200(平成年)月日実施 Web viewd.Rathke cyst(ラトケ嚢胞)
Transcript of 200(平成年)月日実施 Web viewd.Rathke cyst(ラトケ嚢胞)
200
203251028
4 10
1
T3,T4
a.TSH
b.
c.
d.LDL
e.
a,eTSH
b
dLDLLDL
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a.TSH
b.freeT3
c.freeT4
d.
e.
a,c
a.TSH
b.T3
c.T4
d.
e.
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a.
b.
c.
d.
e.
b,c
b.
c.
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a.
b.
c. TSH(TRAb)
d.
e. 99mTc
a,c
()
a.()(AST,ALT)
b.
c.TRAb
d.
e.
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TSH
a
b
c
d
eT4
d
4TSH
TSH
vol.3
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a.
b.Tc
c.
d.
e.TSHfreeT4
a,c
a.2030
b.P173
c.
d..
e.TSHfreeT4TSHT4
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a. TRH
b.
c.
d.
e.
c,e
1
(WBC) 2000 or (Neu) 500
2
ASTALT
3
4
5 MPO-ANCA
c.
e.
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2
a.
b.
c. 8090%
d. T4
e. (FNA)
a,e
a.16
b.
c.
d. T3,T4TSHTSH
e.
9
Afree T4,free T3,TSH
AT41
a,TSH
b,free T4
c,
d,
e,2
d
CEA
P226
P226-227
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Christiano Ronaldo
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2
a
b
c22
d
e
a,b
a
b
c
d
e
a 8~9
b
c MEN2
d
e
vol.3
11
762
: 7.8g/dl3.4g/dl 31.8mg/dl 1.41mg/dlCa 12.2mg/dlPi 4.6mg/dl 92mg/dl
:Ca 16.2mg/dl 30.3mg/dl
a)Ca11.6mg/dl
b)
c)
d)
e)
c,e
CaPiD
a) Ca=Ca+(4-)=12.2+(4-3.4)=12.8
b) CaPiDCaPiPTHrP
D
c)
d) Ca
e) Ca
09
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29112/64mmHg
7.2g/dL3.8g/dL13.6mg/dL
0.63mg/dLCa 7.2mg/dLPi 4.9mg/dL
intact PTH 10.8pg/mL10-60
2
a. Ellsworth-HowardcAMP
b. TRP
c.
d. 1,25D
e. Trousseau
b,e
4.0g/dLCa
CaCa47.243.87.4mg/dL
Ca8.510mg/dLCa
Pi2.54.5mg/dLintact PTHCaChvostek
a. Ellsworth-HowardPTHcAMPPcAMP
b. PTHTRP
c. D1,25D
d. PTH1,25D
e. CaTrousseau
vol.3
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a
b
c
d
e
c,d
a
1,25-(OH)DCa
b
c
d
PHPPTHPTHCaP
e
3
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1
a.
b.
c.Ca
d.1
e.Ca
c
PTH
CaP
c.Ca
vol.3p.231
15
a:30
b:50
c:MLOCC
d:3
e:
a,e
a: 4050
203050
2
5040
0.3
e: ()
16
a.
b.
c.
d.10
e.
c
a.
b. 80
c.
d.
e.
d.e.c.c.
99
17
5
a
b
c
d
e
d,e
X
L-dopaGHRP1530
http://allabout.co.jp/gm/gc/392016/2/
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72
a.
b.
c.
d.
e. GnRH
c,d
(b.)
e.GnRHGnRH()
a.
MRI
c.
d.
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CT
155.848.5kg144/76mmHgCa
MRIT2
Na 143mEq/LK 4.3mEq/LCl 106mEq/L
BUN 12.6mg/dL0.47mg/dLACTH 14.6pg/mL7.2-63.3
9.4mg/dL5.3-11.0
18.4pg/mL100
1620pg/mL100-450
9pg/mL20
18.4mg/day3.4-26.9
320.6 mg/day48.6-168.41.12mg/day0.04-0.19
1.04mg/day0.09-0.33
a.
b.
c.
d.CTCT10HU
e.
a.
b.
c. 2
d. CT10HU25HU
e.
