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USMLE 2CK Practice Question for May 19th

A 45-year-old man comes to the physician because of problems with his vision for the past 3 months. He has tried using non-prescription reading glasses but continues to have difficulty seeing well. The patient is also experiencing regular headaches for several months, which he attributes to a big project at work, and which have been steadily worsening. He reports erectile dysfunction, but he says that he is currently very busy at work and he has no time for a sexual partner. His temperature is 36.9°C (98.4°F), pulse is 72/min, and blood pressure is 128/78 mm Hg. On physical examination his visual acuity is 20/30 bilaterally, and there is a bilateral temporal visual field defect. Gynecomastia is noted. What is the best next diagnostic test?

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