MRCP UK EXAMINATIONS

NEUROLOGY

HEMIPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A patient had a small pituitary adenoma removed by the transsphenoidal approach and has developed diabetes insipidus. What pharmacologic therapy will the nurse be administering to this patient to control symptoms?
A
Furosemide (Lasix)
B
Mannitol
C
Vasopressin
D
Phenobarbital
Explanation: 

Detailed explanation-1: -After surgery you may be placed on Prednisone or Dexamethasone. It is important to continue to take this medication daily until you are instructed to stop. Your endocrinologist will monitor your sodium and hormone levels in the weeks after surgery.

Detailed explanation-2: -Surgery is indicated for nonsecreting adenomas that cause vision disorders, hypopituitarism, pituitary apoplexy, or demonstrate the progression on serial imaging. Surgery is recommended for secreting adenomas that do not respond to medical management.

Detailed explanation-3: -The transseptal transsphenoidal approach allows the surgeon to reach lesions located in the middle of the skull base and is widely accepted as the procedure of choice for the surgical treatment of pituitary adenomas with a primary sellar extension.

Detailed explanation-4: -Endoscopic transnasal transsphenoidal surgery This surgery also is called adenomectomy. It’s the most common surgery used to remove a pituitary adenoma. During the surgery, a surgeon-typically a neurosurgeon partnering with a nose and sinus surgeon-removes the adenoma through the nose and sinuses.

There is 1 question to complete.