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()
a. RET
b.
c. RET
d. 35
e. SDHBB
a,b
A:P.65
B:3
C:P.65
D:P.74
E:P.73
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21.8CT()MRI()
a.pituitary adenoma
b.germinoma
c.craniopharyngioma
d.Rathke cyst
e.meningioma
a
09
()
a.pituitary adenoma()
b.germinoma(())
c.craniopharyngioma()
d.Rathke cyst()
T1:high,T2:low
e.meningioma()
( )
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a. T1W1
b. Gd-DTPA
c.
d.
e. MRI
c,e
09
a.
T1W1; T1W1:
T1W1; T1W1:
b.
c.
d.
e.
( )
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23
2
a HOMA-IR
b C
c
d
e
a,d
() HOMA-IR
()
p.17
1 IRI 10U/ml
2 HOMA-IR 1.0 1.73()
3
4 SSPG(Stedy state plasma glucose)
5 IVGTT/
6 ITT(Insulin tolerance test)
(1)b,d (2)a,d (3)a,e
(1)b,d (2)a,c (3)a,c
(1)c (2)b,d (3)a,e
(1)a,b (2)c,d (3)(c 4/ e 2/) (4)b,e
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2
a.GAD
b.
c.insulinogenic index
d.HLA-DR4
e.
b,c
2(insulinogenic index)
GADHLA-DR41
vol.3
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2
a
bMODY3
cIRI
dIRI
e1GAD
a,d
a P9
b MODY3HNF-1MODY2MODYMaturity onset diabetes of the youngP9
c P10IRIimmunoreactive insulin
dP10
e1GADP6
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2
a. 10g/
b. 128mg/dl
c. 75gOGTT1213mg/dl
d. 186mg/dl
e. HbA1c6.6%(NGSP)
b,e
20102012
126mg/dl
75gOGTT2200mg/dl
200mg/dl
HbA1c6.5%NSGP%
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2
A)
B)
C)
D)
E)
a,c
ACDE
BB
ABC
Sheehan
08
28
2
a SU
b
c DPP4
d
e
b,c
a SU()
b PPARPPARNa()
c DPP4(GIPGLP-1)DPP4
d (2)
e
()
vol.3
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2
a.
b.
c.
d.
e.
a,d
a.
b. DKAWBC
c. H2ONaNaDKANa
d. DKA
e.
30
2
a.
b. ANPBNP
c. SIADHANP
d. NT-proBNP
e.
b,c
a.
b. ANPBNP
c. ADHANP
d.
e.
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357174cm56kg886mg/dLHbA1c 6.2NGSP
a. GAD
b. pH7.45
c.
d. HLA-DR2
e. Na 128mEq/L
c,e
1
1
1
2
3HbA1c
4C-10g/day
5
6
Kussmaul
+3+Na140Eq/LpH7.3
a. b. e.
c. 211HbA1c
d. 1HLA-DR4DR9HLA-DR2
PBL1
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562SU170cm78kg128/78mmHg156mg/dlHbA1c 8.0(NGSP)%BUN 20.6 mg/dl0.85mg/dl2
a.
b. 1800kcal
c.
d. 2
e.
a,b
aSU
b1.7222281780.24
c
d1
e
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a. LHE2
b. PRLREM
c. ACTH
d. GH
e. TSH
b,c
09d(09)
a. E2(LHsurge)
b. PRL...09
c.
d. GH()
e. TSH()
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a.
b.
c.
d.
e.
d,e
a. 7
b.
c. paracrine
autocrine
d. m
e. TGF-MAP
vol.3 09
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2
a.
b.
c.
d. cAMP
e. H2
b,d
a.
GHRHPRLP.171
b.
IGF-GHGHGH(P.172)
c.
d.
LHP.1664
e.
H2H2H2P.185
vol.33
9
36
a.
b.
c.
d.
e.
b,c
a
TRH
2
PIFPIFPIF
1
2
e11
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2
a. QOL
b.
c.
d. 75gGH
e.
b,c
a.
b. GH
c.
d. 75gOGTTGH()GH1ng/ml10ng/ml
L-DOPAGHTRHGnRH
e. GH
09
38
5465
16668154/96mmHg76/
Ca 9.6mg/dL Pi 5.4mg/dL128mg/dLHbA1c 6.9NGSP242mg/dL (50-149) 218mg/dL (150-219)HDL-C52mg/dL (40-86)GH 56.4g/L (