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Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5775_Библиотеки_им_академика_М_И_Перельмана

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A.Nephroticsyndrome B.Renalcellcarcinoma C.Smokinghistory D.Crossedfusedrenalectopia
22. Imagesfrom rightupperquadrant ultrasoundofa52-year-oldmalewith historyofnon–small cell
carcinomaoflungareshown.Whatisthenextbeststepinthemanagementofthispatient?
A.Thehyperechoicareasinthemasssuggestmyelolipoma.Nofurtherevaluationisneeded. B.  The lesion is solid and almost certainly represents a perinephric metastasis. Confirmwith
percutaneousbiopsy.
C.Minimalheterogeneityofthemassfavorsadrenaladenoma.Recommendfollow-upimagingin
1yeartoensurestability.
D.  Large size and heterogeneity favor metastasis, but itshould be evaluated by adrenal mass
protocolCTorMRItoexcludeanadenomapriortopercutaneousbiopsy.
23a.A38-year-oldmalepresentswithhematuria.Arenalultrasoundwasperformed.Sagittalimagesof
the right kidney are provided. An incidental finding was noted in the pancreas as well. The patient’s siblingwasdiagnosedwiththesamecondition2yearsprior.Whatisthemostlikelydiagnosis?
A.Tuberoussclerosis B.vonHippel-Lindaudisease C.Multipleendocrineneoplasia(MEN)I D.Osler-Weber-Rendusyndrome
23b.Whichadditionalimagingstudyshouldbeperformedandwhy?
A.MRbraintoevaluateforsubependymaltubers B.CardiacCTtoevaluateforrhabdomyomas C.MRbraintoevaluateforintracranialAVMs D.MRbrainandspinetoevaluateforhemangioblastomas
24a. A 50-year-old female with long-standinghistory ofaffectivedisorder presentswith renal failure.
Sagittalimageoftheleftkidneyshowswhichofthefollowing?
A.Renalmicrocysts B.Renalcorticalnecrosis C.Medullarynephrocalcinosis D.Normalkidneys
24b.Whichofthefollowingimagingtestsmaybeusedtoconfirmthisfinding?
A.CTscan B.MRI C.Renalscintigraphy D.Plainradiograph
25.A47-year-oldmalewithrightflankpainundergoesanultrasound.Imagesofthebladderareshown.
Whatisthebestdiagnosisbasedonthesefindings?
A.Ureterocele B.Bladderdiverticulum C.Hematomaorfungalball D.Pseudoureterocele
26.  A 47-year-old male presents with hematuria. Images from abdominal ultrasound are shown. The
patientisatincreasedriskforwhichofthefollowing?