This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
35 year old female patient Radha having children aged 5 and 6 years has history of amenorrhea and galactorrhea. Blood examination reveals increased prolactin. CT of head is likely to reveal : 
Select and explain. 
A. Pituitary adenoma, B. Craniopharyngioma, C. Sheehan's syndrome, D. Pinealoma
A: Pituitary adenoma
Answer: A: Pituitary adenoma 
Explanation: Ans. is a I.e. Pituitary adenoma Patient is presenting with amenorrhea; galactorrhea with raised prolactin levels. So lets rule out some of the options : For symptomatic microadenomas : Medical management by dopamine agonist viz Bromocriptine and Cabergoline (which increase dopamine levels thus decreasing PRL levels) are the mainstay of therapy. Other dopamine agents like pergolide, lisuride (both ergot derivatives) and quinagolide (non ergot derivative) can also be used. Macroadenomas : Long term Bromocriptine therapy with periodic serum prolactin measurements (6 monthly) and MRI (6 monthly). Surgery indications : * Tumors unresponsive to Bromocriptine Tumors causing persistent visual field loss.