A 28-year-old woman presents with amenorrhoea, galactorrhoea, and headaches. Serum prolactin is markedly elevated; pregnancy test negative. Visual fie...

Question

A 28-year-old woman presents with amenorrhoea, galactorrhoea, and headaches. Serum prolactin is markedly elevated; pregnancy test negative. Visual fields show bitemporal hemianopia. First-line treatment?

Accepted Answer

Bromocriptine or cabergoline

Answer

Trans-sphenoidal surgery

Answer

Combined oral contraceptive

Answer

Levothyroxine

Answer

Radiotherapy

ukmla MCQ (SBA): Prolactinoma

A 28-year-old woman presents with amenorrhoea, galactorrhoea, and headaches. Serum prolactin is markedly elevated; pregnancy test negative. Visual fields show bitemporal hemianopia. First-line treatment?