Mr. Jones, a 40 year old white man, goes to his local plastic surgeon complaining of getting old before his time. His facial features have coarsened, and his shoe size has increased from an 11C
to a 14 EEEE over 10 years. His Yankee baseball cap no longer fits. What is worse, he has the
recent onset of diabetes, blinding headaches and visual problems. The most likely finding:
A. Macroadenoma of pituitary with enlarged sella turcica
B. Microdenoma of pituitary with bilateral adrenal hyperplasia
C. Microadenoma of pituitary with gynecomastia
D. Pituitary adenocarcinoma with metastases to the lung
E. Sarcoidosis involving the pituitary
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Category:
Endocrinology MCQs
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