Hiperprolactinemia Flashcards

1
Q

inibidor de Prolactina

A

Dopamina

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2
Q

Estimulador de Prolactina

A

serotonina
endorfina
estrogênio

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3
Q

Prolactina causa feedback negativo em?

A

GnRH

bloqueia o eixo do ciclo menstual

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4
Q

Clinica de HIperprolactinemia

A

amenorreia
galactorreia
infertilidade
diminuição da Libido

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5
Q

principapl causa de hiperprolactinemia

A

fisiologica, amamentação

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6
Q

principal causa não fisiologica de Hiperprolactinemia

A
medicamentos
triciclicos
IMAO
Sulpirida
Alfametildopa
fluoxetina
haloperidol
METOCLOPRAMIDA
opioides
anfetaminas
cocaína
ACO
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7
Q

causa endocrina de Hiperprolactinemia

A

Hipotireoidismo

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8
Q

VN de prolactinemia

A

até 25

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9
Q

quando pensar em tumor de adenohipofise como causa de hiperprolactinemia?

A

quando prolactinemia está acima de 100

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10
Q

exame de imagem para DX de adenoma hipofisario

A

Ressonância Magnética

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11
Q

diferença de microadenoma e macroadenoma

A

<1 cm e <1 cm

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12
Q

Tratamento para microadenomas hipofisarios sintomáticos

A

Agonista da Dopamina

  • Cabergolina (menos EA)
  • Bromocriptina
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13
Q

Tratamento para microadenomas hipofisarios assintomáticos

A

nada.

expectante

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14
Q

Tratamento de Macroadenoma

A

Agonista da Dopamina, sempre.

CX é última opção

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15
Q

insuficiência renal Crônica está entras as causas prováveis de Hiperprolactinemia
V ou F

A

verdadeiro

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