This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Disorders of pituitary gland, Subject name: Medicine
[{'content': 'Earliest presentation of hypopituitarism in adults is? \nSelect and explain. \nA. Growth failure, B. Anosmia, C. Visual field defects, D. Hypogonadism', 'role': 'user'}, {'content': 'Answer: D \nExplanation: In children the earliest presentation of hypopituitarism is growth retardation and hypogonadism is the earliest manifestation in adults. Trophic hormone failure with pituitary compression or destruction usually occurs sequentially. Sequence of fall of hormonal levels is GH>FSH>LH>TSH>ACTH. 1st hormone to fall in Sheehan Syndrome is Growth Hormone.', 'role': 'assistant'}]