Testing for short stature growth hormone (GH) problems can be done by pharmacologic means. Which of the following medications can be utilized to test for a rise in GH? Select all that apply
A)
Insulin
B)
Levodopa
C)
Persantine
D)
Dobutamine
E)
Sestamibi
Ans:
A, B
Feedback:
Diagnostic procedures for short stature include tests to exclude nonendocrine causes. If the cause is hormonal, extensive hormonal testing procedures are initiated. Tests can be performed using insulin, CHRH, levodopa, and arginine, all of which stimulate GH secretion so that GH reserve can be evaluated. Persantine, dobutamine, and sestamibi are used in cardiac stress testing. Sestamibi is also used in the testing of the parathyroid.
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