penny review chapter 7
which of the following renal conditions is associated with the developement of cysts within the pancreas and liver? ARPKD ADPKD MCDK acquired renal cystic disease
ADPKD
infantile polycystic kidney disease may also be referred to as:
ARPKD
a renal scar most likely appears as:
a echogenic area that extends from the renal sinus through the renal parenchyma
which of the following would be most indicative of renal artery stenosis? decreased cortical echogenicity a renal to aorta ratio that is greater than 3.5 enlarged kidney tardus-parvus waveform upstream to the stenosis
a renal to aorta ratio that is greater than 3.5
what renal cystic disease would be most likely caused by, and thus associated with hemodialysis?
acquired renal cystic disease
which of the following would be considered the most common solid renal mass? renal hematoma angiomyolipoma oncocytoma hypernephroma
angiomyolipoma
which of the following would be a common finding in a patient undergoing peritoneal dialysis? hemorrhage ascites renal artery stenosis renal vein thrombosis
ascites
what is the most common clinical finding of a simple renal cyst?
asymptomatic
which of the following best describes the sonographic appearance of a kidney affected by ARPKD? bilateral enlarged, echogenic kidneys unilateral, smooth-walled, noncommunicating cysts of varying sizes located within the renal fossa small, echogenic kidneys numerous, large, complex renal cysts
bilateral enlarged, echogenic kidneys
the most common cause of fungal urinary tract infections is:
candida albicans
a female patient presents with a history of leukocytosis, dysuria, lower abdominal pain, and hematuria. sonographically, the kidneys appear normal, although the bladder wall measures 6 mm in the distended state. what is the most likely diagnosis?
cystitis
all of the following are clinical findings of ARF except: hematuria hypertension oliguria decreased BUN and creatinine
decreased BUN and creatinine
which of the following is the most common cause of CRF? hypertension diabetes mellitus ARPKD acute tubular necrosis
diabetes mellitus
a bulge on the lateral border of the kidney is:
dromedary hump
the most common congenital anomaly of the urinary tract is:
duplicated collecting system
renal cysts that project out away from the kidney are termed:
exophytic
which of the following is a childhood, autoimmune disease that results in the development of purple spots on the skin and possible renal failure? henoch-schonlein purpura azotemia von hippel-lindau syndrome xanthogranulomatous pyelonephritis
henoch-schonlein purpura
clinical findings of glomerulonephritis include all of the following except: proteinuria throat infection azotemia hypercalcemia
hypercalcemia
which of the following would not be a typical clinical feature of renal transplant failure? oliguria proteinuria hypotension elevated creatinine
hypotension
the vessel located anterior to the abdominal aorta and posterior to the superior mesenteric artery is the:
left renal vein
suspicion of cortical thinning should occur when the renal cortex measures:
less than 1 cm
what is the most common location of an ectopic kidney?
pelvis
the presence of purulent material within the renal collection system is termed:
pyonephrosis
the protective capsule of the kidney is referred to as:
renal capsule
what is the most likely location of TCC in the kidney?
renal pelvis
the kidneys are:
retroperitoneal organs
sonographically, compared to normal kidneys, those affected by CRF will appear:
smaller in size and more echogenic
all of the following are characteristics of complex cyst except: internal echoes smooth walls mural nodules septations
smooth walls
a stone that completely fills the renal pelvis is referred to as a:
staghorn calculus
which of the following is true regarding a duplex collecting system with complete ureteral duplication? the upper pole of the kidney suffers from reflux the lower pole suffers from obstruction because of a varicocele the upper pole suffers from obstruction because of a ureterocele the lower pole suffers from deflux and hypertrophy
the upper pole suffers from obstruction because of a ureterocele
the systemic disorder associated with epilepsy that leads to the development of solid tumors in various organs, including angiomyolipomas of the kidneys, is:
tuberous sclerosis
which of the following is not considered an extrinsic cause of hydronephrosis? ureteral stricture pregnancy neurogenic bladder uterine leiomyoma
ureteral stricture
what is the most common location for a urolithiasis to become lodged?
ureterovesicular junction
which of the following is not considered an intrinsic cause of hydronephrosis? ureterocele urethritis urolithiasis ureteropelvic junction obstruction
urethritis
the inherited disorder associated with the development of tumors of the central nervous system and orbits, renal cysts, and adrenal tumors is:
von hippel-lindau syndrome
which of the following is the most common cause of ARF? hypertension diabetes mellitus ARPKD acute tubular necrosis
acute tubular necrosis
enlargement of the unaffected contralateral kidney with unilateral renal agenesis or compromised renal function is referred to as:
compensatory hypertrophy
which of the following renal findings would most likely present with a clinical finding of hematuria? hemorrhagic renal cyst milk of calcium renal cyst simple renal cyst angiomyolipoma
hemorrhagic renal cyst
what is the functional unit of the kidney?
nephron
clinical findings of nephrocalcinosis include all of the following except: urinary tract infections urinary calculi hyperparathyroidism weight loss
weight loss