101101

2

801.252B

2102121

1 tetralogy of Fallot

2 perimembranous ventricular septal defect secundum atrial septal defect persistent truncus arteriosus muscular ventricular septal defect

3 8 3 amoxicillin 40 mg/kg/day q8h3 Kawasaki disease scarlet fever pharyngoconjunctival fever infectious mononucleosis

4 4 2 5 echocardiogram throat bacteria culture anti-streptolysin O titer rickettsia antibody

5 Aspirin vitamin B steroid zinc supplement

2102 122

6 pandemic virus 80% H5N2 5 1

H5N1 H1N1 A 18 H2N3

A 7 39 3200 gm 24 cyanosis

respiratory distressscaphoid abdomen

8 Hirschsprung disease

9 1

10 15 hematuriaproteinuriapyuria DNAdsDNA A beta group A beta-hemolytic streptococcus erythrocyte sedimentation rate

11 7 3 furunculosis2 160/105 mmHg 3 kg/A/G 3.2/3.1 mg/dL C3 pus A ASOantistreptolysin Otiter immune complex A

12 5 100 20 BUN 56 mg/dL 1.2 mg/dL

13 7 CPK 2 acute myositis Guillain-Barr syndrome acute myelitis acute rheumatoid arthritis

14 UPJ stenosis VUJ stenosis vesicoureteral reflux neurogenic bladder

2102123

15 NF-1 6 15 caf-au-lait spots acoustic neuroma 2 neurofibroma optic glioma

16 spinal muscular atrophy

17 synapse GABA-aminobutyric acid valproic acid vigabatrin gabapentin tiagabine

18 visible sign of puberty

19 3 ambiguous genitaliaphallus 2.4 gonads 46,XX 17-17-hydroxyprogesterone androstenedione testosterone estradiol

20 X-linked hypophosphatemic rickets PHEX 1,25-dihydroxyvitamin D calcitriol

21 Turner syndrome bicuspid aortic valve aortic stenosis aortic coarctation pulmonary stenosis

22 antigen presenting cell, APC T APC eosinophil dendritic cell monocyte macrophage

23 6 anaphylaxis epinephrine NSAID

2102 124 24 22 systemic lupus erythematosus, SLE

3 SLE neonatal lupus erythematosus, NLE NLE low C concentration anti-Ro/anti-La antibodies 4anti-Smith antibodies anticardiolipin IgG antibody

25 osteosarcoma hereditary retinoblastoma Li-Fraumeni Epstein-Barr virusEBV radiotherapy

26 3 helmet cell spherocyte acute leukemia hemolytic-uremic syndrome Evans thrombotic thrombocytopenic purpura

27 7 WBC3,400/mm3 6segment 32%lymphocyte 62%RBC6.010 /mm3Hb10.2 g/dLMCV63 fLMCH22 pgMCHC31.4 g/dLRDWRBC distribution widthHb A192.4%Hb A25.2%Hb F2.4% -thalassemia minor iron deficiency anemia hereditary spherocytosis -thalassemia minor

28 4 pancytopeniacaf-au-lait spotsshort staturechromosome fragility Fanconi anemia Diamond-Blackfan anemia aplastic anemia Down syndrome

29 12 right ventricular heave

}}

EXP

INSP

EXP

INSP

AP 1 12

AP

AP

AP

2

2

2

1

1

11

1

1

Normal

2102125

30

31 trisomy

32 3

X

33 34 apneaneonatal sepsisNa+ 138 mEq/LK+ 5.8 mEq/L

48 17-OH progesterone 17 ng/mL< 12 ng/mL ACTH 21-hydoxylase

34 ichthyosis seborrhea dermatophytosis psoriasis

2102 126

35 56 port-wine stain heliotrope erythema rosacea-like dermatitis cellulitis

36 70 patchessatellite lesionsKOH yeast-like organism

37 35 A

Bepithelioid cells giant cell granuloma X VDRL A B

leprosy; Hansens disease secondary syphilis sarcoidosis sporotrichosis

2102127

38 78 KOH

39 65 basal cell carcinoma malignant melanoma Merkel Merkel cell carcinoma keratoacanthoma

40 melanoma melanocytic nevi 100

41 80 IgG, C3basement membrane zone bullous pemphigoid pemphigus vulgaris Stevens-Johnson syndrome bullous drug eruptions

2102 128 42 10

pittingtrachyonychiarough nail

43 60 15 X

44 ichthyosis vulgaris atopic dermatitis hyperlinearity keratosis pilaris filaggrin profilaggrin

45 7 KOH

nevus depigmentosus vitiligo vulgaris pityriasis alba pityriasis versicolor

46 cerebral infarction local vasodilatation stasis of the blood column, with segmentation of the red cells edema necrosis of brain tissue

47 55 ataxia Horner Horners syndrome T2-weighted axial MRI CT CT diffusion-weighted axial MRI

2102129

48 sleep apnea syndrome obstructive sleep apnea polysomnography

49 69 A A A A 54 Brain MRI A transient global amnesia Alzheimer disease amnestic stroke epileptic seizures

50 pseudotumor cerebri lateral venous sinus thrombosis A

51 subacute combine degenerationBB12 Korsakoff syndromeB B1neuropathic beriberi B INHisoniazidB B2

52 acute disseminated encephalomyelitis, ADEM demyelinating illness acute inflammatory illness meningeal infiltration neuron

53 66 peripheral type facial palsy

54 dermatomyositis target-shaped erythematous lesions on the extremities a purplish discoloration around the eyes shagreen patches telangiectasis

2102 1210 55 40

Alzheimer disease Wernickes encephalopathy

56 scintillating scotoma

57 migraine with aura migraine without aura tension-type headache cluster headache

58 Parkinsonismakathisia idiopathic Parkinsons disease drug-induced progressive supranuclear palsy striatonigral degeneration

59 posterior section of internal capsulebrainstemspinal cordpyramidal systemMRI, T2 Hirayama disease amyotrophic lateral sclerosis spinocerebellar ataxia type III progressive spinal muscular atrophy

60 plasma exchange myasthenia crisis chronic inflammatory demyelinating polyneuropathy Guillain-Barr syndrome limbic encephalitis

61 residual type

62

63 bipolar disorder electroconvulsive therapy mixed typelithium valproate carbamazepine lamotrigine -Stevens-Johnson syndrome lithium

64 19 12 162 38

65 27

bipolar disorder, major depressive episode major depressive disorder dysthymic disorder cyclothymic disorder

21021211

66 40

67 dementia with Lewy bodies, DLB

68 42 180/130 mmHg 110

69 40

benzodiazepines alcohol withdrawal delirium positron emission tomography

70 mercury lead arsenic manganese

71 Tourettes syndrome

72 5862 mental retardation

73 posttraumatic stress disorder, PTSD

74 Primperan 1 reassurancehypnosis diphenhydramine diazepam -adrenergic receptor blockerpropranolol

75 anxiety disorders specific phobia generalized anxiety disorder

2102 1212 76 X

left inguinal hernia

77 normal pressure hydrocephalus

78 schizophrenia

79 10 90% 91 12 11

80 1250 peripheral arterial catheterbrachial artery