A Middle-Aged Female Patient Complains of Changes to Her Face

Multiple Choice

A middle-aged female patient complains of changes to her face.Her cheekbones and eyebrows have become more prominent,and her jaw is growing.You suspect acromegaly,a disorder caused by excessive growth hormone.She had no growth abnormalities in her youth.What do you suspect is the most likely cause of her problem?

A) a tumour of the pineal gland
B) congenital mutation of the GH regulatory region
C) a tumour of the anterior pituitary
D) a tumour of the posterior pituitary
E) menopause