Pituitary incidentaloma — SCE Endocrinology MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: D — Endocrine review with interval MRI and visual assessment if growth approaches the chiasm
Endocrine review with interval MRI and visual assessment if growth approaches the chiasm is best because a non-functioning incidentaloma without chiasmal contact or hormone excess is usually monitored with endocrine follow-up and interval imaging. The alternatives are less appropriate because surgery is reserved for growth or compression; discharge misses progression; cabergoline is not indicated; radiotherapy is disproportionate. The SCE teaching point is to integrate the clinical pattern, biochemistry and context rather than treating an isolated result.
Reference: Endocrine Society pituitary incidentaloma guideline