Q:

A 15 year old man presents with bitemporal hemianopia and spade-like hands. What is the definite test to confirm the diagnosis?

waelhammad
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2022-10-30
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A 15 year old man presents with bitemporal hemianopia and spade-like hands. What is the

definite test to confirm the diagnosis?

  1. Early morning growth hormone
  2. Insulin tolerance test
  3. OGTT with growth hormone measurements
  4. Random insulin-like growth factor (IGF-1)
  5. Short ACTH test
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waelhammad
2022-10-30
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The key is C. OGTT with growth hormone measurements. [The bitemporal hemianopia and spade-

like hands point towards acromegaly. The best initial test is insulin like growth factors but the definitive

 

test that confirms the diagnosis is OGTT with serial growth hormone measurements].

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