Question 1478
{"accessible":false,"alternatives":[{"id":7381,"text":"cabergoline"},{"id":7382,"text":"chlorpromazine"},{"id":7383,"text":"clozapine"},{"id":7384,"text":"haloperidol"},{"id":7385,"text":"metoclopramide "},{"id":7386,"text":"risperidone"}],"archived":false,"correctAlternativeId":7381,"explanation":"\u003cp\u003eCabergoline and\u0026nbsp;bromocriptine are the most commonly used drugs to medically treat prolactinomas. Both are dopamine agonists and thus mimic endogenous prolactin inhibitory hormone (which is actually dopamine).\u0026nbsp;\u003c/p\u003e\u003cp\u003eAll the other drugs have significant dopamine antagonist effects and thus can result in elevation of prolactin.\u0026nbsp;\u003c/p\u003e","id":1478,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2989","nextQuestionPath":"/articles/elevated-prolactin-differential/questions/1207","relatedArticles":[],"alsoUsedIn":[{"id":230,"kind":"Course","title":"X-ray Interpretation: Adult Chest - page 230","link":"https://radiopaedia.org/courses/x-ray-interpretation-adult-chest/pages/230"},{"id":230,"kind":"Course","title":"Pituitary Region Learning Pathway - page 230","link":"https://radiopaedia.org/courses/pituitary-learning-pathway/pages/230"}],"stem":"\u003cp\u003eWhich of the following drugs is most likely to reduce the size of a prolactinoma?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1478"}],"attemptsPercentages":[{"alternativeId":"7381","percentage":74},{"alternativeId":"7386","percentage":4},{"alternativeId":"7384","percentage":6},{"alternativeId":"7385","percentage":8},{"alternativeId":"7383","percentage":2},{"alternativeId":"7382","percentage":7}],"promptToLogin":false,"questionManager":false,"articleId":"elevated-prolactin-differential"}