2027 WITH QUESTIONS AND
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A mother brings in her 4-year-old daughter because she felt a "lump" on her
abdomen and she feels her daughter's belly is swollen. The mother states her
daughter is pretty healthy but has been stating that her stomach hurts on and off.
Physical exam reveals a nontender abdominal mass that is firm and does not cross
the midline. Based on this presentation, a possible diagnosis is:
A) polycystic kidney disease.
B) dysplastic kidney.
C) nephroblastoma.
D) renal cell carcinoma. - ANSWER-C) nephroblastoma
,the most common renal cancer in the pediatric age group. It is also the most
common pediatric abdominal cancer and the fourth most common pediatric cancer
overall. Wilms tumor is typically found in children younger than five years old.
Which of the following is the most common risk factor associated with the
development of bladder cancer?
A) Chronic urinary infections
B) Excessive analgesic use
C) Obesity
D) Smoking - ANSWER-D) Smoking
Causes of painless, asymptomatic hematuria include:
A) urolithiasis
B) urothelial cell carcinoma
C) acute cystitis
D) renal cell carcinoma
E) urothelial cell carcinoma and renal cell carcinoma - ANSWER-E) urothelial cell
carcinoma and renal cell carcinoma
Discharge teaching is done for the patient after a nephrectomy for renal carcinoma.
Which statement by the patient indicates that teaching has been effective?
A) Because renal carcinoma usually affects both kidneys, I'll need to be watched
closely.
B) I'll need to decrease my fluid intake to prevent stress to my remaining kidney.
C) My remaining kidney should provide me with normal renal function.
D) I'll eventually require some type of renal replacement therapy. - ANSWER-C)
My remaining kidney should provide me with normal renal function.
, Finasteride, a 5α reductase inhibitor, is used for benign prostatic hypertrophy,
because the medication:
A) increases the conversion of dihydrotestosterone.
B) prevents the conversion of testosterone to dihydrotestosterone.
C) increases testosterone levels.
D) prevents estrogen conversion. - ANSWER-B) prevents the conversion of
testosterone to dihydrotestosterone.
A man with benign prostatic hypertrophy is complaining that his urine stream is
slower than in the past and sometimes his stream sprays. He also reports dribbling
when he is almost done urinating. These
symptoms are known as:
A) voiding symptoms.
B) storage symptoms.
C) irritative symptoms.
D) urge symptoms. - ANSWER-A) voiding symptoms.
The cause of a decreased glomerular filtration rate in rapidly progressive
glomerulonephritis is due to
the development of:
A) podocyte proliferation.
B) small vessel thrombosis.
C) albumin that gets trapped in the loop of Henle.
D) collagen and fibrin deposits that develop into crescents. - ANSWER-D)
collagen and fibrin deposits that develop into crescents.
A patient has stage V chronic kidney disease, and his family explains he is
becoming progressively