34-year-old Woman in Medicine / Internal Medicine — 34yo Woman | Endocrinology | SMLE Q#16597
SMLE Question #16597
Medicine / Internal Medicine
Endocrinology
Objective: OBJ-ADDISON-DOSE-1
Last updated: February 2026
A 34-year-old woman has 5 months of bilateral milky nipple discharge, fatigue, irregular heavy menses, and dull headaches. She denies visual symptoms. Examination shows no breast mass and normal visual fields. Pregnancy test is negative. Thyroid and prolactin studies are shown. What is the most appropriate next step in management?
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