothyroidism

    Hypothyroidism causes fatigue, weight gain, and cold intolerance.

  • C. Pheochromocytoma

    Pheochromocytoma causes episodic catecholamine symptoms.

  • D. Acromegaly from pituitary adenoma (correct)

    Correct. Somatic overgrowth and chiasmal compression point to pituitary GH excess.

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.

More General Medicine questions

Questions about this General Medicine question

What is the answer to this General Medicine question?

The best answer is D, Acromegaly from pituitary adenoma. Acromegaly results from excess growth hormone after epiphyseal closure, usually due to a pituitary adenoma.

Why is "Addison disease" not the answer?

Addison disease causes cortisol deficiency and hyperpigmentation.

Why is "Primary hypothyroidism" not the answer?

Hypothyroidism causes fatigue, weight gain, and cold intolerance.

Why is "Pheochromocytoma" not the answer?

Pheochromocytoma causes episodic catecholamine symptoms.

What concept does this question test?

It tests Endocrinology: acromegaly in General Medicine. A macroadenoma can compress the optic chiasm and cause bitemporal hemianopia.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Endocrinology: acromegaly?

For each disease know the classic presentation, the best test, and the first-line treatment. Then use the flashcards and the other General Medicine questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.