34-year-old Woman in Medicine / Internal Medicine — 34yo Woman | Endocrinology | SMLE Q#12446
SMLE Question #12446
Medicine / Internal Medicine
Endocrinology
Objective: OBJ-ADDISON-DOSE-1
Last updated: February 2026
A 34-year-old woman has 5 months of galactorrhea, fatigue, malaise, irregular heavy menses, and intermittent bitemporal headaches. She is not taking any medications. Pregnancy test is negative. She reports no visual symptoms, and confrontation visual fields are normal. What is the most appropriate next step in management?
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