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Exam questionKROK 2Medicine · 2016

A 22-year-old patient complains of 8-month delay of menstruation. Anamnesis: menarche since the age of 12,5. Since the age of 18 menstruations are irregular. No pregnancies. Mammary glands have normal development; when the nipples are pressed, milk drops are discharged. On gynecological examination: moderate uterus hypoplasia. On hormonal examination: prolactin level exceeds the norm two times. On computed tomogram of the sellar region: a space-occupying lesion 4 mm in diameter is detected. The most likely diagnosis is:

Answer options

  1. Lactation amenorrhea
  2. Cushing’s disease
  3. Sheehan’s syndrome
  4. Stein-Leventhal syndrome
  5. Pituitary tumor
Correct answer

Pituitary tumor

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