Correct Answer: D

Rationale: Step-by-step rationale: 1. Gynaecomastia is a known side effect of spironolactone, digitalis, and cimetidine. 2. Rifampicin is not associated with gynaecomastia. 3. Rifampicin is an antibiotic used to treat tuberculosis and other infections. 4. The mechanism of action of rifampicin does not involve hormonal changes that could lead to gynaecomastia. Summary of incorrect choices: - A: Spironolactone is a potassium-sparing diuretic that can cause gynaecomastia. - B: Digitalis (digoxin) can lead to gynaecomastia as a side effect. - C: Cimetidine, an H2 receptor antagonist, is also known to cause gynaecomastia.

Correct Answer: B

Rationale: The correct answer is B: ductless. Endocrine glands release hormones directly into the bloodstream without the use of ducts. This allows hormones to reach target organs throughout the body. Choice A (vascular) is incorrect because it refers to the presence of blood vessels, which is common in all glands, not just endocrine glands. Choice C (square) is irrelevant as the shape of glands does not determine their function. Choice D (autonomous) is incorrect as it does not accurately describe endocrine glands; while they function independently, the term "autonomous" does not specifically apply to them.

Correct Answer: C

Rationale: The correct answer is C: Bi-temporal hemianopia. Pituitary adenoma compressing the optic chiasm typically leads to bi-temporal hemianopia due to compression of the crossing fibers from the nasal visual fields. This results in loss of peripheral vision in both temporal visual fields. A: Bilateral inferior visual field deficits and B: Bilateral superior visual field deficits are less likely as they are not typical patterns associated with optic chiasm compression. D: Right homonymous hemianopia is incorrect as it is not associated with compression of the optic chiasm by a pituitary adenoma.

Correct Answer: A

Rationale: The correct answer is A: Diarrhea. Addison's disease is a condition where the adrenal glands do not produce enough hormones. Diarrhea is not a typical symptom of Addison's disease. The characteristic features include fatigue, weakness, weight loss, dizziness (B), hyperpigmentation, low blood pressure, dehydration (D), and skin changes like dermatitis is common (C). Therefore, diarrhea does not align with the typical symptoms of Addison's disease.

Correct Answer: D

Rationale: The correct answer is D because the anterior pituitary is regulated by hypothalamic neuropeptides. The hypothalamus secretes releasing and inhibiting hormones that control the anterior pituitary's hormone release. This close interaction between the hypothalamus and the anterior pituitary is known as the hypothalamic-pituitary axis. A is incorrect because the anterior pituitary is not neural tissue, it is an endocrine gland. B is incorrect because the anterior pituitary synthesizes and secretes peptide hormones, not steroid hormones. C is incorrect because the anterior pituitary is located at the base of the brain, not above the kidney.