1.24歲女性病人因肌肉抽筋與全身乏力影響打電腦與走路而求診。理學檢查為：血壓 112/70 mmHg; HR 80/min, 呼吸14/min,全身肌力約4分。BUN 13.2 mg/dL, Cre 0.9 mg/dL, Uric acid 9.6 mg/dL, Na 136 mmol/L, K 2.6 mmol/L, Cl 85 mmol/L, Ca 2.38 mmol/L, Mg 0.9 mmol/L. Urine K 33.4 mmol/24/h , TTKG 11.74. Blood gas pH 7.53, PaCO2 49.3 mmHg, PaO2 98.0 mmHg, HCO3- 41.2 mEq/L, BE 15.8 mEq/L. Plasma renin activity 25.8 ng/ml/h (normal ＜5); Plasma aldosterone 64.4 ng/dL (normal ＜30)., 腎臟超音波(如圖)。請問何者為正確？ (1) Fanconi syndrome, (2) Bartter syndrome, (3) Gilteman syndrome, (4) 長期過度使用Thiazide, (5) 長期過度使用Loop diuretics.
(A)(1)+(2)
(B)(2)+(5)
(C)(3)+(4)
(D)(2)+(4)
(E)(3)+(5)