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BOF: 37

A sixty-year-old man presents with a history of increased sweating. He also complains of headaches.

On examination the patient has large hands and the facial features are exaggerated with large nose, prominent jaw and thick lips.

In this patient which of the following may be used as a screening test

a)      Growth hormone level

b)      Glucose Tolerance Test

c)      Prolactin level

d)      Plasma Insulin-like Growth Factor levels

e)      Serum calcium

Answer:

d)

The patient has acromegaly. Plasma Insulin-like Growth Factor may be used as a screening test.

Acromegaly

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