An endocrinologist is providing care for a 30-year-old male who has lived with the effects of increased levels of growth hormone (GH). Which of the following teaching points about the client's future health risks is most accurate?
A)
"It's not unusual for high GH levels to cause damage to your hypothalamus."
B)
"GH excess inhibits your pancreas from producing enough insulin."
C)
"The high levels of GH that circulate in your body can result in damage to your liver."
D)
"When your pituitary gland is enlarged, there's a real risk that you'll develop some sight deficiencies."
Ans:
D
Feedback:
GH excess is associated with tumor formation and consequent compression of cranial nerves responsible for vision. Damage to the hypothalamus and liver is not common sequelae. While the beta cells of the pancreas can "burn out," the primary effect of excess GH is to increase insulin secretion.
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