In the ultrasound image above, what is the most significant finding?
Question 1 - Single Best Answer
In the ultrasound image above, what is the most significant finding?
A) Dilated ureter
B) Kidney stone
C) Mass in upper pole of the kidney
D) Mass in the lower pole of the kidney
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 - Best 2 Answers
A ureterogram is shown above. Contrast was injected into the ureters and x-rays were taken. Which of the following best describes the findings?
A) Complete obstruction to the flow of contrast
B) Multiple filling defects in the ureter
C) Extravasation of contrast outside the lumens of the ureters
Question 8 - Single Best Answer
Which of the following is the most likely diagnosis of the patient in question #7?
A) Multiple air bubbles in the ureter
B) Transitional cell carcinoma
C) Fungus ball
Question 9 - Single Best Answer
Which of the following are important risk factors for developping transitional cell carcinoma?
A) Long term treatment with cyclophosphamide
B) Tobacco use
C) Schistosoma haematobium infection
D) All of the above
The patient is a 50 yo male with a history of high blood pressure and palpable abdominal masses. He had a CT scan shown below.
Question 10 - Single Best Answer
What is the most significant abnormality in the CT scan above?
A) Splenomegaly
B) Hepatomegaly
C) Large cysts in both kidneys
D) Aortic Aneurysm
Question 11 - Single Best Answer
What is the most likely diagnosis of the patient in question #10?
A) Renal cell carcinoma (RCC)
B) Transitional cell carcinoma (TCC)
C) Autosomal dominant polycystic kidney disease (ADPKD)
Question 12 - Single Best Answer
In addition to hypertension, which of the following would the above patient be expected to have?
A) Cerebral aneurysm
B) Proteinuria
C) Hematuria
D) Renal failure
E) All of the above.