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R e n a l

P a t h o l o g yR e v i e w

R e n a l

P a t h o l o g yR e v i e w

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Q u e s t i o n # 1 2Qu e s t i o n # 1 2

n This kidney was most likely obtainedfrom which of the following patients:

a) A 23 year-old female with a butterflyrash and ANA titer of 1:5620

b) A 67 year-old male with a history ofhyertension

c) A 35 year old female with a history ofintravenous drug use and recent feverof sudden onset.

d) A 28 year old male who developed

rhabdomyolysis after a severe crushinjury to the lower extremities.

e) 49 year old female with rapidlyprogressive glomerulonephritis.

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N e p h r o s c l e r o s i sN e p h r o s c l e r o s i s

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Qu e s t i o n # 1 3Qu e s t i o n # 1 3

n This lesion may be caused byall of the following EXCEPT:

a) Nephrolithiasis

b) Pregnancy

C) Prostatic hyperplasia

d) Radiation therapy ofpelvic neoplasms

e) Renal vein thrombosis

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Qu e s t i o n # 1 4Qu e s t i o n # 1 4

n Which of the following statementsabout this disease is TRUE:

a) It accounts for 10% of patients withchronic renal failure requiring dialysis

b) It is the most common cause of thenephrotic syndrome in children

c) It is usually discovered incidentally orwhen compl ications such as infectionor stones develop

d) It is often associated with intracranialberry aneurysms

e) It is caused most commonly byanalgesic compounds containingphenacetin

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A u t o s o m a l Re c e s s i v eP o l y c y s t i c K i d n e y D i s e a s e

A u t o s o m a l Re c e s s i v eP o l y c y s t i c K i d n e y D i s e a s e

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Qu e s t i o n # 1 5Qu e s t i o n # 1 5

n Identify this lesion:

a) Renal abscess

b) Renal infarct

c) Renal cell carcinoma

d) Wilms tumor

e) Angiomyolipoma

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Qu e s t i o n # 1 6Qu e s t i o n # 1 6

n The cause of death of thisinfant was:

a) Renal cell carcinoma

b) Infantile polycystic k idneydisease

c) Medullary sponge kidncy

d) Wilms tumor

e) Famil ial juvenilenephronophthisis

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Qu e s t i o n # 1 7Qu e s t i o n # 1 7

n Which of the followinglaboratory assays would leadto the correct diagnosis in apatient with this disease ?

a) Serum and urine proteinelectrophoresis

b) Cytogenetic analysis

c) Blood and urine culture

d) ASO titer

e) Antinuclear antibody

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Q u e s t i o n # 1 8Qu e s t i o n # 1 8

n This kidney is from a 68year-old woman. Themost likely diagnosis is:

a) Malignant

nephrosclerosisb) Polycystic kidney

c) Bergers disease

d) MPGN, type II

e) Chronic analgesicnephritis

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Qu e s t i o n # 1 9Qu e s t i o n # 1 9

n Which feature would beLEAST expected in the65-year-old man with thistumor:

a) Polycythemia

b) Tumor cells in urine

c) Fever

d) Flank paine) Hematuria

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R e n a l C e l l C a r c i n o m aRe n a l C e l l C a r c i n o m a

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Qu e s t i o n # 2 0Qu e s t i o n # 2 0

n These kidneys were obtainedfrom the post-mortumexamination of a 73 year-old man.Other findings may haveincluded:

a) Malignant nephrosclerosis

b) Pulmonary mass

c) Urinary tract infection

d) Serum monoclonal proteine) Cysts in the liver

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Q u e s t i o n # 2 1Qu e s t i o n # 2 1

n Which of the following isLEAST likely to contribute torisk for the development of thislesion:

a) Benign prostatic hyperplasiab) Bladder calcul i

c) Infective endocardit is withsepticemia

d) Pregnancy

e) Hypertension

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Qu e s t i o n # 2 2Qu e s t i o n # 2 2

n This lesion would be leastexpected in which of thefollowing patients:

a) A 55-year-old male with diabetesmellitus who develops a urinarytract infection

b) A 60-year-old male who hasingested large quantit ies ofacetaminophen and phenacetin

c) A 19-year-old Afr ican-Americanmale who has sickle cell anemia

d) A 25-year-old pregnant femalewho has bacteriuria

e) A 48-year-old male who has ablood pressure of 180/100

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Qu e s t i o n # 2 3Qu e s t i o n # 2 3n This lesion occurs most

commonly in patients with:

a) Hypercalciuria

b) Hyperparathyroidismc) Urinary tract infection

d) Gout

e) Cystinosis

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Q u e s t i o n

# 2 4

Q u e s t i o n

# 2 4

n Identify this lesion:

a) Nephroblastoma

b) Renal dysplasia

C) Horseshoe kidney

d) Hydronephrosis

e) Infantile polycystic kidney

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Q u e s t i o n # 2 5Qu e s t i o n # 2 5

n This neoplasm microscopicallyresembles an embryonicnephrogenic zone and may bedue to a lack of a tumorsuppressor gene onchromosome 11. It is:

a) Angiomyolipoma

b) Renal cell carcinoma

c) Transitional cell carcinoma

d) Wilm's tumore) Medullary fibroma

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W i l m sT u m o r W i l m sT u m o r

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Qu e s t i o n # 2 6Q u e s t i o n # 2 6

n The most likely diseaseprocess in this kidney is:

a) Chronic pyelonephritisb) Acute pyelonephritis

c) Acute glomerulonephritis

d) Septic emboli

e) Medullary cystic disease

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C h r o n i c P y e l o n e p h r i t i sCh r o n i c P y e l o n e p h r i t i s

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S t u d y T i p s &

P r a c t i c eQ u e s t i o n s

S t u d y T i p s &

P r a c t i c eQ u e s t i o n s

n Shain, D.D. Study skil ls and test-taking strategies for

medical students, 2nd Ed., Springer-Verlag

n http://medstat.med.utah.edu/WebPath/webpath.html