A 50-year-old man with a history of pituitary adenoma presents with severe headache, nausea and vomiting. Vitals: HR 120 BP 84/60 RR 24 SpO2 98% RA Temp 37.8. You are concerned for pituitary apoplexy.

1. List three clinical features you would seek on examination to support this diagnosis and the underlying cause for each. 3 marks

Any three accepted.

2. List three possible precipitating factors. 3 marks

3. Outline your assessment and management priorities. 6 marks