Step 1

Pharmacology 1

A 44-year-old woman presents to the physician to establish care upon moving to a new area. She has no health concerns, and past medical history is unremarkable. Review of systems is notable for frequent headaches, heavy sweating, poor sleep, and reduced libido. Vital signs are temperature is 37.6°C (99.7°F), pulse is 83 beats/minute, blood pressure is 143/94 mmHg, respirations are 15/minute, and body mass index (BMI) is 28. On physical examination, she is a well-appearing though overweight woman with a noticeably deep voice. Her face displays coarse features, and there are spaces between her teeth. Her tongue is enlarged. Her hands and feet are enlarged, though not edematous, with thickening of the thumb and heel pads. Skin tags are found over her back and neck.

Which of the following treatments is most likely indicated for this patient after a thorough evaluation?

  • A) Dopamine antagonist
  • B) Insuline-like growth factor1 (IGF-1) receptor agonist
  • C) Radioactive iodine
  • D) Somatostatin analog
  • E) Steroids


Dr. Ted O'Connell

John Damianos


Dr. Ted O'Connell