Question:hard
Which of the following is NOT seen in pituitary apoplexy?
Which of the following is NOT seen in pituitary apoplexy?
Show Hint
Acute loss of ACTH drops the blood pressure; ask which blood pressure change does NOT belong here.
Updated On: Jun 23, 2026
- Headache
- Hypertension
- Hypotension
- Vomiting
Show Solution
The Correct Option is B
Solution and Explanation
Build the clinical portrait of pituitary apoplexy, then knock out what fits. A sudden bleed or infarct in a pituitary adenoma announces itself with a thunderclap retro orbital headache, vomiting, visual loss, ophthalmoplegia (the swollen gland presses on the cavernous sinus cranial nerves), and a clouded sensorium. The dangerous part is endocrine: ACTH production collapses, cortisol falls, and the patient becomes hypotensive, sometimes frankly shocked, an adrenal crisis that must be treated with steroids. So headache, vomiting, and hypotension are all genuine features and cannot be the exception. That leaves hypertension, which has no place in this picture; if anything the blood pressure goes the other way. The memory based key tagged hypotension, but that contradicts the established physiology and even the source notes hypotension and shock as present, so the medically correct exception is hypertension, option B.
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