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Old 05-22-2012
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Question Craniopharyngioma Complications

A 7-year-old boy arrived to the emergency department by his parents because is not developing appropriately. The parents say that: the patient has cold intolerance, easy fatigability, and polyuria. A physical examination is notable for short stature and bilateral papilledema. Thyroid function tests are notable for low levels of T3, T4, and TSH. An MRI shows an enhancing multilobulated suprasellar mass with ring calcification in the region of the sella turcica. If the lesion represent a primary intracranial neoplasm, which of the following may be a complication(s) in this boy?


A) Hypercalcemia, hypercalciuria, hypophostemia
B) Puffy-faced child with protruding umbilicus due to lack of Iodine
C) Diabetes insupidus & obesity due to pituitary stalk dysfunction
D) Temporal hemianopsia & cardiovascular due to diminution of GnRH
E) Increased of cortisol due to a variety of cause
F) Increased of TBG during pregnancy


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Old 05-22-2012
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not quite sure what "D) Temporal hemianopsia & cardiovascular due to diminution of GnRH" means here, but there will be bitemporal hemianopsiaand decreased GnRH
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D :shrug:.....
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Originally Posted by DocSikorski View Post
not quite sure what "D) Temporal hemianopsia & cardiovascular due to [COLOR="diminution of GnRH" means here, but there will be bitemporal hemianopsiaand decreased GnRH
Lessen in size
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Lessen in size
D) Temporal hemianopsia & cardiovascular due to diminution of GnRH

& cardiovascular what?

If you ve ment some cardiovascular Changes or cardiovascular abnormalities or whatever - I'd go with answer C) than.

I mean, I cannot understand what are you trying to say.
Don't get me wrong man, a great question potentially, but kinda confusing
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I would go with D , most reasonable
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C) C) Diabetes insupidus & obesity due to pituitary stalk dysfunction
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the answer is A bcs of parathyroid-related protein.
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Old 05-23-2012
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my answer is C
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Originally Posted by DocSikorski View Post
D) Temporal hemianopsia & cardiovascular due to diminution of GnRH

& cardiovascular what?

If you ve ment some cardiovascular Changes or cardiovascular abnormalities or whatever - I'd go with answer C) than.

I mean, I cannot understand what are you trying to say.
Don't get me wrong man, a great question potentially, but kinda confusing

REMEMBER THAT: Man in your exam you have to go for the best answer of choice(The best definition), they gonna be always confused
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Originally Posted by alfjof View Post
REMEMBER THAT: Man in your exam you have to go for the best answer of choice(The best definition), they gonna be always confused
There are 2 types of confusion: due to weird wording and similar presentations and the other type is to mistakes in the stem question or answer choices.

The second one is least likely to appear on the exam, but keeps popping out in every question u post
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Originally Posted by DocSikorski View Post
There are 2 types of confusion: due to weird wording and similar presentations and the other type is to mistakes in the stem question or answer choices.

The second one is least likely to appear on the exam, but keeps popping out in every question u post

No problem if you think my questions give to you trouble, but some people in this forum like them for harder they are
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No problem if you think my questions give to you trouble, but some people in this forum like them for harder they are
I like your questions, though they are full of grammatical mistakes
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I like your questions, though they are full of grammatical mistakes
Keep studying!!! I'll post the explanation later OK
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A) Hypercalcemia, hypercalciuria, hypophostemia: Hyperparathyroidism
B) Puffy-faced child with protruding umbilicus due to lack of Iodine: Cretinism
C) Diabetes insupidus & obesity due to pituitary stalk dysfunction: Complications of craniopharyngioma include: Diabetes insupidus, obesity, endocrine dysfunction, GH(75%), GnRH(40%), ACTH or TSH in 25% deficiencies, and prolactinemia in 20%
D) Temporal hemianopsia & cardiovascular due to diminution(for my friend that means Lessen in size or decreased) of GnRH: Pituittary adenoma(most common prolactinoma) and cardiovascular can occur in patient with prolactinoma due to adrenocortical deficiency
E) Increased of cortisol due to a variety of cause: Cushing's syndrome
F) Increased of TBG during pregnancy: In pregnancy due to estrogen
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Old 05-24-2012
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Quote:
Originally Posted by alfjof View Post
A) Hypercalcemia, hypercalciuria, hypophostemia: Hyperparathyroidism
B) Puffy-faced child with protruding umbilicus due to lack of Iodine: Cretinism
C) Diabetes insupidus & obesity due to pituitary stalk dysfunction: Complications of craniopharyngioma include: Diabetes insupidus, obesity, endocrine dysfunction, GH(75%), GnRH(40%), ACTH or TSH in 25% deficiencies, and prolactinemia in 20%
D) Temporal hemianopsia & cardiovascular due to diminution(for my friend that means Lessen in size or decreased) of GnRH: Pituittary adenoma(most common prolactinoma) and cardiovascular can occur in patient with prolactinoma due to adrenocortical deficiency
E) Increased of cortisol due to a variety of cause: Cushing's syndrome
F) Increased of TBG during pregnancy: In pregnancy due to estrogen


well thanks but I cant understand , why cardiovascular disease and temporal hemianopia happen in adrenocortical insuffiecency


do u mean it is due to decrease cortisol ????
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Old 05-24-2012
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Originally Posted by mycoplasma View Post
well thanks but I cant understand , why cardiovascular disease and temporal hemianopia happen in adrenocortical insuffiecency


do u mean it is due to decrease cortisol ????
Yes!
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