03-23-2007, 11:06 AM
A 48-year-old man comes to your office complaining of wrist pain and numbness of the thumbs and index and middle fingers of both of his hands, which has been worsening over the last 6 months. His only chronic medical condition is œslight hypertension, for which he is being treated with hydrochlorothiazide. On further questioning the patient states that he has noted progressive coarsening of his facial features, as well as an increase in his shoe size, all of which has continuously worsened. His blood pressure is 145/95 mm Hg, pulse is 95/min, respiration rate is 15/min, and he is afebrile. He has a deep, hollow-sounding voice, and you notice slight prognathism. He is alert and oriented to person, place, and time. Chest auscultation is normal, as is heart examination. The rest of his physical exam is unremarkable. Monitoring with which of the following will help prevent one of the major complications of this condition?
A. Bone density
B. Colonoscopy
C. Prolactin levels
D. Prostate-specific antigen
E. Thyroid-stimulating hormone
A. Bone density
B. Colonoscopy
C. Prolactin levels
D. Prostate-specific antigen
E. Thyroid-stimulating hormone