Female Gynecologic History And Physical (H&P) Practice Test

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Which of the following is NOT an etiology of milky nipple discharge?
Correct Answer:
Hypertension
Explanation:
Milky nipple discharge occurs when prolactin levels are elevated, since prolactin stimulates milk production in the breast. Pregnancy can raise prolactin and breast tissue responsiveness, making galactorrhea possible. Hypothyroidism increases TRH, which stimulates prolactin release, so it can cause milky discharge as well. A prolactinoma directly secretes prolactin, leading to galactorrhea. Hypertension does not affect the prolactin pathway and is not a recognized cause of milky discharge. Therefore, hypertension is not an etiology of galactorrhea.

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