In the renal ultrasound image above, what is the most significant finding?
Question 1 - Single Best Answer
In the renal ultrasound image above, what is the most significant finding?
A) Dilated ureter
B) Kidney stone
C) A hypoechoic solid-appearing ball-like mass
Question 2 - Single Best Answer
Which of the following is the most likely presenting sign/symptom of the patient in question #1?
A) Hemoptysis
B) Hematuria
C) Jaundice
Question 3 - Single Best Answer
What is the most likely diagnosis of the patient in question #1?
A) Pyelonephritis
B) Renal cell carcinoma (RCC)
C) Kidney stone
D) Transitional cell carcinoma (TCC)
Question 4 - Single Best Answer
Which kidney appears abnormal in the CT scan above?
A) Left
B) Right
Question 5 - Single Best Answer
Which of the following is the best description of the abnormality in the above CT cross section?
A) Cortical mass
B) Obstruction with cortical thinning secondary to mass
C) Dilatation of the ureter secondary to large staghorn calculus.
Question 6 - Single Best Answer
What is the most likely diagnosis in this case?
A) Pyelonephritis
B) Renal cell carcinoma (RCC)
C) Transitional cell carcinoma (TCC)
Question 7 - Single Best Answer
A scrotal ultrasound is shown above. This study was done on a 25 yo male with complaints of a nontender growing left testicular mass. Which of the following best describes the abnormal finding?
A) A single cystic lesion
B) A heterogeneous lesion
C) A solid homogenous lesion
Question 8 - Single Best Answer
From the findings of the above scrotal ultrasound, which type of testicular cancer is more likely in this patient?
A) Seminomatous
B) Non-Seminomatous
Question 9 - Single Best Answer
Two bone scans are shown above. The bone scan on the left is normal. There is symmetric uptake of the radioisotope without any "hot spots". The bone scan on the right is of a 70 yo male with complaints of diffuse back pain and difficulty walking due to pains in his legs. A digital rectal exam revealed a nodular prostate, a PSA level was markedly elevated and a biopsy confirmed a high grade prostatic carcinoma. Describe the abnormality seen on the patient's bone scan?
A) Dense uptake of radioisotope diffusely along the spine
B) Multiple "hot spots" along the right femur
C) Dense uptake of radioisotope in the pelvis
D) All of the above